Neuroprotection and neurorestoration as experimental therapeutics for Parkinson's disease.

Abstract:

:Disease-modifying treatments remain an unmet medical need in Parkinson's disease (PD). Such treatments can be operationally defined as interventions that slow down the clinical evolution to advanced disease milestones. A treatment may achieve this outcome by either inhibiting primary neurodegenerative events ("neuroprotection") or boosting compensatory and regenerative mechanisms in the brain ("neurorestoration"). Here we review experimental paradigms that are currently used to assess the neuroprotective and neurorestorative potential of candidate treatments in animal models of PD. We review some key molecular mediators of neuroprotection and neurorestoration in the nigrostriatal dopamine pathway that are likely to exert beneficial effects on multiple neural systems affected in PD. We further review past and current strategies to therapeutically stimulate these mediators, and discuss the preclinical evidence that exercise training can have neuroprotective and neurorestorative effects. A future translational task will be to combine behavioral and pharmacological interventions to exploit endogenous mechanisms of neuroprotection and neurorestoration for therapeutic purposes. This type of approach is likely to provide benefit to many PD patients, despite the clinical, etiological, and genetic heterogeneity of the disease.

journal_name

Exp Neurol

journal_title

Experimental neurology

authors

Francardo V,Schmitz Y,Sulzer D,Cenci MA

doi

10.1016/j.expneurol.2017.10.001

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

137-147

issue

Pt B

eissn

0014-4886

issn

1090-2430

pii

S0014-4886(17)30243-1

journal_volume

298

pub_type

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