Experimental Treatments for Parkinson Disease

Authors

  • Jintian Du

DOI:

https://doi.org/10.61173/7dppb936

Keywords:

parkinson’s disease, L-Dopa therapy, Deep brain stimulation

Abstract

Parkinson’s disease is a chronic and progressive neurodegenerative disorder that primarily affects motor function. Although modern treatments can relieve and help patients manage symptoms, there is still an urgent need for innovative new therapies that can slow down the disease’s severity progression. This review examines numerous innovative and promising experimental treatments for Parkinson’s disease that are either in development or clinical trial. It will review the potential L-Dopa therapy – namely using a dopamine replacement agent during the treatment of the Parkinson’s disease to manage the symptoms of patients. Additionally, the review also covers developing neuromodulation techniques, including deep brain stimulation, which attempts to modulate brain activity as a way of alleviating Parkinson’s symptoms. The review evaluates the current status in treatment for each experimental approach, summarizing their suggested mechanisms of treatment, preclinical discoveries, and clinical trials. It also discusses the main challenges and obstacles in relation to these therapies. In conclusion, while significant barriers and limitations remain, the review highlights the progress made in the development of newer potential treatments that may improve conditions for patients living with Parkinson’s disease.

References

Disorders, vol. 2, no. 6, SAGE Publishing, Sept. 2009, pp. 379–91, https://doi.org/10.1177/1756285609339382. Accessed 30 Mar. 2024. Hitti, Frederick, et al. “Long-term outcomes following deep brain stimulation for Parkinson’s disease.” J Neurosurg, vol. 132, 2018, https://doi.org/10.3171/2018.8.JNS182081. Accessed 31 Mar. 2024. “Parkinson’s Disease - Symptoms and Causes.” Mayo Clinic, 2023, www.mayoclinic.org/diseases-conditions/parkinsonsdisease/symptoms-causes/syc-20376055. Accessed 23 Mar. 2024. “NCI Dictionary of Cancer Terms.” National Cancer Institute,

Cancer.gov, 2024, www.cancer.gov/publications/dictionaries/ cancer-terms/def/progressive-disease. Accessed 24 Mar. 2024. Oertel, Wolfgang, and Jörg B. Schulz. “Current and Experimental Treatments of Parkinson Disease: A Guide for Neuroscientists.” Journal of Neurochemistry, vol. 139, no.

S1, Wiley-Blackwell, Aug. 2016, pp. 325–37, https://doi. org/10.1111/jnc.13750. Accessed 23 Mar. 2024. https://www.facebook.com/NIHAging. “Parkinson’s Disease: Causes, Symptoms, and Treatments.” National Institute on

Aging, 2022, www.nia.nih.gov/health/parkinsons-disease/ parkinsons-disease-causes-symptoms-and-treatments. Accessed 26 Mar. 2024. Rodriguez-Raecke, Rea, et al. “Conflict Adaptation and Related Neuronal Processing in Parkinson’s Disease.” Brain Imaging

and Behavior, vol. 16, no. 1, Aug. 2021, pp. 455–63, https://doi. org/10.1007/s11682-021-00520-w. Accessed 23 Mar. 2024. Science&Research L-Dopa Therapy in Parkinson’s Disease: A Critical Review of Nine Years’ Experience. www.ncbi.nlm.nih. gov/pmc/articles/PMC1946468/pdf/canmedaj01334-0061.pdf. Schuurman, P. R., et al. “A Comparison of Continuous Thalamic Stimulation and Thalamotomy for Suppression of Severe Tremor.” The New England Journal of Medicine, vol. 342, no. 7,

Massachusetts Medical Society, Feb. 2000, pp. 461–68, https:// doi.org/10.1056/nejm200002173420703. Accessed 30 Mar. 2024. UCL. “Service under Maintenance.” Information

Services Division, 23 Apr. 2018, discovery.ucl.ac.uk/id/ eprint/10068818/1/Foltynie_Final.pdf.

Dorsey, E. R., & Bloem, B. R. (2018). The Parkinson pandemic—a call to action. JAMA neurology, 75(1), 9-10.

Jankovic, J. (2008). Parkinson’s disease: clinical features and diagnosis. Journal of. Neurology, Neurosurgery & Psychiatry, 79(4), 368-376.

Schapira, A. H., Chaudhuri, K. R., & Jenner, P. (2017). Nonmotor features of. Parkinson’s disease. Nature Reviews Neuroscience, 18(8), 435-450. Poewe, W., Seppi, K., Tanner, C. M., Halliday, G. M., Brundin,

P., Volkmann, J., ... & Lang, A. E. (2017). Parkinson disease. Nature reviews Disease primers, 3(1), 1-21. Olanow CW, Schapira AHV. Therapeutic prospects for Parkinson disease. Ann. Neurol. 2013;74(3):337-347. doi:10.1002/ ana.24011 Fahn S. The spectrum of levodopa-induced dyskinesias. Ann Neurol. 2000;47(4 Suppl 1):S2-S9. Ahlskog JE, Muenter MD. Frequency of levodopa-related dyskinesias and motor fluctuations as estimated from the cumulative literature. Mov Disord. 2001;16(3):448-458. doi:10.1002/mds.1090 Weintraub D, Koester J, Potenza MN, et al. Impulse control disorders in Parkinson disease: a cross-sectional study of 3090 patients. Arch Neurol. 2010;67(5):589-595. doi:10.1001/ archneurol.2010.65Benabid AL, Chabardes S, Mitrofanis J, Pollak P. Deep brain stimulation of the subthalamic nucleus for the treatment of Parkinson’s disease. Lancet Neurol. 2009;8(1):67-81. doi:10.1016/S1474-4422(08)70291-6 Weaver FM, Follett K, Stern M, et al. Bilateral deep brain stimulation vs best medical therapy for patients with advanced Parkinson disease: a randomized controlled trial. JAMA. 2009;301(1):63-73. doi:10.1001/jama.2008.929 Dean&Francis Deuschl G, Schade-Brittinger C, Krack P, et al. A randomized trial of deep-brain stimulation for Parkinson’s disease. N Engl J Med. 2006;355(9):896-908. doi:10.1056/NEJMoa060281 Okun MS, Foote KD. Parkinson’s disease DBS: what, when, who and why? The time has come to tailor DBS targets. Expert Rev Neurother. 2010;10(12):1847-1857. doi:10.1586/ern.10.156 Spottke EA, Volkmann J, Lorenz D, et al. Evaluation of healthcare utilization and health status of patients with Parkinson’s disease treated with deep brain stimulation of the subthalamic nucleus. J Neurol. 2002;249(6):759-766. doi:10.1007/s00415-002-0695-7

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Published

2024-08-14