帕金森病亚型及其治疗药物研究进展
The research advance on subtypes and relevant therapy of Parkinson's disease
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摘要: 帕金森病(Parkinson's disease, PD) 是一种进行性神经系统退行性疾病, 具有高度的临床异质性, 根据其运动症状将PD患者分为震颤为主型、姿势异常及步态障碍为主型/强直运动不能型和混合型。不同的亚型表现出不同的预后特征, 对药物的敏感性也不同, 因此PD的早期分型对于疾病的治疗和预后具有重要意义。本文回顾了PD不同亚型的临床分型方法, 总结了最新的生化标志物及影像学特征, 就其在发病率、预后症状及病理机制等方面的差异进行综述分析。目前的临床治疗药物和方法已根据分型对PD进行初步针对治疗, 且已有关于不同亚型的动物PD模型研究, 为PD亚型的机制研究和临床前药效学评价提供了新的方法和策略。Abstract: Parkinson's disease (PD) is a progressive neurodegenerative disease with a high clinical heterogeneity. According to its motor symptoms, PD patients are divided into predominant tremor-dominant, postural instability and gait difficulty-dominant/akinetic-rigid and mixed subtypes. Different subtypes show different prognostic characteristics and different sensitivities to drugs. Therefore, the early classification of PD is of great significance for the treatment and prognosis of the disease. This paper reviews the clinical classification methods of different subtypes of PD, summarizes the latest biochemical markers and imaging features, and analyzed the differences in incidence, prognosis and pathological mechanism. The current clinical treatment drugs and methods have been preliminarily targeted for treatment based on PD classification, and there are many animal models of PD subtypes have been studied, providing new methods and strategies for mechanism research and preclinical pharmacodynamics evaluation of PD subtypes.
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