2010
DOI: 10.1038/nm.2165
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Missing pieces in the Parkinson's disease puzzle

Abstract: Parkinson's disease is a neurodegenerative process characterized by numerous motor and nonmotor clinical manifestations for which effective, mechanism-based treatments remain elusive. Here we discuss a series of critical issues that we think researchers need to address to stand a better chance of solving the different challenges posed by this pathology.

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Cited by 634 publications
(538 citation statements)
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“…This ability to preserve dopaminergic cells in animals with already established lesions is particularly significant for further clinical intervention since patients present motor symptoms once the nigrostriatal pathway has degenerated substantially. 45 Finally, and in agreement with the in vitro data, our results indicate that SC001 significantly reduced the accumulation of reactive microglia in the striatum of LPS-lesioned rats. Since administration of the endotoxin LPS in rats induces a robust glial activation and a subsequent dopaminergic cell loss that parallels many aspects of PD, 26,27 the data presented here suggest that, at least in part, the SC001 compound induces a protection of dopaminergic cells through anti-inflammatory mechanisms.…”
Section: ■ Conclusionsupporting
confidence: 90%
“…This ability to preserve dopaminergic cells in animals with already established lesions is particularly significant for further clinical intervention since patients present motor symptoms once the nigrostriatal pathway has degenerated substantially. 45 Finally, and in agreement with the in vitro data, our results indicate that SC001 significantly reduced the accumulation of reactive microglia in the striatum of LPS-lesioned rats. Since administration of the endotoxin LPS in rats induces a robust glial activation and a subsequent dopaminergic cell loss that parallels many aspects of PD, 26,27 the data presented here suggest that, at least in part, the SC001 compound induces a protection of dopaminergic cells through anti-inflammatory mechanisms.…”
Section: ■ Conclusionsupporting
confidence: 90%
“…Agents currently under investigation are anti-apoptotics (Omigapil), anti-glutamatergics, monoamine oxidase inhibitors (Selegiline), promitochondrials (Coenzyme Q10, creatine), calcium channel blockers (Isradipine) and growth factors (GDNF). (9) A vaccine that primes the human immune system to destroy alpha-synuclein, PD01A (developed by Austrian company, Affairs), has entered clinical trials in humans. It has been proposed that effective treatments may be developed by use of induced pluripotent stem cells taken from adults.…”
Section: Futurementioning
confidence: 99%
“…(9) Cell death may be related to oxidative stress, protein aggregation but the mechanisms are not fully understood. …”
mentioning
confidence: 99%
“…Later, they appear in the substantia nigra, in some areas of the midbrain and basal forebrain, and finally in the neocortex (Davie 2008). In these places, there is neuronal degeneration, but it has been proposed that Lewy bodies could be a protection against harmful factors and not the cause of cell death (Obeso et al 2010;Schulz-Schaeffer 2010). However, in demented AD individuals, Lewy bodies are largely present in cortical areas and "reduced AS clearance is involved in the generation of AS inclusions in DLB and PD" (Brück et al 2015).…”
Section: Brain Neurons and Parkinson's Diseasementioning
confidence: 99%