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Open AccessJournal ArticleDOI

Therapeutic approaches to target alpha-synuclein pathology

TLDR
It is concluded that alpha-synuclein remains one of the most compelling therapeutic targets for Parkinson's disease, and related synucleinopathies, and that the multitude of approaches being tested provides hope for the future.
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This article is published in Experimental Neurology.The article was published on 2017-12-01 and is currently open access. It has received 170 citations till now. The article focuses on the topics: Synucleinopathies.

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Disease Modification in Parkinson's Disease: Current Approaches, Challenges, and Future Considerations

TL;DR: It is unknown whether the dysfunctional molecular pathways/organelles amenable to modification occur in a sequential fashion across most clinically affected individuals or manifest differentially in independent molecular subtypes of PD.
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Dementia with Lewy bodies and Parkinson’s disease-dementia: current concepts and controversies

TL;DR: Both DLB and PDD show heterogeneous pathology and neurochemistry, suggesting that they share important common underlying molecular pathogenesis with AD and other proteinopathies, and there remains a pressing need to differentiate them more clearly.
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α-Synuclein misfolding and aggregation: Implications in Parkinson's disease pathogenesis.

TL;DR: The structural and functional aspects of α-Syn and role of potential factors that may contribute to the underlying mechanism of synucleinopathies are focused on to identify novel targets and develop specific therapeutic strategies to combat Parkinson's and other protein aggregation related neurodegenerative diseases.
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Targeted Therapies for Parkinson's Disease: From Genetics to the Clinic

TL;DR: This review focuses on therapeutic paradigms that are under clinical development and highlights a wide range of key outstanding questions in PD.
References
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Journal ArticleDOI

Large-scale meta-analysis of genome-wide association data identifies six new risk loci for Parkinson's disease

TL;DR: This article conducted a meta-analysis of Parkinson's disease genome-wide association studies using a common set of 7,893,274 variants across 13,708 cases and 95,282 controls.
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Multicenter Analysis of Glucocerebrosidase Mutations in Parkinson's Disease

Ellen Sidransky, +75 more
TL;DR: Data collected demonstrate that there is a strong association between GBA mutations and Parkinson's disease, and those with a GBA mutation presented earlier with the disease, were more likely to have affected relatives, and were morelikely to have atypical clinical manifestations.
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The many faces of α-synuclein: from structure and toxicity to therapeutic target

TL;DR: An overview of current knowledge and prevailing hypotheses regarding the conformational, oligomerization and aggregation states of α-syn and their role in regulating α- synuclein function in health and disease is provided.
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α-Synuclein occurs physiologically as a helically folded tetramer that resists aggregation

TL;DR: It is proposed that destabilization of the helically folded tetramer precedes α-synuclein misfolding and aggregation in Parkinson’s disease and other human synucleinopathies, and that small molecules that stabilize the physiological tetramer could reduce α- Synuclein pathogenicity.
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Trehalose, a Novel mTOR-independent Autophagy Enhancer, Accelerates the Clearance of Mutant Huntingtin and α-Synuclein

TL;DR: It is shown that trehalose also protects cells against subsequent pro-apoptotic insults via the mitochondrial pathway, which may be relevant to the treatment of HD and related diseases, where the mutant proteins are autophagy substrates.
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