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Parkinson's Disease: A Review about Pathogenesis, Treatment and Experimental Models

Article

Last updated: 22 Jan 2023

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Abstract

Parkinson disease (PD) is the second most common age-related neurodegenerative disease after Alzheimer disease, characterized by loss of dopaminergic neurons in substantia nigra pars compacta, accompanied by motor and non-motor symptoms. Idiopathic PD is the most common cause of Parkinsonism (primary Parkinsonism) while, certain medication and different groups of neurological disorder may be causes of secondary Parkinsonism. The presence of intraneuronal proteinaceous cytoplasmic inclusions “Lewy Bodies" and the loss of the nigrostriatal dopaminergic neurons are the main neuropathological hallmarks of PD. However, the etiology of the disease is still undefined; several studies assume that oxidative stress, mitochondrial defects, neuroinflammation, apoptosis and excitotoxicity play vital roles in the pathogenesis and progress of the disease. Experimental models of PD can be induced by several neurotoxins such as 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine, 6-hydroxydopamine, rotenone and paraquat which produce neuropathological and neurochemical changes that are identical to those seen in PD. The primary drug for PD treatment is L-dopa; however, drug-induced dyskinesia and motor complications restricted its use as long term treatment. Dopamine agonists are alternative options for initial treatment of PD and have been reported to retard the onset of motor complications. Combination of L-dopa with other medications, such ascatechol-O-methyltransferase inhibitors and monoamine oxidase B inhibitors has the ability to alleviate L-dopa-induced motor complications. Anticholinergic drugs can be used to control the symptoms of PD but their cognitive and autonomic side effects make them unsuitable for the elderly.

DOI

10.21608/aprh.2018.8013

Keywords

Experimental models, L-dopa, Neuroinflammation, Oxidative Stress, Parkinson's disease

Authors

First Name

El Sayed

Last Name

El Sayed

MiddleName

Kamal

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Helwan University, Cairo, Egypt.

Email

sayed.kamal21@yahoo.com

City

11795

Orcid

-

First Name

Amany

Last Name

Eissa

MiddleName

-

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Helwan University, Cairo, Egypt.

Email

amresearch2009@yahoo.com

City

Cairo

Orcid

0000-0002-3176-0817

First Name

Shahira

Last Name

Nofal

MiddleName

-

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Helwan University, Cairo, Egypt.

Email

shahiranofal@googlemail.com

City

cairo

Orcid

-

First Name

Engy

Last Name

Elmorsy

MiddleName

-

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Helwan University, Cairo, Egypt.

Email

elmorsy_em@yahoo.com

City

-

Orcid

-

Volume

2

Article Issue

3

Related Issue

1905

Issue Date

2018-07-01

Receive Date

2018-03-04

Publish Date

2018-07-01

Page Start

142

Page End

161

Print ISSN

2357-0547

Online ISSN

2357-0539

Link

https://aprh.journals.ekb.eg/article_8013.html

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https://aprh.journals.ekb.eg/service?article_code=8013

Order

1

Type

Review Article

Type Code

358

Publication Type

Journal

Publication Title

Journal of Advanced Pharmacy Research

Publication Link

https://aprh.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023