{"id":2012,"date":"2025-02-09T13:24:28","date_gmt":"2025-02-09T21:24:28","guid":{"rendered":"https:\/\/alteritas.net\/alteritas\/?p=2012"},"modified":"2025-02-09T13:24:28","modified_gmt":"2025-02-09T21:24:28","slug":"pd-und-so-weider","status":"publish","type":"post","link":"https:\/\/alteritas.net\/alteritas\/2025\/02\/09\/pd-und-so-weider\/","title":{"rendered":"PD und so weider"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">Parkinson&#8217;s disease<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Parkinson%27s_disease\">Parkinson&#8217;s disease<\/a><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3312404\/\">Parkinson\u2019s Disease: Gene Therapies<\/a><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Calcium_channel_blocker\">Calcium channel blocker<\/a><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">When more than 20\u00a0mg of simvastatin, a <a href=\"https:\/\/en.wikipedia.org\/wiki\/Lipid-lowering_agent\">lipid-lowering agent<\/a>, are given with amlodipine, the risk of <a href=\"https:\/\/en.wikipedia.org\/wiki\/Myopathy\">myopathy<\/a> increases.[40] The FDA issued a warning to limit simvastatin to a maximum dose of 20\u00a0mg if taken with amlodipine based on evidence from the SEARCH trial.[41] Giving amlodipine with <a href=\"https:\/\/en.wikipedia.org\/wiki\/Viagra\">Viagra<\/a> increases the risk of hypotension.[7][10 &lt; wiki amlodipine<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The prion hypothesis suggests that alpha-synuclein aggregates are pathogenic and can spread to neighboring, healthy neurons and seed new aggregates. Some propose that the heterogeneity of PD may stem from different &#8220;strains&#8221; of alpha-synuclein aggregates and varying anatomical sites of origin<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The incidence rate of falls in Parkinson&#8217;s patients is approximately 45 to 68%, thrice that of healthy individuals, and half of such falls result in serious secondary injuries. Falls increase <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Morbidity\">morbidity<\/a> and <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Mortality_rate\">mortality<\/a>.[227]Around 90% of those with PD develop <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Hypokinetic_dysarthria\">hypokinetic dysarthria<\/a>, which worsens with disease progression and can hinder communication.[228]Additionally, over 80% <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">of PD patients develop dysphagia: consequent inhalation of gastric and oropharyngeal secretions can lead to <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Aspiration_pneumonia\">aspiration pneumonia<\/a>.[229] Aspiration pneumonia is responsible for 70% of deaths in those with PD.[230]<\/span><\/p>\n<p class=\"p1\"><span class=\"s2\">&lt; wiki<\/span><\/p>\n<p class=\"p1\"><span class=\"s2\"> Dysarthria<\/span><span class=\"s1\"> is a <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Speech_sound_disorder\">speech sound disorder<\/a> resulting from <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Brain_damage\">neurological injury<\/a> of the motor component of the <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Motor_speech_disorder\">motor\u2013speech system<\/a>[1] and is characterized by poor articulation of <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Phoneme\">phonemes<\/a>.[2] It is a condition in which problems effectively occur with the muscles that help produce speech, often making it very difficult to pronounce words<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"> For instance, English philosopher <a href=\"https:\/\/en.wikipedia.org\/wiki\/Thomas_Hobbes\">Thomas Hobbes<\/a> was diagnosed with &#8220;shaking palsy&#8221;\u2014assumed to have been Parkinson&#8217;s\u2014but continued writing works such as <a href=\"https:\/\/en.wikipedia.org\/wiki\/Leviathan_(Hobbes_book)\"><span class=\"s3\">Leviathan<\/span><\/a>.[289][290][291] <a href=\"https:\/\/en.wikipedia.org\/wiki\/Adolf_Hitler\">Adolf Hitler<\/a> is widely believed to have had Parkinson&#8217;s, and the condition may have influenced his decision making.[292][293][294] <a href=\"https:\/\/en.wikipedia.org\/wiki\/Mao_Zedong\">Mao Zedong<\/a>was also reported to have died from the disorder.[295]<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Gene_therapy_in_Parkinson%27s_disease\">https:\/\/en.wikipedia.org\/wiki\/Gene_therapy_in_Parkinson%27s_disease<\/a><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Cell-based_therapies_for_Parkinson%27s_disease\">https:\/\/en.wikipedia.org\/wiki\/Cell-based_therapies_for_Parkinson%27s_disease<\/a><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Management_of_Parkinson%27s_disease#\">https:\/\/en.wikipedia.org\/wiki\/Management_of_Parkinson%27s_disease#<\/a><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Hypernasal_speech\">https:\/\/en.m.wikipedia.org\/wiki\/Hypernasal_speech<\/a><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"> The new treatments for PD are in clinical trials and most of them are centered on <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Gene_therapy\">gene therapy<\/a>. With this, researchers expect to compensate the loss of dopamine or to protect the dopamine neurons from degeneration.[2] The pharmacological and surgical therapies for PD focus on compensating the ganglia dysfunction caused by the degeneration of the dopaminergic neuron from substantia nigra<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">As the <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Gut_microbiome\">gut microbiome<\/a> in PD is often disrupted and produces toxic compounds, <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Fecal_microbiota_transplants\">fecal microbiota transplants<\/a> might restore a healthy microbiome and alleviate various motor and non-motor symptoms.[300] <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Neurotrophic_factors\">Neurotrophic factors<\/a>\u2014<a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Peptides\">peptides<\/a> that enhance the growth, maturation, and survival of neurons\u2014show modest results but require invasive surgical administration. <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Viral_vectors\">Viral vectors<\/a> may represent a more feasible delivery platform.[304] <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Calcium_channel_blockers\">Calcium channel blockers <\/a>may be restore the calcium imbalance present in Parkinson&#8217;s, and are being investigated as a neuroprotective treatment.[305] Other therapies, like <a href=\"https:\/\/en.m.wikipedia.org\/wiki\/Deferiprone\">deferiprone<\/a>, may reduce the abnormal accumulation of iron in PD.[305]<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Parkinson&#8217;s disease Parkinson&#8217;s disease Parkinson\u2019s Disease: Gene Therapies Calcium channel blocker When more than 20\u00a0mg of simvastatin, a lipid-lowering agent, are given with amlodipine, the risk of myopathy increases.[40] The FDA issued a warning to limit simvastatin to a maximum dose of 20\u00a0mg if taken with amlodipine based on evidence from the SEARCH trial.[41] Giving &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/alteritas.net\/alteritas\/2025\/02\/09\/pd-und-so-weider\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;PD und so weider&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-2012","post","type-post","status-publish","format-standard","hentry","category-post"],"_links":{"self":[{"href":"https:\/\/alteritas.net\/alteritas\/wp-json\/wp\/v2\/posts\/2012","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alteritas.net\/alteritas\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/alteritas.net\/alteritas\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/alteritas.net\/alteritas\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/alteritas.net\/alteritas\/wp-json\/wp\/v2\/comments?post=2012"}],"version-history":[{"count":1,"href":"https:\/\/alteritas.net\/alteritas\/wp-json\/wp\/v2\/posts\/2012\/revisions"}],"predecessor-version":[{"id":2013,"href":"https:\/\/alteritas.net\/alteritas\/wp-json\/wp\/v2\/posts\/2012\/revisions\/2013"}],"wp:attachment":[{"href":"https:\/\/alteritas.net\/alteritas\/wp-json\/wp\/v2\/media?parent=2012"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/alteritas.net\/alteritas\/wp-json\/wp\/v2\/categories?post=2012"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/alteritas.net\/alteritas\/wp-json\/wp\/v2\/tags?post=2012"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}