Review Article

The Neuroprotective Disease-Modifying Potential of Psychotropics in Parkinson's Disease

Table 1

Preclinical effects of psychotropics on PD pathobiology.

GeneProteinPsomeCmplxMtROSApopInflamTrophinsAnimal

Pramipexole+ αSyn+++
Ropinirole+
Antipsychotics
Neuroleptics+
Chlorpromazine+
Haloperidol+
Loxapine+
Molindone+
Pimozide+
Risperidone+
Olanzapine+
Quetiapine+
Clozapine+
Aripiprazole+
Lithium0+tau, αSyn+
Carbamazepine+
Valproate+αSyn++++
Lamotrigine+
Antidepressants+
Amitriptyline+
Imipramine+
Desipramine++
Nortriptyline+
Fluoxetine+
Sertraline+
Paroxetine+
Escitalopram++
Venlafaxine+
Duloxetine+
Bupropion
Diazepam+
Dextromethorphan+++

The effect of psychotropics on PD pathobiology is indicated by a “+” indicating actions consistent with reducing PD risks of onset (gene transcription effects) or progression (other actions). “−” represents actions that are consistent with enhancing risks of onset or progression. “0” indicates neutral risk: Psome: proteasome; Cmplx: mitochondrial respiratory chain complexes; Mt: mitochondrion, ROS: reactive oxygen species, Apop: apoptosis, Inflam: inflammation.