Abstract
Parkinson’s disease (PO), a progressive neurodegenerative disorder, is a common cause of disability. The pathological hallmarks are the presence of Lewy bodies and massive loss of dopaminergic neurons in the pars compacta of the substantia nigra. The current pathophysiological concept of PD postulates a multifactorial origin, where alterations in neurotransmitter content are combined with genetic and environmental factors. With nigrostriatal dopamine depletion, a complex set of changes occurs in the functional anatomy of the basal ganglia circuitry. As a result, the firing pattern of certain glutamatergic pathways has been shown to change significantly, and to play a central role in the pathogenesis of parkinsonian symptoms. Advances in genetics have led to the discovery of gene mutations underlying some forms of PD. The mutated genes encode proteins of unknown function, such as alpha-synuclein and parkin. Moreover, compelling evidence supports the involvement of mitochondrial metabolism failure as an essential cofactor in the pathogenesis of PD. Interestingly, some environmental toxins are thought to be able to act as mitochondrial toxins. The comprehension of the pathways leading to PD requires an intense effort in order to identify and establish a plausible connection between genetic causes, altered neurotransmission and metabolic impairment.
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Pisani, A., Calabresi, P. (2004). Glutamate Transmission in the Pathogenesis of Parkinson’s Disease. In: Ferrarese, C., Beal, M.F. (eds) Excitotoxicity in Neurological Diseases. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-8959-8_12
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