Regulating neuropeptides may be a new breakthrough point in the treatment of neuropsychiatric symptoms of Parkinson’s disease
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摘要: 帕金森病(PD)是一种高发于老年人的锥体外系神经系统变性疾病,临床主要表现为运动症状及非运动症状。其中,运动症状主要包括非自主性震颤、运动缓慢、步行平衡机能障碍以及肌肉强直等。近些年来,因非运动症状直接影响治疗后PD患者的生存质量,越来越受到国内外学者们的重视。目前,非运动症状的相关发病机制尚未得以明确,有学者指出,非运动症状的发生受多因素调控,不宜使用单一因素视角来观察疾病。此外,受限于疾病评价方法未能统一,许多治疗前后的结果数据相互间难以进行参考比对,进一步加剧了机制研究的困难程度。值得注意的是,帕金森病神经精神症状是最常见的非运动症状之一,主要包括情感障碍、智力认知障碍以及冲动控制障碍等。目前,针对帕金森病神经精神症状多为对症治疗为主,长期服用药物可能会干扰其他神经系统的正常运行且存在肝肾损伤的风险。神经肽为一种广泛存在于身体各组织内的生物活性多肽,具有加强神经系统与机体内各系统联系的作用,对诸多中枢神经系统疾病均有较好的调控作用。其中,P物质(SP)、神经肽Y(NPY)、脑源性营养因子(BDNF)、新饱食分子蛋白-1(Nesfatin-1)等神经肽与帕金森病神经精神症状的发病机制密切相关。依据二者相关性推测,调节神经肽或许会成为PD神经精神症状疾病治疗的新突破点。
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关键词:
- 帕金森病神经精神症状 /
- 神经肽 /
- 新治疗突破点
Abstract: Parkinson's disease (PD) is a kind of extrapyramidal nervous system denatured disease, which is mainly manifested as motor symptoms and non-motor symptoms. Among them, motor symptoms mainly include non-autonomous tremor, slow movement, walking balance dysfunction and muscle rigidity. In recent years, the quality of life of PD patients after treatment is directly affected by non-movement symptoms and more and more scholars at home and abroad attaches importance to it. At present, the related pathogenesis of non-movement symptoms have not been clarified. Some scholars pointed out that the occurrence of non-movement symptoms is controlled by multiple factors, and it is not appropriate to use a single factor perspective to observe the disease. In addition, due to the inconsistency of disease evaluation methods, many results before and after treatment are difficult to be compared with each other, which further aggravates the difficulty of mechanism research. It is worth noting that neuropsychiatric symptoms of Parkinson's disease are one of the most common non-motor symptoms, mainly including emotional disorders, intellectual cognitive disorders and impulse control disorders. At present, most of the neuropsychiatric symptoms of Parkinson's disease are symptomatic treatment, and long-term medication may interfere with the normal operation of other nervous systems, and there is a risk of liver and kidney damage. Neuropeptide is a kind of bioactive peptide widely existing in various tissues of the body, which can strengthen the connection between the nervous system and various systems of the body, and has a good regulation effect on many central nervous system diseases. Among them, substance P, neuropeptide Y, brain-derived nutritional factor, nesfatin-1 and other neuropeptides are closely related to the pathogenesis of neuropsychiatric symptoms in Parkinson's disease. According to their correlation, regulating neuropeptide may be a new breakthrough in the treatment of PD neuropsychiatric diseases.
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