Pathogenesis-Targeted, Disease-Modifying Therapies in Parkinson Disease
Identifieur interne : 000D01 ( Main/Exploration ); précédent : 000D00; suivant : 000D02Pathogenesis-Targeted, Disease-Modifying Therapies in Parkinson Disease
Auteurs : Amaal Aldakheel ; Lorraine V. Kalia ; Anthony E. LangSource :
- Neurotherapeutics [ 1933-7213 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- chemical , metabolism : Reactive Oxygen Species.
- chemical , therapeutic use : Antioxidants, Dopamine Agents, Neuroprotective Agents.
- drug therapy : Parkinson Disease.
- Animals, Disease Models, Animal, Humans.
Abstract
Parkinson disease is an inexorably progressive neurodegenerative disorder. Multiple attempts have been made to establish therapies for Parkinson disease which provide neuroprotection or disease modification—two related, but not identical, concepts. However, to date, none of these attempts have succeeded. Many challenges exist in this field of research, including a complex multisystem disorder that includes dopaminergic and non-dopaminergic features; poorly understood and clearly multifaceted disease pathogenic mechanisms; a lack of reliable animal models; an absence of effective biomarkers of disease state, progression, and target engagement; and the confounding effects of potent symptomatic therapy. In this article, we will review previous, ongoing, and potential future trials designed to alter the progressive course of the disease from the perspective of the targeted underlying pathogenic mechanisms.
The online version of this article (doi:10.1007/s13311-013-0218-1) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1007/s13311-013-0218-1
PubMed: 24085420
PubMed Central: 3899477
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Parkinson disease is an inexorably progressive neurodegenerative disorder. Multiple attempts have been made to establish therapies for Parkinson disease which provide neuroprotection or disease modification—two related, but not identical, concepts. However, to date, none of these attempts have succeeded. Many challenges exist in this field of research, including a complex multisystem disorder that includes dopaminergic and non-dopaminergic features; poorly understood and clearly multifaceted disease pathogenic mechanisms; a lack of reliable animal models; an absence of effective biomarkers of disease state, progression, and target engagement; and the confounding effects of potent symptomatic therapy. In this article, we will review previous, ongoing, and potential future trials designed to alter the progressive course of the disease from the perspective of the targeted underlying pathogenic mechanisms.</p>
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<p>The online version of this article (doi:10.1007/s13311-013-0218-1) contains supplementary material, which is available to authorized users.</p>
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<name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name>
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