Review Article

An Integrated Review of Psychological Stress in Parkinson’s Disease: Biological Mechanisms and Symptom and Health Outcomes

Table 2

Potential biological mechanisms of neuroinflammation and oxidative stress associated with neurodegeneration in PD.

Study author/dateMajor study findings

Microglia activation
Gerhard et al., 2006 [43]In vivo PET imaging revealed widespread and longitudinal microglial activation in subjects with PD when compared to controls
Ouchi et al., 2005 [44]Microglial activation was associated with damage in nigrostriatal pathway in drug-naïve subjects with PD when compared to controls
Depino et al., 2003 [45]Induction of PD in animals (6-OHDA model) resulted in increased microglial activation and atypical production of proinflammatory cytokine mRNA when compared to controls
Proinflammatory cytokine production
Lindqvist et al., 2012 [54]Serum levels of IL-6 significantly higher in subjects with PD than controls
Scalzo et al., 2010 [46]Serum levels of IL-6 significantly higher in subjects with PD than controls
Reale et al., 2009 [47]Basal and bacterial LPS-induced production of IL-1β, TNF-α, and IFN-ϒ significantly higher in subjects with PD than controls
Proinflammatory transcription pathway activation
Tobón-Velasco et al., 2013 [48]Induction of PD in animals (6-OHDA model) resulted in enhanced NF-κB activation which was associated with increased TNF-α and COX-2 levels when compared to controls
Liang et al., 2007 [32]Induction of PD in animals (6-OHDA model) resulted in activation of NF-κB pathways which contributed to oxidative stress-induced degeneration of dopaminergic neurons when compared to controls
Proinflammatory isoenzyme production
Hernandes et al., 2013 [50]Induction of PD in animals (6-OHDA) demonstrated that NDAPH oxidases contribute to dopaminergic neurodegeneration in the nigrostriatal pathway
Teismann et al., 2003 [49]Brain tissue samples of subjects with and animal models of PD (6-OHDA) demonstrated increased COX-2 upregulation in dopaminergic neurons when compared to controls
Oxidative stress
Lin et al., 2012 [51]Induction of PD in animals (rotenone model) associated with significantly higher levels of oxidative proteins in the striatum leading to greater levels of apoptotic cell death of dopaminergic neurons within the nigrostriatal system when compared to controls
Seet et al., 2010 [52]Biomarkers of oxidative stress (F2-isoprostanes, hydroxyeicosatetraenoic acid products, 7B- and 27-hydroxycholesterol, 7-ketocholesterol, neuroprostanes, and urinary 8-hydroxy-2′deoxyguanosine) significantly higher in subjects with PD when compared to controls
Keeney et al., 2006 [53]Misassembled mitochondrial complex I as reflected by significant loss of its 8 kDa subunits associated with oxidative damage in brain tissue of subjects with PD when compared to controls

PET, position emission tomography; PD, Parkinson’s disease; 6-OHDA, 6-hydroxydopamine; mRNA, messenger ribonucleic acid; IL-6, interleukin-6; LPS, lipopolysaccharide; IL-1β, interleukin-1 beta; TNF-α, tumor necrosis factor alpha; IFN-ϒ, interferon gamma; NF-κB, nuclear factor-kappa-light-chain-enhancer of activated B cells; COX-2, cyclooxygenase-2; NDAPH oxidase, nicotinamide adenine dinucleotide phosphate oxidase.