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Istradefylline for Treating Parkinson’s Disease

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NeuroPsychopharmacotherapy

Abstract

Adenosine is thought to be a neuromodulator or neurotransmitter in the mammalian peripheral tissues and central nervous systems and involved in biological events in mammalian tissues via specific interactions with G-protein-coupled adenosine receptors. Adenosine receptors are classified into four subtypes: A1, A2A, A2B, and A3. In the central nervous system (CNS), adenosine A2A receptors have a selective localization to the basal ganglia in contrast to other adenosine receptor subtypes and as a consequence offer a unique opportunity to modulate the output from the striatum that is believed critical to the occurrence of motor components of Parkinson’s disease (PD). Adenosine A2A receptor antagonists are active in predictive experimental models of PD and appear to be promising as a major non-dopaminergic therapy for PD. Istradefylline is the first adenosine A2A receptor antagonist approved for the treatment of PD and is currently only available in Japan, with the indication of “Improvement of ‘wearing off’ phenomena in patients with PD on concomitant treatment with l-DOPA containing products.” In this literature review, we will summarize the current knowledge from both clinical and nonclinical studies on the effects of adenosine A2A receptor blockade on PD. Also, we will summarize the potential feature aspects of the adenosine A2A receptor antagonist on the CNS functions.

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Author information

Authors and Affiliations

  1. Translational Research Unit, Research and Development Division, Kyowa Hakko Kirin Co., Ltd., Shizuoka, Japan

    Tomoyuki Kanda

  2. Department of Neurology and Clinical Pharmacology, Ehime University Graduate School of Medicine, Tohon, Japan

    Masahiro Nomoto

Authors
  1. Tomoyuki Kanda
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  2. Masahiro Nomoto
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Corresponding author

Correspondence to Masahiro Nomoto .

Editor information

Editors and Affiliations

  1. Clinic and Policlinic for Psychiatry, Psychosomatics and Psychotherapy, University Hospital Wuerzburg, Wuerzburg, Germany

    Peter Riederer

  2. Institute of Psychological Medicine (IPM), Soyen, Germany

    Gerd Laux

  3. Centre for Research Promotion and Support, Fujita Health University, Toyoake, Aichi, Japan

    Toshiharu Nagatsu

  4. Center Translational Res Neurol Diseases, Dalian Med Uni Shanghai Inst Health Sc Center Translational Res Neurol Diseases, Dalian, China

    Weidong Le

  5. Würzburg, Germany

    Christian Riederer

Section Editor information

  1. Fujita Health University School of Medicine, Toyoake, Aichi, Japan

    Toshiharu Nagatsu

  2. Institute of Environmental Medicine, Nagoya University, Nagoya, Aichi, Japan

    Toshiharu Nagatsu

  3. Department of Physiological Chemistry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan

    Akira Nakashima

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Kanda, T., Nomoto, M. (2022). Istradefylline for Treating Parkinson’s Disease. In: Riederer, P., Laux, G., Nagatsu, T., Le, W., Riederer, C. (eds) NeuroPsychopharmacotherapy. Springer, Cham. https://doi.org/10.1007/978-3-030-62059-2_361

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  • DOI: https://doi.org/10.1007/978-3-030-62059-2_361

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-62058-5

  • Online ISBN: 978-3-030-62059-2

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