Parkinson's disease: prospects for improved drug therapy

作者: Jim J Hagan , Derek N Middlemiss , Paul C Sharpe , George H Poste

DOI: 10.1016/S0165-6147(97)01050-X

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摘要: Abstract l-Dopa has long been the mainstay of therapy for Parkinson's disease but its long-term shortcomings, principally uncoordinated, spasmodic or irregular movements (dyskinesias) and fluctuating control motor symptoms (on/off fluctuations), are well documented. The postulated neuroprotective properties l-deprenyl, often used as an adjunct to l-dopa, under scrutiny doubts have also raised regarding safety. Alternative therapeutic approaches clearly needed. In this review, Jim Hagan, Derek Middlemiss, Paul Sharpe George Poste outline some new treatment, with emphasis on novel, selective dopamine receptor agonists. addition, is commonly thought be caused by neurotoxic effects unidentified agent recent data indicate a greater genetic component than previously recognized. Developments in genetics may provide key next generation therapeutics.

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