Patients suffering from Parkinson's disease (PD) display severe and progressive deficits in motor behavior, predominantly as a consequence of the degeneration of dopaminergic neurons, located in the mesencephalon and projecting to striatal regions. The cause of PD is still an enigma. In general, pharmacotherapy comprises symptomatic treatment with dopaminergic compounds, which induce a dramatic initial improvement, although serious problems gradually develop after longterm treatment. This paper describes some recent investigations in pathogenetic, diagnostic and pharmacotherapeutic mechanisms related to dopaminergic systems and PD, as they have been performed in our group.
— Pathogenetic mechanisms will be highlighted along the line of the oxidative stress hypothesis and especially the role of glutathione will be discussed in this respect. Strong indications exist that a decrease in mesencephalic glutathione precedes the dopamine depletion in this brain region of PD patients.
— By using iodinated radioligands, selective for dopamine transporters, it is possible now to visualize the degeneration of the dopaminergic neurons with SPECT in the living patient. This creates the possibility to follow the degeneration rate of the dopaminergic neurons and to monitor eventually therapeutic effects of neuroprotective agents in longitudinal studies.
— Sofar, the dopaminergic drugs used for the pharmacotherapy of PD have mainly been confined to L‐DOPA and D2 receptor agonists. It will be demonstrated, especially from studies performed in MPTP‐lesioned monkeys, that some recently developed D1 receptor agonists are able to induce dramatic improvements in this animal model.