Publication: Parkinson's disease: a short story of 200 years
Authors
Cuenca, L. ; Cano Fernandez, L. ; Sanchez Rodrigo, C. ; Estrada, C. ; Fernández Villalba, Emiliano ; Herrero Ezquerro, María Trinidad ; Gil Martínez, Ana Luisa
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Publisher
Universidad de Murcia. Departamento de Biología Celular e Histología
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DOI
DOI: 10.14670/HH-18-073
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info:eu-repo/semantics/article
Description
Abstract
After Alzheimer’s disease, Parkinson’s
disease (PD) is the second most prevalent and incidental
neurodegenerative disorder, affecting more than 2% of
the population older than 65 years old. Since it was first
described 200 years ago by Dr James Parkinson, great
steps have been made in the understanding of the
pathology. However, the cause(s) that initiates and
perpetuates the neurodegenerative process is (are) still
not clear. Thus, early diagnosis is not available, nor are
there efficient therapies that can stop neurodegeneration.
PD clinical features are defined by motor (like
bradykinesia, resting tremor, gait impairment) and nonmotor symptoms (like constipation, apathy, fathigue,
olfactory dysfunction, depression and cognitive decline)
that get more severe as the disease advances.
Neuropathological hallmarks comprise selective loss of
dopaminergic neurons in the Substantia Nigra pars
compacta (SNpc) and Lewy bodies (LB) in different
nuclei of the nervous system. Numerous studies have
shown that these pathological features are aggravated by
the confluence of other contributing factors, such as a
genetic component, exposure to environmental toxins,
mitochondrial dysfunction, increase of oxidative stress,
calcium imbalance and chronic neuroinflammation,
among others. Here, we provide a summary of the actual
state of PD’s pathology, the most studied molecular
mechanisms, classic and novel therapeutic strategies and
diagnosis methods, especially highlighting recent
advances in these 200 years
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Citation
Histology and Histopathology, Vol.34, nº6, (2019)
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