Novel approaches to counter protein aggregation pathology in Parkinson's disease

Prog Brain Res. 2020:252:451-492. doi: 10.1016/bs.pbr.2019.10.007. Epub 2019 Nov 30.

Abstract

The primary neuropathological characteristics of the Parkinsonian brain are the loss of nigral dopamine neurons and the aggregation of alpha synuclein protein. Efforts to development potentially disease-modifying treatments have largely focused on correcting these aspects of the condition. In the last decade treatments targeting protein aggregation have entered the clinical pipeline. In this chapter we provide an overview of ongoing clinical trial programs for different therapies attempting to reduce protein aggregation pathology in Parkinson's disease. We will also briefly consider various novel approaches being proposed-and being developed preclinically-to inhibit/reduce aggregated protein pathology in Parkinson's.

Keywords: Aggregation; Alpha synuclein; Immunotherapy; Lewy body; Neurodegeneration.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Animals
  • Humans
  • Immunologic Factors / therapeutic use*
  • Neuroprotective Agents / therapeutic use*
  • Parkinson Disease / drug therapy*
  • Parkinson Disease / metabolism
  • Parkinson Disease / pathology
  • Protein Aggregates / drug effects*
  • Vaccines / therapeutic use*
  • alpha-Synuclein / drug effects*

Substances

  • Immunologic Factors
  • Neuroprotective Agents
  • Protein Aggregates
  • Vaccines
  • alpha-Synuclein