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. 2022 Mar 9;21(4):e13575. doi: 10.1111/acel.13575

FIGURE 8.

FIGURE 8

Vicious cycle of dopamine deficiency, aging, inflammation, and CNS disease. Schematic illustration of the interacting harmful cascades arising from DA deficiency at central and peripheral levels engendering a detrimental vicious cycle. The dramatic loss of DA‐mediated signaling at central and peripheral levels associated with the age‐ and PD‐dependent GSK‐3β overactivation in turn creates a favorable milieu driving a feedforward cycle of inflammation/neurodegeneration, as loss of Nrf2/Wnt and upregulation of GSK‐3 phosphorylating and degrading β‐catenin further drive inflammation and excessive oxidative stress associated with inhibition of adult neurogenesis and neurorepair (Marchetti, 2020)