Neuroprotective strategies to prevent and treat Parkinson's disease based on its pathophysiological mechanism

Arch Pharm Res. 2017 Oct;40(10):1117-1128. doi: 10.1007/s12272-017-0960-8. Epub 2017 Sep 26.

Abstract

Parkinson's disease (PD) is the second most common progressive neurodegenerative disease after Alzheimer's disease. PD exhibits clinical symptoms that include tremors, rigidity, and bradykinesia. Many drugs are available to treat PD, such as, L-dopa, COMT inhibitor, MAO-B inhibitor, and dopamine agonists, but these drugs simply compensate for dopamine loss in PD, and therefore, cannot completely suppress its symptoms or progression. Although the causes of PD are not clearly understood, common pathophysiological pathways, such as, oxidative stress, mitochondrial dysfunction, and neuroinflammation are considered to be etiological factors, and thus, many treatments and interventions have been developed to target these pathophysiological factors. This review describes the neuroprotective strategies devised based on current understanding of the pathophysiological mechanisms of PD.

Keywords: Adaptive cellular stress response; Mitochondrial dysfunction; Neuroinflammation; Oxidative stress; Parkinson’s disease; Pathophysiological pathway; Phytochemicals.

Publication types

  • Review

MeSH terms

  • Cytokines / metabolism
  • Dopaminergic Neurons / drug effects
  • Dopaminergic Neurons / immunology
  • Humans
  • Inflammation
  • Membrane Potential, Mitochondrial / drug effects
  • Microglia / drug effects
  • Microglia / immunology
  • Neuroprotective Agents / therapeutic use*
  • Oxidative Stress / drug effects*
  • Parkinson Disease / drug therapy*
  • Parkinson Disease / etiology
  • Parkinson Disease / immunology
  • Plant Preparations / therapeutic use*

Substances

  • Cytokines
  • Neuroprotective Agents
  • Plant Preparations