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First published online November 2, 2006
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2006-0364v1
25/2/263    most recent
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Submitted on June 13, 2006
Accepted on October 30, 2006

Tissue-Specific Stem Cells

Therapeutic strategies for Parkinson's disease based on the modulation of adult neurogenesis

Martine Geraerts 1, Olga Krylychkina 1, Veerle Baekelandt 2, Zeger Debyser 1*

1 Laboratory for Molecular Virology and Gene Therapy, K.U.Leuven and IRC KULAK, Flanders, Belgium
2 Laboratory for Neurobiology and Gene Therapy, K.U.Leuven, Flanders, Belgium

* To whom correspondence should be addressed. E-mail: Zeger.Debyser{at}med.kuleuven.be.


   Abstract

Parkinson's disease (PD) is a progressive neurodegenerative disorder, affecting millions of people world-wide. To date, treatment strategies are mainly symptomatic and aimed at increasing dopamine levels in the degenerating nigrostriatal system. Hope rests upon the development of effective neurorestorative or neuroregenerative therapies based on gene and stem cell therapy or a combination of both. The results of experimental therapies based on transplanting exogenous dopamine-rich fetal cells or growth factor (GDNF) overexpression into the brain of Parkinson's disease patients encourage future cell- and gene-based strategies. The endogenous neural stem cells of the adult brain provide an alternative and attractive cell source for neuroregeneration. Prior to designing endogenous stem cell therapies, one has to investigate the possible impact of PD on adult neuronal stem cell pools and their neurogenic potential. We review the experimental data obtained in animal models or based on analysis of patients' brain prior to describing different treatment strategies. Strategies aiming to enhance neuronal stem cell proliferation and/or differentiation in the striatum or the substantia nigra will have to be compared in animal models and selected prior to clinical studies.

Key Words. neurogenesis, Parkinson's disease, adult neural stem cell, cell therapy




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