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Trends in the Molecular Pathogenesis and Clinical Therapeutics of Common Neurodegenerative Disorders
Authors:Yahya E. Choonara   Viness Pillay   Lisa C. du Toit   Girish Modi   Dinesh Naidoo   Valence M.K. Ndesendo     Sibongile R. Sibambo
Affiliation:1University of the Witwatersrand, Department of Pharmacy and Pharmacology, 7 York Road, Parktown, 2193, Johannesburg, South Africa;2University of the Witwatersrand, Department of Neurology, 7 York Road, Parktown, 2193, Johannesburg, South Africa;3University of the Witwatersrand, Department of Neurosurgery, 7 York Road, Parktown, 2193, Johannesburg, South Africa
Abstract:The term neurodegenerative disorders, encompasses a variety of underlying conditions, sporadic and/or familial and are characterized by the persistent loss of neuronal subtypes. These disorders can disrupt molecular pathways, synapses, neuronal subpopulations and local circuits in specific brain regions, as well as higher-order neural networks. Abnormal network activities may result in a vicious cycle, further impairing the integrity and functions of neurons and synapses, for example, through aberrant excitation or inhibition. The most common neurodegenerative disorders are Alzheimer’s disease, Parkinson’s disease, Amyotrophic Lateral Sclerosis and Huntington’s disease. The molecular features of these disorders have been extensively researched and various unique neurotherapeutic interventions have been developed. However, there is an enormous coercion to integrate the existing knowledge in order to intensify the reliability with which neurodegenerative disorders can be diagnosed and treated. The objective of this review article is therefore to assimilate these disorders’ in terms of their neuropathology, neurogenetics, etiology, trends in pharmacological treatment, clinical management, and the use of innovative neurotherapeutic interventions.
Keywords:Parkinson’s disease   Alzheimer’s disease   Amyotrophic Lateral Sclerosis   Huntington’s disease   neuropathology   amyloid-β protein   Tau   Huntingtin   α-Synuclein   neurotherapeutics   drug delivery
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