“…Misfolded into amyloid form, involved in Lewy body composition; aggravates mitochondrial dysfunction, causes oxidative stress, activates neuroinflammation, causes or aggravates UPS abnormalities, induces axonal damage [43,44] Oxidative stress Destabilizes nucleic acids; promotes α-synuclein, Parkin aggregation, and proteasome breakdown [45,46] Mitochondrial dysfunction Disruption of mitochondrial dynamics, bioenergetic defects, complex I inhibition, ETC and increased ROS content; mitochondrial protein phosphatase and PTEN-induced PINK1 and Parkin function and induction of neurodegeneration [47,48] autophagy Degradation of misfolded proteins and damaged organelles by lysosomes [49][50][51] Neuroinflammation Promotes alpha-synuclein synthesis and aggregation; induces abnormal innate and adaptive immune responses [52] Microbial-intestinal-brain axis regulatory mechanisms Induces alpha-synuclein misfolding and translocation of alpha-synuclein to the brain; inhibits glial cell activation; produces neuroinflammation [53,54] UPS dysfunction Induced abnormal protein aggregation, striatal damage, mitochondrial autophagy, and increased DNA content [55][56][57] Excitatory neurotoxicity Increased glutamate leads to oxidative stress and excitotoxicity, affecting cell viability and contributing to neuronal death [58,59] Genetic factors Genetic mutations [60,61] Environmental risk factors Associated with pesticide and heavy metal exposure, rural life, agricultural occupations, head trauma, melanoma, dairy consumption, type 2 diabetes, etc., with no conclusive mechanism [62][63][64] ETC = electron transport chain, ROS = reactive oxygen species, UPS = Ubiquitin -proteasome system.…”