Publications by authors named "Jaakko J Kopra"

Article Synopsis
  • MANAGE-PD is a web-based tool designed to help doctors identify Parkinson's disease patients whose symptoms aren't well managed by oral medications, with a modified version available in Germany called Parkinson Check.
  • A study conducted in Germany in 2022 assessed the real-world utility of both tools using patient and physician ratings of disease control, involving 278 patients from 19 different sites.
  • The results showed that 57.6% of patients received the same disease control assessment from both physicians and MANAGE-PD, with higher agreement in specialist clinics compared to neurologist practices, and the Parkinson Check demonstrated strong concordance (>80%) between physician and patient responses.
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Parkinson's disease (PD) is a progressive neurodegenerative disease that comprises a range of motor and nonmotor symptoms. Glial cell line-derived neurotrophic factor (GDNF) promotes the survival of dopamine neurons and , and intracranial delivery of GDNF has been tested in six clinical trials for treating PD. However, clinical trials with ectopic GDNF have yielded variable results, which could in part result from abnormal expression site and levels caused by ectopic overexpression.

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Presynaptic increase in striatal dopamine is the primary dopaminergic abnormality in schizophrenia, but the underlying mechanisms are not understood. Here, we hypothesized that increased expression of endogenous GDNF could induce dopaminergic abnormalities that resemble those seen in schizophrenia. To test the impact of GDNF elevation, without inducing adverse effects caused by ectopic overexpression, we developed a novel in vivo approach to conditionally increase endogenous GDNF expression.

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Midbrain dopamine neuron dysfunction contributes to various psychiatric and neurological diseases, including drug addiction and Parkinson's disease. Because of its well established dopaminotrophic effects, the therapeutic potential of glial cell line-derived neurotrophic factor (GDNF) has been studied extensively in various disorders with disturbed dopamine homeostasis. However, the outcomes from preclinical and clinical studies vary, highlighting a need for a better understanding of the physiological role of GDNF on striatal dopaminergic function.

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