The role of neuroinflammation and the adaptive immune system in PD (Parkinson's disease) has been
the subject of intense investigation in recent years, both in animal models of parkinsonism and in
post-mortem PD brains. However, how these processes relate to and modulate α-syn
(α-synuclein) pathology and microglia activation is still poorly understood. Specifically,
how the peripheral immune system interacts, regulates and/or is induced by neuroinflammatory
processes taking place during PD is still undetermined. We present herein a comprehensive review of
the features and impact that neuroinflamation has on neurodegeneration in different animal models of
nigral cell death, how this neuroinflammation relates to microglia activation and the way microglia
respond to α-syn in vivo. We also discuss a possible role for the
peripheral immune system in animal models of parkinsonism, how these findings relate to the state of
microglia activation observed in these animal models and how these findings compare with what has
been observed in humans with PD. Together, the available data points to the need for development of
dual therapeutic strategies that modulate microglia activation to change not only the way microglia
interact with the peripheral immune system, but also to modulate the manner in which microglia
respond to encounters with α-syn. Lastly, we discuss the immune-modulatory strategies
currently under investigation in animal models of parkinsonism and the degree to which one might
expect their outcomes to translate faithfully to a clinical setting.