Table 1.
Mechanisms of PD pathogenesis and targets for therapy
PD pathogenic mechanism | Targets for neuroprotection |
---|---|
Oxidative stress and mitochondrial dysfunction | Inhibitors of dopamine metabolism (e.g. MAO inhibitors, dopamine receptor agonists) Electron transport enhancers (e.g. CoQ10) Other antioxidants (e.g. vitamin E, uric acid) Glutathione promoters (e.g. selenium) |
Protein aggregation and misfolding | Inhibitors of α-syn aggregation Agents that reduce α-syn protein levels Enhancers of parkin function Enhancers of UCH-L1 function Enhancers of proteosomal or lysosomal pathways |
Neuroinflammation | Anti-inflammatory agents (e.g. NSAIDs, statins, minocycline) |
Excitotoxicity | NMDA receptor antagonists Calcium channel antagonists |
Apoptosis and cell death pathways | Anti-apoptotic agents |
Loss of trophic factors | Neurotrophic factors (e.g. GDNF, neurturin) |