Could Mucuna pruriens be the answer to Parkinson's disease management in sub-Saharan Africa and other low-income countries worldwide?


Journal

Parkinsonism & related disorders
ISSN: 1873-5126
Titre abrégé: Parkinsonism Relat Disord
Pays: England
ID NLM: 9513583

Informations de publication

Date de publication:
04 2020
Historique:
received: 07 10 2019
revised: 20 01 2020
accepted: 09 03 2020
pubmed: 18 3 2020
medline: 30 3 2021
entrez: 18 3 2020
Statut: ppublish

Résumé

Parkinson's disease (PD) is a progressive, disabling, neurodegenerative disease that requires long term care and pharmaceutical treatment. Levodopa remains the gold standard treatment for PD globally, although it is largely unavailable and unaffordable for the majority of patients in many sub-Saharan African and other low-income countries (LICs). We suggest the potential for Mucuna pruriens (MP), a leguminous plant, to replace or supplement levodopa-based medicines in countries where levodopa is unaffordable and inaccessible due to its low costs of preparation and high natural availability. MP has been shown to induce a great improvement of motor symptoms with few adverse events in recent studies. However, caution is important until more robust data on the long-term safety of MP are available. We believe that MP could potentially be part of the answer to affordable, symptomatic treatment of PD in LICs worldwide.

Identifiants

pubmed: 32179240
pii: S1353-8020(20)30058-4
doi: 10.1016/j.parkreldis.2020.03.002
pii:
doi:

Substances chimiques

Dopamine Agents 0
Plant Preparations 0
Levodopa 46627O600J

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3-7

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declarations of competing interest None.

Auteurs

Natasha Fothergill-Misbah (N)

Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, United Kingdom. Electronic address: n.fothergill-misbah@newcastle.ac.uk.

Harshvadan Maroo (H)

Parkinson's Support Group, P.O. Box, 14542-00800, Nairobi, Kenya. Electronic address: harsh.maroo@gmail.com.

Momodou Cham (M)

Richard Novati Catholic Hospital, Sogakope, Ghana. Electronic address: modoufa@gmail.com.

Gianni Pezzoli (G)

Fondazione Grigioni per il Morbo di Parkinson, Milan, Italy; Parkinson Institute, ASST "Gaetano Pini-CTO, Milan, Italy. Electronic address: gianni.pezzoli@gmail.com.

Richard Walker (R)

Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, United Kingdom. Electronic address: Richard.walker@nhct.nhs.uk.

Roberto Cilia (R)

Fondazione IRCCS Istituto Neurologico Carlo Besta, Movement Disorders Unit, Milan, Italy. Electronic address: roberto.cilia@istituto-besta.it.

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Classifications MeSH