2015
DOI: 10.1002/pds.3781
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Calcium channel blocker use and risk of Parkinson's disease: a meta-analysis

Abstract: Overall, CCB use as a class is associated with a reduction in PD risk. Both of dihydropyridine and non-dihydropyridine CCB use appear to reduce the risk of developing a first time diagnosis of PD. More well-designed prospective studies are needed to investigate the difference of the subtype of CCB user on PD risk.

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Cited by 34 publications
(25 citation statements)
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“…CaV 1.3-mediated dendritic calcium oscillations, characterizing rhythmic activity of SNpc DAergic neurons, have previously been suggested to determine the vulnerable phenotype of these neurons (Guzman et al, 2009; Ilijic et al, 2011; Surmeier and Schumacker, 2013). In agreement, clinical studies and meta-analyses indicate that users of brain-permeable L-type VGCC blockers have a 30% reduced risk of developing PD (Ritz et al, 2010; Lang et al, 2015). Our results indicate that L-type calcium channels are activated by normal subthreshold synaptic activity and become hyperactivated in SNpc DAergic neurons following pharmacological Ih suppression.…”
Section: Discussionmentioning
confidence: 69%
“…CaV 1.3-mediated dendritic calcium oscillations, characterizing rhythmic activity of SNpc DAergic neurons, have previously been suggested to determine the vulnerable phenotype of these neurons (Guzman et al, 2009; Ilijic et al, 2011; Surmeier and Schumacker, 2013). In agreement, clinical studies and meta-analyses indicate that users of brain-permeable L-type VGCC blockers have a 30% reduced risk of developing PD (Ritz et al, 2010; Lang et al, 2015). Our results indicate that L-type calcium channels are activated by normal subthreshold synaptic activity and become hyperactivated in SNpc DAergic neurons following pharmacological Ih suppression.…”
Section: Discussionmentioning
confidence: 69%
“…; Gudala et al . ; Lang et al ). This PD‐protective effect is assumed (but not yet clearly demonstrated) to be caused by inhibition of LTCCs in SN DA neurons, most likely of Cav1.3 channels, which in turn abolishes dendritic Ca 2+ oscillations and associated oscillatory metabolic stress in mice (Guzman et al .…”
Section: Ion Channels Define Activity Pattern and Ca2+ Homeostasis Ofmentioning
confidence: 98%
“…LTCCs in SN DA neurons, particularly those of the Cav1.3 subtype, have received much attention in recent years, since blood-brain barrier (BBB) permeable LTCC blockers of the dihydropyridine-type [DHPs, like isradipine (Striessnig et al 1998)] apparently reduce the risk for developing PD by about 30% in humans, as epidemiologic data of retrospective studies indicate (Becker et al 2008;Ritz et al 2010;Marras et al 2012;Pasternak et al 2012;Gudala et al 2015;Lang et al 2015). This PD-protective effect is assumed (but not yet clearly demonstrated) to be caused by inhibition of LTCCs in SN DA neurons, most likely of Cav1.3 channels, which in turn abolishes dendritic Ca 2+ oscillations and associated oscillatory metabolic stress in mice Kang et al 2013;Surmeier and Schumacker 2013;Huang et al 2014;Ortner et al 2014).…”
Section: Pd-protective Effects Of Voltage-gated L-type Ca 2+ Channel mentioning
confidence: 99%
“…Further support for a potential therapeutic role for DHPs comes from case-control and cohort studies. These studies reported a significantly reduced risk for a first-time diagnosis of PD in users of brainpermeable CCBs (odds or rate ratios of 0.71-0.78) (Becker et al, 2008;Ritz et al, 2010;Pasternak et al, 2012;Lang et al, 2015). Neuroprotection by CCBs, in particular by DHPs, can be rationalized by inhibition of dendritic Ca 2+ entry during action potentials of rhythmic activity or during burst firing (Putzier et al, 2009), which occurs in response to reward-predicting stimuli (Liss and Roeper, 2008).…”
Section: +mentioning
confidence: 99%