Google Acadêmico | Citações: 16429 | índice h: 32 | índice i10: 482
Doxiciclina como potencial terapêutico na doença de Parkinson
PDF

Palavras-chave

Doença de Parkinson
Doxiciclina
Tratamento Farmacológico

Como Citar

Doxiciclina como potencial terapêutico na doença de Parkinson. (2025). Revista Eletrônica Acervo Saúde, 25(5), e20218. https://doi.org/10.25248/reas.e20218.2025

Copyright © | Todos os direitos reservados.

A revista detém os direitos autorais exclusivos de publicação deste artigo nos termos da lei 9610/98.

Reprodução parcial
É livre o uso de partes do texto, figuras e questionário do artigo, sendo obrigatória a citação dos autores e revista.

Reprodução total
É expressamente proibida, devendo ser autorizada pela revista.

Resumo

Objetivo: Analisar as evidências disponíveis sobre o uso da doxiciclina (DOX) como potencial agente terapêutico na Doença de Parkinson (DP), considerando seus efeitos neuroprotetores e anti-inflamatórios. Revisão bibliográfica: A DP é caracterizada pela degeneração progressiva dos neurônios dopaminérgicos, levando a sintomas motores e não motores debilitantes. Estudos indicam que a neuroinflamação tem papel crucial na progressão da doença, tornando-se um alvo terapêutico promissor. A DOX, uma tetraciclina de segunda geração, apresenta propriedades anti-inflamatórias e neuroprotetoras, além de alta lipossolubilidade e capacidade de atravessar a barreira hematoencefálica. Modelos experimentais demonstraram que a DOX reduz a degeneração neuronal, inibe a ativação da micróglia e modula a agregação de α-sinucleína, proteína associada à patogênese da DP. Esses achados sugerem que a DOX pode retardar a progressão da doença e reduzir sintomas motores e neuro inflamatórios. Considerações finais: A DOX se mostra um candidato promissor para a neuroproteção dopaminérgica, mas estudos clínicos são necessários para validar sua eficácia na DP. A reorientação desse antibiótico pode representar uma nova estratégia terapêutica para doenças neurodegenerativas.

PDF

Referências

AGWUH KN, MACGOWAN A. Pharmacokinetics and pharmacodynamics of the tetracyclines including glycylcyclines. Journal of Antimicrobial Chemotherapy, 2006, 58(2): 256-265.

ASCHERIO A, SCHWARZSCHILD MA. The epidemiology of Parkinson’s disease: Risk factors and prevention. The Lancet Neurology, 2016, 15: 1156-1168.

BAUSO DJ, et al. Incidence and prevalence of Parkinson’s disease in Buenos Aires City, Argentina. European Journal of Neurology, 2012, 19(8): 1108-1113.

BJØRKLUND G, et al. Preventive treatments to slow substantia nigra damage and Parkinson’s disease progression: A critical perspective review. Pharmacological Research, 2020, 161: 105065.

BLANDINI F, et al. Functional changes of the basal ganglia circuitry in Parkinson's disease. Progress in Neurobiology, 2020, 62(1): 63-88.

BORTOLANZA M, et al. Tetracycline repurposing in neurodegeneration: Focus on Parkinson’s disease. Journal of Neural Transmission, 2018, 125: 1403-1415.

BOVOLENTA TM, et al. Average annual cost of Parkinson’s disease in São Paulo, Brazil, with a focus on disease-related motor symptoms. Clinical Interventions in Aging, 2017, 2095-2108.

BRAAK H, DEL TREDICI K. Cortico-basal ganglia-cortical circuitry in Parkinson's disease reconsidered. Experimental Neurology, 2008, 212(1): 226-229.

CHOPRA I, ROBERTS M. Tetracycline antibiotics: Mode of action, applications, molecular biology, and epidemiology of bacterial resistance. Microbiology and Molecular Biology Reviews, 2001, 65(2): 232-260.

CUNHA MB. Metodologias para estudo dos usuários de informação científica e tecnológica. Revista de Biblioteconomia de Brasília, 1982, 10(2): 5-19.

DE VIRGILIO A, et al. Parkinson’s disease: Autoimmunity and neuroinflammation. Autoimmunity Reviews, 2016, 15: 1005–1011.

DEL ROSSO JQ. Oral doxycycline in the management of acne vulgaris: Current perspectives on clinical use and recent findings with a new double-scored small tablet formulation. The Journal of Clinical and Aesthetic Dermatology, 2015, 8(5): 19.

DOMINGO A, KLEIN C. Genetics of Parkinson disease. In: HANDBOOK OF CLINICAL NEUROLOGY, 2018.

ELSWORTH JD. Parkinson’s disease treatment: Past, present, and future. Journal of Neural Transmission, 2020, 127(5): 785-791.

FABRE J, et al. Distribution and excretion of doxycycline in man. Chemotherapy, 1966, 11(2): 73-85.

FRANKLIN TJ, et al. The bacterial cell wall—A vulnerable shield. In: Biochemistry of Antimicrobial Action, 1975. p. 22-55.

GELPI E, et al. Multiple organ involvement by alpha-synuclein pathology in Lewy body disorders. Movement Disorders, 2014, 29(8): 1010–1018.

GIRGENRATH M, et al. Pathology is alleviated by doxycycline in a laminin‐α2–null model of congenital muscular dystrophy. Annals of Neurology, 2009, 65(1): 47-56.

GUSTAVSSON A, et al. Cost of disorders of the brain in Europe 2010. European Neuropsychopharmacology, 2011, 21(10): 718-779.

HONG Z, et al. DJ-1 and alpha-synuclein in human cerebrospinal fluid as biomarkers of Parkinson’s disease. Brain, 2010, 133: 713–726.

JANKOVIC J. Parkinson’s disease: Clinical features and diagnosis. Journal of Neurology, Neurosurgery & Psychiatry, 2018, 79(4): 368–376.

KALIA LV, LANG AE. Parkinson's disease. The Lancet, 2015, 386(9996): 896-912.

LIU TW, et al. Biomarker of neuroinflammation in Parkinson’s disease. International Journal of Molecular Sciences, 2022, 23(8): 4148.

MCGREGOR MM, NELSON AB. Circuit mechanisms of Parkinson’s disease. Neuron, 2019, 101(6): 1042-1056.

MOLLENHAUER B, et al. Longitudinal CSF biomarkers in patients with early Parkinson disease and healthy controls. Neurology, 2017, 89: 1959–1969.

MOREJÓN GM, et al. Actualización en tetraciclinas. Revista Cubana de Farmacia, 2003, 37(3): 1.

NAU R, et al. Penetration of drugs through the blood-cerebrospinal fluid/blood-brain barrier for treatment of central nervous system infections. Clinical Microbiology Reviews, 2010, 23(4): 858-883.

PALDINO E, et al. Neuroprotective effects of doxycycline in the R6/2 mouse model of Huntington's disease. Neurobiology of Disease, 2017, 105: 152-163.

PONT-SUNYER C, et al. The onset of nonmotor symptoms in Parkinson’s disease (the ONSET PD study). Movement Disorders, 2015, 30(2): 229–237.

SANTA-CECÍLIA FV, et al. Doxycycline suppresses microglial activation by inhibiting the p38 MAPK and NF-kB signaling pathways. Neurotoxicity Research, 2016, 29: 447-459.

SANTOS-LOBATO BL, et al. Doxycycline to treat levodopa-induced dyskinesias in Parkinson’s disease: A preliminary study. Arquivos de Neuro-Psiquiatria, 2023, 81(5): 460-468.

TANSEY MG, GOLDBERG MS. Neuroinflammation in Parkinson's disease: Its role in neuronal death and implications for therapeutic intervention. Neurobiology of Disease, 2010, 37(3): 510-518.

THOMAS M, et al. Minocycline and other tetracycline derivatives: A neuroprotective strategy in Parkinson's disease and Huntington's disease. Clinical Neuropharmacology, 2003, 26(1): 18-23.

TOLOSA E, et al. Challenges in the diagnosis of Parkinson's disease. The Lancet Neurology, 2021, 20(5): 385-397.

TYSNES OB, STORSTEIN A. Epidemiology of Parkinson’s disease. Journal of Neural Transmission, 2017, 124: 901-905.

VON CAMPENHAUSEN S, et al. Prevalence and incidence of Parkinson's disease in Europe. European Neuropsychopharmacology, 2005, 15(4): 473-490.