Parkinson's disease future or investigational therapies: Difference between revisions
(→Qigong) |
No edit summary |
||
| Line 22: | Line 22: | ||
=== Nutrients === | === Nutrients === | ||
Nutrients can be very useful in controlling PD symptoms. L-tyrosine, the precursor of L-dopa is one of these nutrients.<ref>{{cite journal | author=Lemoine P, Robelin N, Sebert P, Mouret J | title=La L-tyrosine : traitement au long cours de la maladie de Parkinson [L-tyrosine : A long term treatment of Parkinson's Disease] | journal=Comptes rendus academie des sciences | year=1986 | volume=309 | issue= | pages=43-47 | language=French }}</ref> The other nutrient is ferrous iron which is the essential co factor for L-dopa biosynthesis.<ref>{{cite journal |author=Birkmayer W, Birkmayer JG |title=Iron, a new aid in the treatment of Parkinson patients |journal=J. Neural Transm. |volume=67 |issue=3-4 |pages=287-92 |year=1986 |pmid=3806082 | url=http://www.springerlink.com/link.asp?id=tp15r2g8u6327731}}</ref><ref>{{cite book | editor= Editors Przuntek H , Riederer P | title=Early diagnosis and preventive therapy in Parkinson's disease | date=1989 | publisher= Springer | isbn = 0-387-82080-9 | pages=p. 323}}</ref> | Nutrients can be very useful in controlling [[Parkinson's disease|PD]] [[symptoms]]. [[L-tyrosine]], the precursor of [[L-dopa]] is one of these nutrients.<ref>{{cite journal | author=Lemoine P, Robelin N, Sebert P, Mouret J | title=La L-tyrosine : traitement au long cours de la maladie de Parkinson [L-tyrosine : A long term treatment of Parkinson's Disease] | journal=Comptes rendus academie des sciences | year=1986 | volume=309 | issue= | pages=43-47 | language=French }}</ref> The other nutrient is ferrous iron which is the essential co factor for [[L-dopa]] biosynthesis.<ref>{{cite journal |author=Birkmayer W, Birkmayer JG |title=Iron, a new aid in the treatment of Parkinson patients |journal=J. Neural Transm. |volume=67 |issue=3-4 |pages=287-92 |year=1986 |pmid=3806082 | url=http://www.springerlink.com/link.asp?id=tp15r2g8u6327731}}</ref><ref>{{cite book | editor= Editors Przuntek H , Riederer P | title=Early diagnosis and preventive therapy in Parkinson's disease | date=1989 | publisher= Springer | isbn = 0-387-82080-9 | pages=p. 323}}</ref> | ||
Other nutrients includes THFA, NADH and | Other nutrients includes THFA, [[NADH]] and [[pyridoxine]]_ [[Coenzyme|coenzymes]], [[Coenzyme|coenzymes]] precursors<ref>{{cite web | url = http://home.uchicago.edu/~syin/Kang.doc | title = Dopamine biosynthesis | accessdate = 2006-11-04 | format = Word doc | publisher = University of Chicago Personal Web Pages}}</ref>, [[vitamin C]] and [[vitamin E]] in large doses. These [[Vitamin|vitamins]] are necessary for some enzymes such as [[superoxide dismutase]] and [[catalase]] to nullify the superoxide anions in damaged cells.<ref name="PSG_1993">{{cite journal |author= |title=Effects of tocopherol and deprenyl on the progression of disability in early Parkinson's disease. The Parkinson Study Group |journal=N. Engl. J. Med. |volume=328 |issue=3 |pages=176-83 |year=1993 |pmid=8417384 |doi=}}</ref> | ||
===Exercise=== | ===Exercise=== | ||
In one of the studies it was suggested that qigong exercise can improve PD patient’s symptoms by visualizing the flow of energy<ref>{{cite journal | author = Schmitz-Hubsch T | title = Qigong exercise for the symptoms of Parkinson's disease: a randomized, controlled pilot study. | journal = Mov Disord | volume = 21 | issue = 4 | pages = 543-548 | year = 2006 | pmid = 16229022}}</ref> But in another study there were evidences showing that aerobic exercise in beneficial for symptom control in PD patients.<ref>{{cite journal |author=Burini D, Farabollini B, Iacucci S, ''et al'' |title=A randomised controlled cross-over trial of aerobic training versus Qigong in advanced Parkinson's disease |journal=Europa medicophysica |volume=42 |issue=3 |pages=231-8 |year=2006 |pmid=17039221 |doi=}}</ref> | In one of the studies it was suggested that qigong exercise can improve [[Parkinson's disease|PD]] patient’s [[Symptom|symptoms]] by visualizing the flow of energy<ref>{{cite journal | author = Schmitz-Hubsch T | title = Qigong exercise for the symptoms of Parkinson's disease: a randomized, controlled pilot study. | journal = Mov Disord | volume = 21 | issue = 4 | pages = 543-548 | year = 2006 | pmid = 16229022}}</ref> But in another study there were evidences showing that [[aerobic exercise]] in beneficial for [[symptom]] control in [[Parkinson's disease|PD]] patients.<ref>{{cite journal |author=Burini D, Farabollini B, Iacucci S, ''et al'' |title=A randomised controlled cross-over trial of aerobic training versus Qigong in advanced Parkinson's disease |journal=Europa medicophysica |volume=42 |issue=3 |pages=231-8 |year=2006 |pmid=17039221 |doi=}}</ref> | ||
===Botox=== | ===Botox=== | ||
[[Botox]] injections are under investigation for treatment of [[Parkinson's disease|PD]] [[Symptom|symptoms]].<ref>{{Citeref patent | US | 6306403 }}</ref> | |||
==References== | ==References== | ||
Revision as of 15:37, 23 April 2018
|
Parkinson's disease Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Parkinson's disease future or investigational therapies On the Web |
|
American Roentgen Ray Society Images of Parkinson's disease future or investigational therapies |
|
FDA on Parkinson's disease future or investigational therapies |
|
CDC on Parkinson's disease future or investigational therapies |
|
Parkinson's disease future or investigational therapies in the news |
|
Blogs on Parkinson's disease future or investigational therapies |
|
Risk calculators and risk factors for Parkinson's disease future or investigational therapies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Future or Investigational Therapies
Gene therapy
One of the PD therapies which are under investigation is gene therapy. In this therapy we enter a virus into subthalamic nucleus cells of the brain. This virus has a gene coding an enzyme called glutamic acid decarboxylase (GAD) and this enzyme can catalyses the production of GABA.[1]
Continuous levodopa-carbidopa intestinal gel infusion
Continuous subcutaneous apomorphine
Neuroprotective treatments
Neuroprotective drugs such as apoptotic drugs (CEP1347 and CTCT346), lazaroids, bioenergetics and antiglutamatergic agents.[2][3]
Neural transplantation
One of the under investigation therapies is transplantation of dopamine-producing cell into brain. In one of the studies it caused an improvement in the symptoms in PD patients under 60.[4] One of the side effects of this therapy is that it can cause dystonia by increased amount of dopamine.[5] To solve this side effect a study in African monkeys suggest using stem cells.[6]
Nutrients
Nutrients can be very useful in controlling PD symptoms. L-tyrosine, the precursor of L-dopa is one of these nutrients.[7] The other nutrient is ferrous iron which is the essential co factor for L-dopa biosynthesis.[8][9]
Other nutrients includes THFA, NADH and pyridoxine_ coenzymes, coenzymes precursors[10], vitamin C and vitamin E in large doses. These vitamins are necessary for some enzymes such as superoxide dismutase and catalase to nullify the superoxide anions in damaged cells.[11]
Exercise
In one of the studies it was suggested that qigong exercise can improve PD patient’s symptoms by visualizing the flow of energy[12] But in another study there were evidences showing that aerobic exercise in beneficial for symptom control in PD patients.[13]
Botox
Botox injections are under investigation for treatment of PD symptoms.[14]
References
- ↑ Kaplitt MG, Feigin A, Tang C, Fitzsimons HL, Mattis P, Lawlor PA, Bland RJ, Young D, Strybing K, Eidelberg D, During MJ (2007). "Safety and tolerability of gene therapy with an adeno-associated virus (AAV) borne GAD gene for Parkinson's disease: an open label, phase I trial". Lancet. 369 (9579): 2097–105. doi:10.1016/S0140-6736(07)60982-9. PMID 17586305.
- ↑ Djaldetti R, Melamed E (2002). "New drugs in the future treatment of Parkinson's disease". J. Neurol. 249 Suppl 2: II30–5. doi:10.1007/s00415-002-1206-2. PMID 12375061.
- ↑ Bonuccelli U,
Del Dotto P (2006). "New pharmacologic horizons in the treatment of Parkinson disease". Neurology. 67 (2): 30–38. line feed character in
|author=at position 14 (help) - ↑ Freed CR, Greene PE, Breeze RE; et al. (2001). "Transplantation of embryonic dopamine neurons for severe Parkinson's disease". N. Engl. J. Med. 344 (10): 710–9. PMID 11236774.
- ↑ Redmond DE (2002). "Cellular replacement therapy for Parkinson's disease--where we are today?". The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry. 8 (5): 457–88. PMID 12374430.
- ↑ Redmond E; et al. (2007). "Behavioral improvement in a primate Parkinson's model is associated with multiple homeostatic effects of human neural stem cells". Procedings of the National Academy of Sciences. 104 (29).
- ↑ Lemoine P, Robelin N, Sebert P, Mouret J (1986). "La L-tyrosine : traitement au long cours de la maladie de Parkinson [L-tyrosine : A long term treatment of Parkinson's Disease]". Comptes rendus academie des sciences (in French). 309: 43–47.
- ↑ Birkmayer W, Birkmayer JG (1986). "Iron, a new aid in the treatment of Parkinson patients". J. Neural Transm. 67 (3–4): 287–92. PMID 3806082.
- ↑ Editors Przuntek H , Riederer P, ed. (1989). Early diagnosis and preventive therapy in Parkinson's disease. Springer. pp. p. 323. ISBN 0-387-82080-9.
- ↑ "Dopamine biosynthesis" (Word doc). University of Chicago Personal Web Pages. Retrieved 2006-11-04.
- ↑ "Effects of tocopherol and deprenyl on the progression of disability in early Parkinson's disease. The Parkinson Study Group". N. Engl. J. Med. 328 (3): 176–83. 1993. PMID 8417384.
- ↑ Schmitz-Hubsch T (2006). "Qigong exercise for the symptoms of Parkinson's disease: a randomized, controlled pilot study". Mov Disord. 21 (4): 543–548. PMID 16229022.
- ↑ Burini D, Farabollini B, Iacucci S; et al. (2006). "A randomised controlled cross-over trial of aerobic training versus Qigong in advanced Parkinson's disease". Europa medicophysica. 42 (3): 231–8. PMID 17039221.
- ↑ Template:Citeref patent