Strategies for the Treatment of Parkinson’s Disease: Beyond Dopamine

Parkinson’s disease (PD) is the second-leading cause of dementia and is characterized by a progressive loss of dopaminergic neurons in the substantia nigra alongside the presence of intraneuronal α-synuclein-positive inclusions. Therapies to date have been directed to the restoration of the dopamine...

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Main Authors: Alexandre Iarkov, George E. Barreto, J. Alex Grizzell, Valentina Echeverria
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-01-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fnagi.2020.00004/full
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author Alexandre Iarkov
George E. Barreto
George E. Barreto
J. Alex Grizzell
Valentina Echeverria
Valentina Echeverria
author_facet Alexandre Iarkov
George E. Barreto
George E. Barreto
J. Alex Grizzell
Valentina Echeverria
Valentina Echeverria
author_sort Alexandre Iarkov
collection DOAJ
description Parkinson’s disease (PD) is the second-leading cause of dementia and is characterized by a progressive loss of dopaminergic neurons in the substantia nigra alongside the presence of intraneuronal α-synuclein-positive inclusions. Therapies to date have been directed to the restoration of the dopaminergic system, and the prevention of dopaminergic neuronal cell death in the midbrain. This review discusses the physiological mechanisms involved in PD as well as new and prospective therapies for the disease. The current data suggest that prevention or early treatment of PD may be the most effective therapeutic strategy. New advances in the understanding of the underlying mechanisms of PD predict the development of more personalized and integral therapies in the years to come. Thus, the development of more reliable biomarkers at asymptomatic stages of the disease, and the use of genetic profiling of patients will surely permit a more effective treatment of PD.
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spelling doaj.art-e2145c71709f4bec988d93c78422d6be2022-12-21T22:23:45ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652020-01-011210.3389/fnagi.2020.00004500814Strategies for the Treatment of Parkinson’s Disease: Beyond DopamineAlexandre Iarkov0George E. Barreto1George E. Barreto2J. Alex Grizzell3Valentina Echeverria4Valentina Echeverria5Laboratorio de Neurobiología, Facultad de Ciencias de la Salud, Universidad San Sebastián, Concepción, ChileDepartment of Biological Sciences, University of Limerick, Limerick, IrelandHealth Research Institute, University of Limerick, Limerick, IrelandDepartment of Psychology and Neuroscience, Center for Neuroscience, University of Colorado, Boulder, CO, United StatesLaboratorio de Neurobiología, Facultad de Ciencias de la Salud, Universidad San Sebastián, Concepción, ChileResearch & Development Service, Bay Pines VA Healthcare System, Bay Pines, FL, United StatesParkinson’s disease (PD) is the second-leading cause of dementia and is characterized by a progressive loss of dopaminergic neurons in the substantia nigra alongside the presence of intraneuronal α-synuclein-positive inclusions. Therapies to date have been directed to the restoration of the dopaminergic system, and the prevention of dopaminergic neuronal cell death in the midbrain. This review discusses the physiological mechanisms involved in PD as well as new and prospective therapies for the disease. The current data suggest that prevention or early treatment of PD may be the most effective therapeutic strategy. New advances in the understanding of the underlying mechanisms of PD predict the development of more personalized and integral therapies in the years to come. Thus, the development of more reliable biomarkers at asymptomatic stages of the disease, and the use of genetic profiling of patients will surely permit a more effective treatment of PD.https://www.frontiersin.org/article/10.3389/fnagi.2020.00004/fullgene therapypreventioncotininestem cellsprecision medicine
spellingShingle Alexandre Iarkov
George E. Barreto
George E. Barreto
J. Alex Grizzell
Valentina Echeverria
Valentina Echeverria
Strategies for the Treatment of Parkinson’s Disease: Beyond Dopamine
Frontiers in Aging Neuroscience
gene therapy
prevention
cotinine
stem cells
precision medicine
title Strategies for the Treatment of Parkinson’s Disease: Beyond Dopamine
title_full Strategies for the Treatment of Parkinson’s Disease: Beyond Dopamine
title_fullStr Strategies for the Treatment of Parkinson’s Disease: Beyond Dopamine
title_full_unstemmed Strategies for the Treatment of Parkinson’s Disease: Beyond Dopamine
title_short Strategies for the Treatment of Parkinson’s Disease: Beyond Dopamine
title_sort strategies for the treatment of parkinson s disease beyond dopamine
topic gene therapy
prevention
cotinine
stem cells
precision medicine
url https://www.frontiersin.org/article/10.3389/fnagi.2020.00004/full
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