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Journal ArticleDOI

Chronic Parkinsonism in humans due to a product of meperidine-analog synthesis

J. W. Langston, +3 more
- 25 Feb 1983 - 
- Vol. 219, Iss: 4587, pp 979-980
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TLDR
It is proposed that this chemical selectively damages cells in the substantia nigra in patients who developed marked parkinsonism after using an illicit drug intravenously.
Abstract
Four persons developed marked parkinsonism after using an illicit drug intravenously. Analysis of the substance injected by two of these patients revealed primarily 1-methyl-4-phenyl-1,2,5,6-tetrahydropyridine (MPTP) with trace amounts of 1-methyl-4-phenyl-4-propionoxy-piperidine (MPPP). On the basis of the striking parkinsonian features observed in our patients, and additional pathological data from one previously reported case, it is proposed that this chemical selectively damages cells in the substantia nigra.

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Citations
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Differential expression of two vesicular monoamine transporters

TL;DR: Although adrenal chromaffin cells, sympathetic and enteric neurons derive from the neural crest, they express different vesicular amine transporters, these findings are consistent with the functional characteristics of VMAT1 and VMAT2 and help to explain several classic pharmacological observations.
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Complex I and Parkinson's disease.

TL;DR: Chronic rotenone exposure accurately recapitulated the pathological, biochemical, and behavioral features of PD, suggesting relatively subtle complex I abnormalities‐‐either genetic or acquired‐‐may be central to the pathogenesis of PD.
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The History of Parkinson's Disease: Early Clinical Descriptions and Neurological Therapies

TL;DR: Historically important anatomical, biochemical, and physiological studies identified additional pharmacological and neurosurgical targets for Parkinson's disease and allow modern clinicians to offer an array of therapies aimed at improving function in this still incurable disease.
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Glutamate and Parkinson's disease

TL;DR: The involvement of the glutamatergic system in the pathogenesis and symptomatology of PD provides potential new targets for therapeutic intervention in this neuro-degenerative disorder.
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Role of oxidative stress and antioxidants in neurodegenerative diseases.

TL;DR: The pathobiology of neurodegenerative disorders with emphasis on genetic origin and its correlation with oxidative stress of neuro degenerative disorders will be reviewed and the reasons as to why brain constitutes a vulnerable site of oxidative damage will be discussed.
References
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Journal ArticleDOI

Chronic Parkinsonism secondary to intravenous injection of meperidine analogues.

TL;DR: Biogenic amines and metabolites in the cerebrospinal fluid and microscopic evaluation of the brain at necropsy were consistent with damage to aminergic neurons in the substantia nigra.
Journal ArticleDOI

Apraxia of lid opening

TL;DR: Apraxia of lid opening is a nonparalytic motor abnormality characterized by the patient's difficulty in initiating the act of lid elevation and differs from paralytic ptosis by being present only momentarily at the start of lidOpening.
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