ანოტაცია
Parkinson’s disease (PD) is a progressive neurodegenerative disorder, characterised by the loss of dopaminergic neurons and accumulation of α-synuclein, resulting in the development of motor and non-motor symptoms. Multiple studies have demonstrated an increased activation of Abelson tyrosine kinase (c-Abl) in PD, suggesting that it is a potential target for treatment. Nilotinib, a selective c-Abl inhibitor approved to treat chronic myeloid leukemia, has demonstrated neuroprotective effects in preclinical PD models by reducing neurodegeneration and promoting α-synuclein clearance. This prompted further preliminary clinical studies, in which nilotinib was found to positively affect biomarker levels in cerebrospinal fluid (CSF) and enhance motor and cognitive outcomes in individuals with advanced PD. This review aims to analyze the efficacy of nilotinib as a potential disease-modifying treatment in PD.
წყაროები
Pagan FL, Wilmarth B, Torres-Yaghi Y, et al. Long-Term Safety and Clinical Effects of Nilotinib Parkinson's Disease. Mov Disord. 2021;36(3):740-749. doi:10.1002/mds.28389
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Pagan FL, Hebron ML, Wilmarth B, et al. Nilotinib Effects on Safety, Tolerability, and Potential Biomarkers in Parkinson Disease: A Phase 2 Randomized Clinical Trial. JAMA Neurol. 2020;77(3):309-317. doi:10.1001/jamaneurol.2019.4200
Xie X, Yuan P, Kou L, Chen X, Li J, Li Y. Nilotinib in Parkinson's disease: A systematic review and meta-analysis. Front Aging Neurosci. 2022;14:996217. Published 2022 Sep 29. doi:10.3389/fnagi.2022.996217
Pagan FL, Hebron ML, Wilmarth B, et al. Pharmacokinetics and pharmacodynamics of a single dose Nilotinib in individuals with Parkinson's disease. Pharmacol Res Perspect. 2019;7(2):e00470. Published 2019 Mar 12. doi:10.1002/prp2.470

