重新利用多发性硬化症治疗帕金森病的药物

Tingyu Cao, Qiang Liu, Xiaodong Zhu
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摘要

帕金森病(PD)是一种主要影响老年人的与年龄相关的神经退行性疾病。尽管最近在药物治疗和手术干预(如深部脑刺激)方面取得了进展,但目前的PD治疗仅限于缓解疾病症状,而不是阻止疾病进展,这凸显了对疾病改善干预的迫切需求。神经炎症已被认为是驱动PD病理发生和发展的关键因素。由于疾病修饰药物(dmd)的革命成功地改变了多发性硬化症(MS)的病程,这是一种中枢神经系统炎症性自身免疫性疾病,将MS dmd作为PD的新治疗选择变得很有吸引力。这篇综述总结了正在进行的和已经完成的PD中MS dmd的研究,作为解决这一未满足需求的潜在机会。未来的临床试验需要进一步评估dmd对PD患者的疗效。
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Repurposing multiples sclerosis disease-modifying drugs for Parkinson's disease
Parkinson’s disease (PD) is an age-related neurodegenerative disease mainly affecting the elderly population. Despite recent progresses in pharmacologic therapies and surgical interventions such as deep brain stimulation, current PD therapies are limited to relieving disease symptoms rather than stopping disease progression, highlighting an urgent yet unmet need for disease-modifying interventions. Neuroinflammation has been proposed as a pivotal contributing factor that drives the initiation and progression of PD pathology. Owing to the revolution in disease-modifying drugs (DMDs) that successfully change the course of multiple sclerosis (MS), a central nervous system inflammatory autoimmune disease, it has become tempting to repurpose MS DMDs as new treatment options for PD. This review summarizes the ongoing and completed studies of MS DMDs in PD as a potential opportunity to address this unmet need. Future clinical trials are warranted to further evaluate the efficacy of DMDs in patients with PD.
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