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. 2018 Nov 23;5(4):126. doi: 10.3390/medicines5040126

Table 1.

Pathological characteristics, genetic factors and clinical symptoms of Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), and amyotrophic lateral sclerosis (ALS) [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30].

Diseases Characteristics Genetics factors Symptoms Actual treatments
AD Senile plaques from extracellular amyloid-Aβ accumulation,
Intracellular neurofibrillary tangles, Tau protein aggregation, Irreversible neuronal loss, Brain atrophy
Inherited form (70% of patients): mutations of APP, PSEN1 or PSEN2.
Sporadic form (30%): presence of ApoE4 allele in the ApoE gene
Progressive memory loss,
Decision judgement loss,
Autonomy loss
Anticholinergics (tacrine, rivastigmine, galantamine and donepezil), Memantine,
Antipsychotics,
NSAIDs
PD α-Synucleinopathy,
Presence of Lewy bodies, Degeneration of dopaminergic neurons in the substance nigra of the brain,
Dopamine deficiency
Gene mutations: α-synuclein SNCA, Parkin PRKN, PARK7, PINK1, LRRK2, GBA, DJ-1, VPS35, EIF4G1, DNAJC13 and CHCHD2 Hypokinesia,
Bradykinesia,
Rigidity,
Postural instability,
Neuropsychiatric disturbances
Levodopa,
Dopamine agonists,
MAO-B inhibitors,
COMT inhibitors, Anticholinergics
HD Accumulation of mutant Huntingtin protein in the brain Expansion of CAG trinucleotide in Huntingtin gene (HTT) Chorea,
Cognitive and neuropsychiatric disorders
Tetrabenazine,
Neuroleptics,
Antipsychotics
ALS Progressive degeneration of motor neurons Sporadic form: 90% of patients
Inherited form: 10%
Mutations of SOD1, TARDBP, FUS, UBQLN2, OPTN, and C9ORF72 genes
Spasms,
Muscle atrophy,
Squelettal muscle paralysis,
Cognitive or behavioral dysfunction
Riluzole