Evidence map›Paper›PMID 37349373›Full record

ReviewNPJ Parkinson's disease2023

Anxiety in synucleinopathies: neuronal circuitry, underlying pathomechanisms and current therapeutic strategies.

Thuy Thi Lai, Birthe Gericke, Malte Feja, Michael Conoscenti, Moriel Zelikowsky, Franziska Richter

Open access · goldAbstract readReview
In one paragraph

Review in NPJ Parkinson's disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Nose-to-brain drug delivery: from bench to bedside.Translational neurodegeneration · 2025
    Review
  4. Review
  5. Behavioral disorders in dementia with Lewy bodies: old and new knowledge.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
  6. Behavioral disorders in Parkinson disease: current view.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. An Honest Reckoning With the Amygdala and Mental Illness.The American journal of psychiatry · 2024
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Thuy Thi LaiDepartment of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine, Hannover, Germany.ORCID http://orcid.org/0000-0002-1892-9833
Birthe GerickeDepartment of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine, Hannover, Germany.
Malte FejaDepartment of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine, Hannover, Germany.
Michael ConoscentiUniversity of Utah, Salt Lake City, UT, USA.
Moriel ZelikowskyUniversity of Utah, Salt Lake City, UT, USA.
Franziska RichterDepartment of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine, Hannover, Germany. franziska.richter@tiho-hannover.de.ORCID http://orcid.org/0000-0003-0803-4398
University of Veterinary Medicine Hannover, Foundation · DEUniversity of Utah · US

Funding

Deutscher Akademischer Austauschdienst (German Academic Exchange Service) 91832412
6 · The paper itself

Abstract

Synucleinopathies are neurodegenerative disorders characterized by alpha-synuclein (αSyn) accumulation in neurons or glial cells, including Parkinson's disease (PD), dementia with Lewy bodies (DLB), and multiple system atrophy (MSA). αSyn-related pathology plays a critical role in the pathogenesis of synucleinopathies leading to the progressive loss of neuronal populations in specific brain regions and the development of motor and non-motor symptoms. Anxiety is among the most frequent non-motor symptoms in patients with PD, but it remains underrecognized and undertreated, which significantly reduces the quality of life for patients. Anxiety is defined as a neuropsychiatric complication with characteristics such as nervousness, loss of concentration, and sweating due to the anticipation of impending danger. In patients with PD, neuropathology in the amygdala, a central region in the anxiety and fear circuitry, may contribute to the high prevalence of anxiety. Studies in animal models reported αSyn pathology in the amygdala together with alteration of anxiety or fear learning response. Therefore, understanding the progression, extent, and specifics of pathology in the anxiety and fear circuitry in synucleinopathies will suggest novel approaches to the diagnosis and treatment of neuropsychiatric symptoms. Here, we provide an overview of studies that address neuropsychiatric symptoms in synucleinopathies. We offer insights into anxiety and fear circuitry in animal models and the current implications for therapeutic intervention. In summary, it is apparent that anxiety is not a bystander symptom in these disorders but reflects early pathogenic mechanisms in the cortico-limbic system which may even contribute as a driver to disease progression.

Identifiers

PMID37349373
PMCPMC10287685
OpenAlexW4381686520

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.