Immunotherapy for Parkinson's disease

Aaron D. Schwab, Mackenzie J. Thurston, Jatin Machhi, Katherine E. Olson, Krista L. Namminga, Howard E. Gendelman, R. Lee Mosley

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

With the increasing prevalence of Parkinson's disease (PD), there is an immediate need to interdict disease signs and symptoms. In recent years this need was met through therapeutic approaches focused on regenerative stem cell replacement and alpha-synuclein clearance. However, neither have shown long-term clinical benefit. A novel therapeutic approach designed to affect disease is focused on transforming the brain's immune microenvironment. As disordered innate and adaptive immune functions are primary components of neurodegenerative disease pathogenesis, this has emerged as a clear opportunity for therapeutic development. Interventions that immunologically restore the brain's homeostatic environment can lead to neuroprotective outcomes. These have recently been demonstrated in both laboratory and early clinical investigations. To these ends, efforts to increase the numbers and function of regulatory T cells over dominant effector cells that exacerbate systemic inflammation and neurodegeneration have emerged as a primary research focus. These therapeutics show broad promise in affecting disease outcomes beyond PD, such as for Alzheimer's disease, stroke and traumatic brain injuries, which share common neurodegenerative disease processes.

Original languageEnglish (US)
Article number104760
JournalNeurobiology of Disease
Volume137
DOIs
StatePublished - Apr 2020

Keywords

  • Alzheimer's disease
  • Effector T cells
  • Granulocyte-macrophage colony stimulating factor
  • Immune homeostasis
  • Immune transformation
  • Ischemic stroke
  • Neurodegeneration
  • Neurodegenerative disorders
  • Neuroinflammation
  • Neuroprotection
  • Nigrostriatal degeneration
  • Parkinson's disease
  • Regulatory T cells
  • Teffs
  • Traumatic brain injury
  • Tregs

ASJC Scopus subject areas

  • Neurology

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