Priorities in Parkinson's disease research.
Identifieur interne : 000D11 ( Ncbi/Curation ); précédent : 000D10; suivant : 000D12Priorities in Parkinson's disease research.
Auteurs : Wassilios G. Meissner [France] ; Mark Frasier ; Thomas Gasser ; Christopher G. Goetz ; Andres Lozano ; Paola Piccini ; José A. Obeso ; Olivier Rascol ; Anthony Schapira ; Valerie Voon ; David M. Weiner ; François Tison ; Erwan BezardSource :
- Nature reviews. Drug discovery [ 1474-1784 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- chemical , metabolism : Dopamine.
- chemical , pharmacology : Antiparkinson Agents.
- drug therapy : Parkinson Disease.
- methods : Clinical Trials as Topic.
- pathology : Neurons.
- physiopathology : Parkinson Disease.
- Animals, Disease Models, Animal, Drug Delivery Systems, Drug Design, Drug Evaluation, Preclinical, Humans.
Abstract
The loss of dopaminergic neurons in the substantia nigra pars compacta leads to the characteristic motor symptoms of Parkinson's disease: bradykinesia, rigidity and resting tremors. Although these symptoms can be improved using currently available dopamine replacement strategies, there is still a need to improve current strategies of treating these symptoms, together with a need to alleviate non-motor symptoms of the disease. Moreover, treatments that provide neuroprotection and/or disease-modifying effects remain an urgent unmet clinical need. This Review describes the most promising biological targets and therapeutic agents that are currently being assessed to address these treatment goals. Progress will rely on understanding genetic mutations or susceptibility factors that lead to Parkinson's disease, better translation between preclinical animal models and clinical research, and improving the design of future clinical trials.
DOI: 10.1038/nrd3430
PubMed: 21532567
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pubmed:21532567Le document en format XML
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<term>Dopamine (metabolism)</term>
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<front><div type="abstract" xml:lang="en">The loss of dopaminergic neurons in the substantia nigra pars compacta leads to the characteristic motor symptoms of Parkinson's disease: bradykinesia, rigidity and resting tremors. Although these symptoms can be improved using currently available dopamine replacement strategies, there is still a need to improve current strategies of treating these symptoms, together with a need to alleviate non-motor symptoms of the disease. Moreover, treatments that provide neuroprotection and/or disease-modifying effects remain an urgent unmet clinical need. This Review describes the most promising biological targets and therapeutic agents that are currently being assessed to address these treatment goals. Progress will rely on understanding genetic mutations or susceptibility factors that lead to Parkinson's disease, better translation between preclinical animal models and clinical research, and improving the design of future clinical trials.</div>
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