Potential cellular and regenerative approaches for the treatment of Parkinson's disease
- PMID: 19183776
- PMCID: PMC2626922
- DOI: 10.2147/ndt.s2013
Potential cellular and regenerative approaches for the treatment of Parkinson's disease
Abstract
Parkinson's disease is most commonly treated with a range of pharmacotherapeutics, with the more recent introduction of surgical techniques including deep-brain stimulation. These have limited capabilities to improve symptoms of the disease in more advanced stages, thus new therapeutic strategies including the use of viral vectors and stem cells are in development. Providing a continuous supply of dopamine to the striatum in an attempt to improve the treatment of motor symptoms using enzymes in the dopamine synthesis and machinery is one approach. Alternatively, there are tools which may serve to both protect and encourage outgrowth of surviving neurons using growth factors or to directly replace lost innervation by transplantation of primary tissue or stem cell-derived dopaminergic neurons. We summarize some of the potential therapeutic approaches and also consider the recent EU directives on practical aspects of handling viral vectors, cells and tissues, and in the running of clinical trials in Europe which impact on their development.
Keywords: European Union directive; ethics; stem cells; transplantation; viral vector.
References
-
- Baker SA, Baker KA, Hagg T. Dopaminergic nigrostriatal projections regulate neural precursor proliferation in the adult mouse subventricular zone. Eur J Neurosci. 2004;20:575–9. - PubMed
-
- Bara-Jimenez W, Bibbiani F, Morris MJ, et al. Effects of serotonin 5-HT1A agonist in advanced Parkinson’s disease. Mov Disord. 2005;20:932–6. - PubMed
-
- Bara-Jimenez W, Dimitrova T, Sherzai A, et al. Effect of monoamine reuptake inhibitor NS 2330 in advanced Parkinson’s disease. Mov Disord. 2004;19:1183–6. - PubMed
-
- Ben-Hur T, Idelson M, Khaner H, et al. Transplantation of human embryonic stem cell derived neural progenitors improves behavioral deficit in Parkinsonian rats. Stem Cells. 2004;22:1246–55. - PubMed
-
- Bernheimer H, Birkmayer W, Hornykiewicz O, et al. Brain dopamine and the syndromes of Parkinson and Huntington. Clinical, morphological and neurochemical correlations. J Neurol Sci. 1973;20:415–55. - PubMed
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