The dopaminergic nigrostriatal system and Parkinson's disease: molecular events in development, disease, and cell death, and new therapeutic strategies

Neurosurgery. 2007 Jan;60(1):17-28; discussion 28-30. doi: 10.1227/01.NEU.0000249209.11967.CB.

Abstract

For several decades, the clinical study of Parkinson's disease has driven an increasingly sophisticated understanding of the dopaminergic system and its complex role in modulating motor behavior. This article reviews salient areas of research in this field, commencing with the molecular biology of the development of the mesencephalic dopaminergic system. We then discuss events thought to be crucial in the cellular and molecular pathology of Parkinson's disease, proposed mechanisms of cell death, and relevant toxin models. These advancements are used as a template to review emerging therapeutic techniques, including neuroprotection strategies, surgical treatment of trophic factors, gene therapy, and neural transplantation.

Publication types

  • Review

MeSH terms

  • Cell Death / drug effects
  • Cell Death / physiology
  • Corpus Striatum / drug effects
  • Corpus Striatum / physiology*
  • Corpus Striatum / surgery
  • Dopamine / physiology*
  • Dopamine Agents / pharmacology
  • Dopamine Agents / therapeutic use
  • Genetic Therapy / methods
  • Humans
  • Parkinson Disease / etiology
  • Parkinson Disease / physiopathology*
  • Parkinson Disease / therapy*
  • Substantia Nigra / drug effects
  • Substantia Nigra / physiology*
  • Substantia Nigra / surgery
  • alpha-Synuclein / pharmacology
  • alpha-Synuclein / therapeutic use

Substances

  • Dopamine Agents
  • alpha-Synuclein
  • Dopamine