Neuronal vulnerability, pathogenesis and Parkinson’s disease
Identifieur interne : 000C97 ( Main/Exploration ); précédent : 000C96; suivant : 000C98Neuronal vulnerability, pathogenesis and Parkinson’s disease
Auteurs : David Sulzer [États-Unis] ; D. James Surmeier [États-Unis]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2012.
English descriptors
- KwdEn :
- MESH :
- chemical , metabolism : alpha-Synuclein.
- complications : Nerve Degeneration.
- etiology : Parkinson Disease.
- pathology : Nerve Degeneration, Nervous System, Neurons, Parkinson Disease.
- Humans.
Abstract
Although there have been significant advances, pathogenesis in Parkinson’s disease (PD) is still poorly understood. Potential clues about pathogenesis that have not been systematically pursued are suggested by the restricted pattern of neuronal pathology in the disease. In addition to dopaminergic neurons in the substantia nigra pars compacta (SNc), a significant number of other central and peripheral neuronal populations exhibit Lewy pathology (LP), phenotypic dysregulation or frank degeneration in PD patients. Drawing on this literature, there appears to be a small number of risk factors contributing to vulnerability. These include autonomous activity, broad action potentials, low intrinsic calcium buffering capacity, poorly myelinated long highly branched axons and terminal fields, and use of a monoamine neurotransmitter, often with the catecholamine-derived neuromelanin pigment. Of these phenotypic traits, only the physiological ones appear to provide a reachable therapeutic target at present.
Url:
DOI: 10.1002/mds.25095
PubMed: 22791686
PubMed Central: 3578396
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><p id="P1">Although there have been significant advances, pathogenesis in Parkinson’s disease (PD) is still poorly understood. Potential clues about pathogenesis that have not been systematically pursued are suggested by the restricted pattern of neuronal pathology in the disease. In addition to dopaminergic neurons in the substantia nigra pars compacta (SNc), a significant number of other central and peripheral neuronal populations exhibit Lewy pathology (LP), phenotypic dysregulation or frank degeneration in PD patients. Drawing on this literature, there appears to be a small number of risk factors contributing to vulnerability. These include autonomous activity, broad action potentials, low intrinsic calcium buffering capacity, poorly myelinated long highly branched axons and terminal fields, and use of a monoamine neurotransmitter, often with the catecholamine-derived neuromelanin pigment. Of these phenotypic traits, only the physiological ones appear to provide a reachable therapeutic target at present.</p>
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