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Published in: Journal of Neural Transmission 4/2019

01-04-2019 | Parkinson's Disease | Neurology and Preclinical Neurological Studies - Review Article

Mesencephalic and extramesencephalic dopaminergic systems in Parkinson’s disease

Authors: Fanni F. Geibl, Martin T. Henrich, Wolfgang H. Oertel

Published in: Journal of Neural Transmission | Issue 4/2019

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Abstract

Neurodegeneration of the nigrostriatal dopaminergic system and concurrent dopamine (DA) deficiency in the basal ganglia represent core features of Parkinson’s disease (PD). Despite the central role of DA in the pathogenesis of PD, dopaminergic systems outside of the midbrain have not been systematically investigated for Lewy body pathology or neurodegeneration. Dopaminergic neurons show a surprisingly rich neurobiological diversity, suggesting that there is not one general type of dopaminergic neuron, but rather a spectrum of different dopaminergic phenotypes. This heterogeneity on the cellular level could account for the observed differences in susceptibility of the dopaminergic systems to the PD disease process. In this review, we will summarize the long history from the first description of PD to the rationally derived DA replacement therapy, describe the basal neuroanatomical and neuropathological features of the different dopaminergic systems in health and PD, explore how neuroimaging techniques broadened our view of the dysfunctional dopaminergic systems in PD and discuss how dopaminergic replacement therapy ameliorates the classical motor symptoms but simultaneously induces a new set of hyperdopaminergic symptoms.
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Metadata
Title
Mesencephalic and extramesencephalic dopaminergic systems in Parkinson’s disease
Authors
Fanni F. Geibl
Martin T. Henrich
Wolfgang H. Oertel
Publication date
01-04-2019
Publisher
Springer Vienna
Published in
Journal of Neural Transmission / Issue 4/2019
Print ISSN: 0300-9564
Electronic ISSN: 1435-1463
DOI
https://doi.org/10.1007/s00702-019-01970-9

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