治疗帕金森病的药物和替代方法的最新进展

IF 2.5 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM Neuropeptides Pub Date : 2024-02-21 DOI:10.1016/j.npep.2024.102415
Sneha Kispotta, Debajyoti Das, Shakti Ketan Prusty
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引用次数: 0

摘要

帕金森病(Parkinson's disease)通常被称为 "帕金森病"(PD),是一种较常见的与年龄有关的神经系统疾病,影响着全球大量的老年人。帕金森病主要是一种与运动相关的疾病,其特征是神经元内聚集物的沉积,因为α-突触核蛋白基因以路易体(LB)的形式表达,导致多巴胺能神经元死亡。早年的生活压力可能会导致抑郁症的发生,而抑郁症患者在成熟后可能会导致帕金森病的发生。抑郁症是一种非运动性疾病,会导致运动症状,如帕金森病。帕金森病患者目前正在使用多种其他疗法,如使用营养补充剂、草药、维生素和按摩。当患者的功能受到损害时,通常会根据患者的病情以及体征和症状的严重程度启动药物治疗。目前市场上销售的抗帕金森药物在大脑中的分布较少,无法修复多巴胺能神经元或延缓疾病的进展,这些负面影响是不可避免的。为了克服这些缺点,本综述考虑了帕金森病所用药物的包容性,重点关注重新利用现有化合物以加快药物开发的策略、这些化合物穿越生物BB的能力以及药物在大脑中的分布。我们关注细胞疗法和再利用药物。我们还调查了几种被重新定位用于帕金森病药物治疗的新药的机制、有效性和安全性。在本研究中,我们重点关注帕金森病研究的全球趋势。我们希望通过国际和国家统计数据,包括每年的发病率,提高人们对全球主要致残因素现状的认识。帕金森病的病理生理学,同时分析帕金森病的现有疗法,以及新的和创新的药物疗法,并评估疾病改变的前景。
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A recent update on drugs and alternative approaches for parkinsonism

Parkinson's disease, often known as PD, is a more common age-related neurological disorder that affects a huge number of older adults worldwide. Parkinson's disease is predominantly a movement-related pathosis and is distinguished by the deposition of intra-neuronal aggregates, as the alpha-synuclein gene is expressed as Lewy bodies (LB) causing dopaminergic neurons to die. Stress in early life may contribute to the development of depression, and depression in patients may result in the development of Parkinson's disease as they mature. Depression is a non-motor condition that leads to motor symptoms, such as Parkinson's disease. PD Patients are currently utilizing a variety of other therapies like utilizing nutritional supplements, herbal remedies, vitamins, and massage. When a patient's functional ability is impaired, drug treatment is usually initiated according to the individual's condition and the severity of signs and symptoms. The current marketed anti-Parkinson drugs, has low brain distribution and failing to repair dopaminergic neurons or delaying the progression of the disease these negative effects were unavoidable. To overcome these disadvantages, this review considers the inclusion of drugs used in Parkinson's disease, focusing on strategies to reuse existing compounds to speed up drug development, their capacity to traverse the BBB, and drug dispersion in the brain. We look at cellular therapies and repurposed drugs. We also investigate the mechanisms, effectiveness, as well as safety of several new medications that are being repositioned for Parkinson's disease pharmacotherapy. In this study, we focus on global trends in Parkinson's disease research. We hope to raise awareness about the present state of major factors for disability worldwide, including yearly prevalence's from international and national statistics. The pathophysiology of Parkinsonism and also analyze existing therapies for Parkinson's disease, moreover new and innovative drug therapies, and to assess the prospects for disease modification.

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来源期刊
Neuropeptides
Neuropeptides 医学-内分泌学与代谢
CiteScore
5.40
自引率
6.90%
发文量
55
审稿时长
>12 weeks
期刊介绍: The aim of Neuropeptides is the rapid publication of original research and review articles, dealing with the structure, distribution, actions and functions of peptides in the central and peripheral nervous systems. The explosion of research activity in this field has led to the identification of numerous naturally occurring endogenous peptides which act as neurotransmitters, neuromodulators, or trophic factors, to mediate nervous system functions. Increasing numbers of non-peptide ligands of neuropeptide receptors have been developed, which act as agonists or antagonists in peptidergic systems. The journal provides a unique opportunity of integrating the many disciplines involved in all neuropeptide research. The journal publishes articles on all aspects of the neuropeptide field, with particular emphasis on gene regulation of peptide expression, peptide receptor subtypes, transgenic and knockout mice with mutations in genes for neuropeptides and peptide receptors, neuroanatomy, physiology, behaviour, neurotrophic factors, preclinical drug evaluation, clinical studies, and clinical trials.
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