Pathogenesis of Parkinson's Disease

被引:225
作者
Hirsch, Etienne C. [1 ,2 ,3 ]
Jenner, Peter [4 ]
Przedborski, Serge [5 ,6 ]
机构
[1] Univ Paris 06, Ctr Rech, Inst Cerveau & Moelle Epiniere, Hop Salpetriere, Paris, France
[2] INSERM, Unite Mixte Rech U975, Paris, France
[3] CNRS, Unite Mixte Rech 7225, Paris, France
[4] Kings Coll London, Neurodegenerat Dis Res Ctr, Inst Pharmaceut Sci, Sch Biomed Sci, London WC2R 2LS, England
[5] Columbia Univ, Dept Neurol, Dept Pathol & Cell Biol, New York, NY 10032 USA
[6] Columbia Univ, Ctr Motor Neuron Biol & Dis, New York, NY 10032 USA
基金
美国国家卫生研究院;
关键词
Dopamine neuron; inflammation; neurodegeneration; mitochndria; misfolded protein; ALPHA-SYNUCLEIN; SUBSTANTIA-NIGRA; MOUSE MODEL; DOPAMINERGIC NEURODEGENERATION; NEURONS; PATHOLOGY; MITOCHONDRIA; CONTRIBUTES; RECRUITMENT; DYSFUNCTION;
D O I
10.1002/mds.25032
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Parkinson's disease is a common adult-onset neurodegenerative disorder whose pathogenesis remains essentially unknown. Currently, it is believed that the neurodegenerative process in Parkinson's disease is a combination of both cell-autonomous and non-cell-autonomous mechanisms. Proposed cell-autonomous mechanisms include alterations in mitochondrial bioenergetics,dysregulation of calcium homeostasis, and impaired turnover of mitochondria. As for the proposed non-cell-autonomous mechanisms, they involve prion-like behavior of misfolded proteins and neuroinflammation. This suggests that cell death in Parkinson's disease is caused by a multifactorial cascade of pathogenic events and argues that effective neuroprotective therapy for Parkinson's disease may have to rely on multiple drug interventions. (C) 2013 Movement Disorder Society
引用
收藏
页码:24 / 30
页数:7
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