“…At the systems level, the determinants that might contribute to differential PD phenotypes are excitotoxicity 3 , 105 (due to overexcitation by STN or pedunculopontine nucleus), aging 106 , 107 (due to proteostatic dysfunction, mitochondrial dysfunction, genetic mutations or telomere shortening), genetic instability 108 – 110 (due to changes in nucleic acid sequences, chromosomal rearrangements or aneuploidy), environmental toxins 111 , 112 (due to exposure to insecticides, commercial solvents, metal exposure or traumatic head injury), neuroinflammation 113 , 114 (due to traumatic head injury, exotoxins or immune dysfunctions), prion-like infection 114 , 115 (bacteria or viruses), telomere shortening 116 , 117 (due to aging or oxidative stress), glial dysfunction 118 – 120 (due to phagocytic or inflammatory impairments, enteric glial dysfunction) and vascular dysfunction 121 , 122 (due to endothelial dysfunction or cardiovascular autonomic dysfunction). These systems-level determinants interact among themselves and also across different levels in the hierarchy resulting in different PD phenotypes (Fig.…”