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Review
. 2020 Apr;41(4):471-482.
doi: 10.1038/s41401-020-0365-y. Epub 2020 Feb 28.

Recent advances in dopaminergic strategies for the treatment of Parkinson's disease

Affiliations
Review

Recent advances in dopaminergic strategies for the treatment of Parkinson's disease

Qi Mao et al. Acta Pharmacol Sin. 2020 Apr.

Abstract

Parkinson's disease (PD) is the second most common progressive neurodegenerative disease worldwide. However, there is no available therapy reversing the neurodegenerative process of PD. Based on the loss of dopamine or dopaminergic dysfunction in PD patients, most of the current therapies focus on symptomatic relief to improve patient quality of life. As dopamine replacement treatment remains the most effective symptomatic pharmacotherapy for PD, herein we provide an overview of the current pharmacotherapies, summarize the clinical development status of novel dopaminergic agents, and highlight the challenge and opportunity of emerging preclinical dopaminergic approaches aimed at managing the features and progression of PD.

Keywords: D1 receptor; D2 receptor; Parkinson’s disease; allosteric modulator; dopamine; drug discovery and development; multitarget; neurodegenerative diseases; neuroprotection.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Schematic of various strategies for PD treatment
Fig. 2
Fig. 2
Dopaminergics undergoing clinical trials
Fig. 3
Fig. 3
Other dopaminergics examined in preclinical studies
Fig. 4
Fig. 4
Selective MAO-B inhibitors for preclinical PD treatment

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