2019
DOI: 10.1016/j.lfs.2019.03.057
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Parkinson's disease: Mechanisms, translational models and management strategies

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Cited by 409 publications
(322 citation statements)
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References 182 publications
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“…Gene therapy has shown great progress in clinical trials over the last decade to face both inherited and acquired devastating brain diseases that do not have a reasonably effective treatment with conventional drugs (https://alliancerm.org/publication/q2-2019-data-report). In the case of inborn metabolism mutations of one gene that affect the brain, such as mucopolysaccharidoses or Canavan disease, the approach normally consists of the delivery of a functional copy of the gene to restore the normal phenothype [146][147][148]. However, in the case of brain-acquired diseases, where more than one gene can be affected, such as brain cancer, Alzheimer's, or Parkinson's diseases, the genetic approach is more challenging, since the molecular basis of those disorders are still not understood [148][149][150].…”
Section: General Conceptsmentioning
confidence: 99%
See 1 more Smart Citation
“…Gene therapy has shown great progress in clinical trials over the last decade to face both inherited and acquired devastating brain diseases that do not have a reasonably effective treatment with conventional drugs (https://alliancerm.org/publication/q2-2019-data-report). In the case of inborn metabolism mutations of one gene that affect the brain, such as mucopolysaccharidoses or Canavan disease, the approach normally consists of the delivery of a functional copy of the gene to restore the normal phenothype [146][147][148]. However, in the case of brain-acquired diseases, where more than one gene can be affected, such as brain cancer, Alzheimer's, or Parkinson's diseases, the genetic approach is more challenging, since the molecular basis of those disorders are still not understood [148][149][150].…”
Section: General Conceptsmentioning
confidence: 99%
“…In the case of inborn metabolism mutations of one gene that affect the brain, such as mucopolysaccharidoses or Canavan disease, the approach normally consists of the delivery of a functional copy of the gene to restore the normal phenothype [146][147][148]. However, in the case of brain-acquired diseases, where more than one gene can be affected, such as brain cancer, Alzheimer's, or Parkinson's diseases, the genetic approach is more challenging, since the molecular basis of those disorders are still not understood [148][149][150]. BBB hampers the entry of gene expression vectors into the brain; consequently, gene treatments must be given after an invasive craniotomy, which in many cases jeopardizes the acceptance of patients enrolled in clinical trials due to the cumbersome approach and related side effects that increase the after-care cost as a consequence of additional hospital visits [151].…”
Section: General Conceptsmentioning
confidence: 99%
“…Some authors have studied the reliability of their instruments by examining whether they are able to detect the "off" vs. "on" change produced by the administration of levodopa and other antiparkinsonian drugs [30,31,42,43,46,50]. Theoretically, the rigidity responds well to medication [5,64], but frequently the outcome measures used (clinical scales such as UPDRS and others) in clinical trials seem to suffer from an obvious subjectivity, poor sensitivity to change, and variable inter-or intra-examiner reliability [5]. On the other hand, the use of instrumentalized methods could provide greater assurance regarding the efficacy of pharmacotherapy (and other treatments), since they offer quantitative information.…”
Section: Dopaminergic Medication and Rigiditymentioning
confidence: 99%
“…For this invasive treatment, PD patients must experience surgery again and again. It increases the risk of infection of the PD patients 6 . Currently available drugs or surgery are merely symptomatic treatments and do not slow down or prevent the progress of the disease.…”
Section: Introductionmentioning
confidence: 99%