Faculty Opinions recommendation of Evidence for dopaminergic axonal degeneration as an early pathological process in Parkinson's disease.

Author(s):  
Joseph Jankovic ◽  
Arjun Tarakad
2019 ◽  
Vol 73 ◽  
pp. 38-46
Author(s):  
Adriana Wawer ◽  
Ilona Joniec-Maciejak ◽  
Anna Sznejder-Pachołek ◽  
Dagmara Mirowska-Guzel

Parkinson’s disease (PD) is a chronic, progressive neurodegenerative disease of central nervous system. Despite many years of research its pathogenesis remains elusive. The main pathological process observed in PD is the degeneration of dopaminergic neurons in the substantia nigra and the reduction in the concentration of dopamine and its metabolites in the striatum and basal ganglia. In addition, a reduction in the activity of enzymes involved in the synthesis and metabolism of dopamine (e.g. tyrosine hydroxylase) is observed. The process of neurodegeneration is accompanied by the development of inflammatory reaction and the formation of intraneuronal inclusions - Lewy’s bodies, which containing mainly of α‑synuclein (ASN). The presence of ASN in Lewy bodies and the association of mutations in the gene encoding ASN with the familial form of the disease indicates the important role of this protein in the pathogenesis of PD. ASN is a small protein widely distributed in the brain. Under physiological conditions it is involved, among others, in dopamine metabolism. Changes in ASN levels due to its aggregation, overexpression or decreased expression may disrupt dopaminergic system functions and contribute to the neurodegeneration process observed in PD. Our paper is focused on murine ASN-based models of PD. In this review we describe models based on transgenic mice, viral vectors containing the ASN gene, and those in which elevated ASN levels are obtained by intracerebral protein administration. We briefly discuss the advantages of developed models and their numerous limitations We also highlight the need for further search for the ideal disease model.


2019 ◽  
Vol 23 ◽  
pp. 101906 ◽  
Author(s):  
Esther Annegret Pelzer ◽  
Corina Melzer ◽  
Anna Schönberger ◽  
Martin Hess ◽  
Lars Timmermann ◽  
...  

2020 ◽  
Vol 98 (5) ◽  
pp. 936-949 ◽  
Author(s):  
Christina Andica ◽  
Koji Kamagata ◽  
Taku Hatano ◽  
Yuya Saito ◽  
Wataru Uchida ◽  
...  

2013 ◽  
Vol 19 (3) ◽  
pp. 349-354 ◽  
Author(s):  
Catherine Gallagher ◽  
Brian Bell ◽  
Barbara Bendlin ◽  
Matthew Palotti ◽  
Ozioma Okonkwo ◽  
...  

AbstractRecent studies suggest that white matter abnormalities contribute to both motor and non-motor symptoms of Parkinson's disease. The present study was designed to investigate the degree to which diffusion tensor magnetic resonance imaging (DTI) indices are related to executive function in Parkinson's patients. We used tract-based spatial statistics to compare DTI data from 15 patients to 15 healthy, age- and education-matched controls. We then extracted mean values of fractional anisotropy (FA) and mean diffusivity (MD) within an a priori frontal mask. Executive function composite Z scores were regressed against these DTI indices, age, and total intracranial volume. In Parkinson's patients, FA was related to executive composite scores, and both indices were related to Stroop interference scores. We conclude that white matter microstructural abnormalities contribute to cognitive deficits in Parkinson's disease. Further work is needed to determine whether these white matter changes reflect the pathological process or a clinically important comorbidity. (JINS, 2013, 19, 1–6)


2016 ◽  
Vol 6 (4) ◽  
pp. 703-707 ◽  
Author(s):  
Zuzanna Kurowska ◽  
Jeffrey H. Kordower ◽  
A. Jon Stoessl ◽  
Robert E. Burke ◽  
Patrik Brundin ◽  
...  

2021 ◽  
Vol 11 (4) ◽  
pp. 16-22
Author(s):  
E. V. Iskhakova ◽  
A. G. Trufanov ◽  
A. Yu. Efimtsev ◽  
A. A. Yurin ◽  
A. S. Lepekhina ◽  
...  

Introduction. MR-morphometry is a method of image processing independent of the researcher, which allows you to get the results of measuring the volume of the brain structures and the thickness of various areas of the cortex and helps in the differential diagnosis in assessing the results of MRI. Our study used MR-morphometry to identify structural markers in the differential diagnosis of vascular parkinsonism in the examination of patients with Parkinson's symptoms. Purpose of research. Visualization of the distribution of atrophic changes in brain structures in vascular parkinsonism and in the advanced stages of Parkinson's disease, as well as the identification of characteristic parts of the brain that undergo a pathological process to increase the accuracy of differential diagnosis. Materials and methods. The results of magnetic resonance morphometry of patients using the postprocessing of native MR images using Freesurfer software are analyzed. We examined 29 patients with vascular parkinsonism and 19 patients with Parknison disease, at stage 4 according to Hyun and Yar. Summary. The application of the method of postprocessing data processing of MR-morphometry allows instrumental confirmation of the clinical diagnosis, as well as to clarify the pathogenesis of neurological syndromes observed in progressive supranuclear paralysis.


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