Calcium channel blockers and Parkinson's disease: a systematic review and meta-analysis.

Ther Adv Neurol Disord

Department of Neurology, West China Hospital, Sichuan University, Guoxue Road No. 37, Chengdu, Sichuan 610041, China.

Published: May 2024


Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

Background: The calcium channel has been considered to have great potential as a drug target for neuroprotective therapy in Parkinson's disease (PD), but previous studies yielded inconsistent results.

Objectives: This study aimed to conduct a systematic review and meta-analysis to assess the relationship between using calcium channel blockers (CCBs) and the risk and progression of PD.

Data Sources And Methods: The terms such as 'Parkinson's disease', 'PD', 'calcium channel blockers', and 'CCB' were used to search the literature published before 1 May 2023 in English databases, including PubMed, Embase, and Cochrane Library, for studies on CCB and PD. Data analysis was performed using Review Manager 5.3 software.

Results: A total of 190 works of literature were preliminarily retrieved, and 177 works of literature were excluded by eliminating duplicates, reading abstracts, and reading full texts. A total of nine studies were finally included in the meta-analysis of the CCB and the risk of PD, and five studies were included in the systematic review of the CCB and the progression of PD. A total of 2,961,695 participants were included in the meta-analysis. The random-effects model was used for analysis due to significant heterogeneity. The main results of the meta-analysis showed that the use of CCB could reduce the risk of PD (relative risk 0.78, 95% confidence interval 0.62-0.99).

Conclusion: CCB use was associated with a significantly reduced risk of PD. Whether CCB use has a disease-modifying effect on PD needs further study.

Registration: PROSPERO: CRD42024508242.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11104025PMC
http://dx.doi.org/10.1177/17562864241252713DOI Listing

Publication Analysis

Top Keywords

calcium channel
12
systematic review
12
channel blockers
8
parkinson's disease
8
review meta-analysis
8
works literature
8
included meta-analysis
8
meta-analysis ccb
8
ccb
6
meta-analysis
5

Similar Publications

Neuroinflammation, a vital protective response for tissue homeostasis, becomes a detrimental force when chronic and dysregulated, driving neurological disorders like Alzheimer's, Parkinson's, and Huntington's diseases. Potassium (K) channels maintain membrane potential and cellular excitability in neurons and glia within the intricate CNS signaling network. Neuronal injury or inflammation can disrupt K channel activity, leading to hyperexcitability and chronic pain.

View Article and Find Full Text PDF

Electrical deep brain stimulation is effective for epilepsy suppression, but will lead to neural tissue damage and inflammation due to implantation of electrodes and a pulse generator. Transcranial magnetic and transcranial ultrasound stimulation cannot directly generate effective electrical signals in deep brain regions. Here, the use of piezoelectric nanoparticles is proposed as wireless nanostimulators for deep brain electrical stimulation and minimally invasive suppression of epilepsy.

View Article and Find Full Text PDF

Background: Sacubitril/valsartan is typically prescribed for patients with heart failure and hypertension. We previously reported that sacubitril/valsartan provides comparable blood pressure (BP) reduction and superior tolerability compared to thiazide diuretics. This post hoc study aimed to compare the effects of sacubitril/valsartan and thiazide diuretics in patients with chronic kidney disease (CKD).

View Article and Find Full Text PDF

Voltage-dependence gating of ion channels underlies numerous physiological and pathophysiological processes, and disruption of normal voltage gating is the cause of many channelopathies. Here, long timescale atomistic simulations were performed to directly probe voltage-induced gating transitions of the big potassium (BK) channels, where the voltage sensor domain (VSD) movement has been suggested to be distinct from that of canonical Kv channels but remains poorly understood. Using a Core-MT construct without the gating ring, multiple voltage activation transitions were observed at 750 mV, allowing detailed analysis of the activated state of BK VSD and key mechanistic features.

View Article and Find Full Text PDF

Introduction: The local perception of a stimulus such as wounding can trigger plant-wide responses through the propagation of systemic signals including the vascular transport of diverse chemical messengers, the propagation of electrical changes, and even potentially hydraulic waves that rapidly spread throughout the plant body. These systemic signals trigger changes in second messengers such as Ca2+ that then play roles in triggering subsequent molecular responses. Although the glutamate receptor-like (GLR) channels GLR3.

View Article and Find Full Text PDF