IP Indian Journal of Neurosciences 5 (2019) 95–105
Content available at: iponlinejournal.com
IP Indian Journal of Neurosciences
Journal homepage: www.innovativepublication.com
Review Article
Natural products: An emerging tool in parkinson’s disease
therapeutics
Rohit R Doke
1
, Prajakta A Pansare
1
, Shivani R Sainani
1
, Vrushali M Bhalchim
1
, Ketki
R Rode
1
, Shivani R Desai
1,
*
1
Dr. D. Y. Patil Institute of Pharmaceutical Sciences and Research, Pimpri, Pune, Maharashtra, India
ARTICLE INFO
Article history:
Received 03-08-2019
Accepted 27-08-2019
Available online 06-09-2019
Keywords:
Neurodegenration
Natural products
Neuroprotective
Parkinsons disease
Phytoconstituents
Signalling pathways
ABSTRACT
Parkinson’s disease is a age associated chronic neurodegenerative disorder of central nervous system
characterized by selective loss of dopaminergic neurons in substaintia nigra pars compacta which causes
functional impairment of midbrain. Although the cause of PD is still not known, but there are several factors
such asoxidative stress, genetic mutations, mitochondrial dysfunction, aggregationprotein specifically α -
synuclein and neuroinflammation play apivotal role in pathogenesis of PD. The current treatment primarily
includes dopaminergic and non-dopaminegic medications which only provides symptomatic relief and
when drug therapy is fails to provide relief, the next step is surgical treatments. Unfortunately the current
regimens have certain limitations with multiple side effectsand possess economic burden thus, there is
a need to discovered new therapeutic approaches which have antiparkinsonial potential and minimum
adverse effects. For many years, some phytoconstituents from natural products have provided an competent
resource for the revelation of potential therapeutic agents. The anti-PD potential of these phytoconstituents
is because of their well apperceived anti-oxidative, anti-inflammatory activities, their repressive role on
agreegation of protein and the regulatory effects of PD cognate pathways. The intention of this review
article is to cover the potential of phytoconstituents against the neurodegeneration intangle in PD and to
encourage the improvement in future novel treatment strategies predicated on natural sources.
© 2019 Published by Innovative Publication.
1. Introduction
Parkinson’s disease (PD) is age associated second most
prevalent neurodegenerative disease of the central nervous
system [First is Alzheimer’s disease (AD)] and mainly
disturb the motor function of the human body).
1
The
incidence of Parkinson’s disease is less in early ages, but
as the age increases the prevalence also increases rapidly.
The incidence of PD is more in femalesthan male.
2
PD is
first introduce by English surgeon James Parkinson who
first described the syndrome which he called as the ‘
shaking palsy’.
3
Parkinson’s disease is characterised by
the degradation of dopaminergic neurons in the SNpc (part
of midbrain) leading to disability in normal movements.
4
Apart from dopaminergic degeneration, genetic mutations
and environmental factors are additionally plays paramount
* Corresponding author.
E-mail address: shivani.desai@dypvp.edu.in (S. R. Desai).
role in this disease.
5
Lewy bodies are result of alpha-
synuclein protein mutations, thereby contributing to the
degeneration of dopaminergic neurons.
6
In additament,
mitochondrial dysfunction causes declination of ATP
leading to declination of energy and also enhances
reactive oxygen species (ROS), and both of these cause
initiation of apoptotic pathways and consequent neuronal
death.
7
The neuro-inflammation which is initiated by
ROS also plays crucial role for developement of PD.
8
The neurotoxins and cytokines released from the cells
destroy the dopaminergic neurons in striatum and sub-
stantianigra.
9
Neuro-inflammation occurring in the striatum
and substantianigraleads to behavioural and biochemical
deficiency in PD.
10
Apart from this, the several pathways
which are proximately associated with development and
progression of PD includes, the phosphoinositide 3-
kinase/protein kinase B (PI3K/Akt)
11,12
signalling pathway
(the nuclear factor erythriod2-cognate factor2 (Nrf2)
https://doi.org/10.18231/j.ijn.2019.014
2581-8236/© 2019 Published by Innovative Publication. 95