{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T07:30:33Z","timestamp":1793345433223,"version":"4.5.0"},"reference-count":167,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["CNS Neurosci Ther"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Immune dysregulation plays a pivotal role in the pathogenesis and progression of Parkinson's disease (PD). Increasing evidence suggests that immunotherapies targeting \u03b1\u2010synuclein (\u03b1\u2010syn) pathology may offer potential disease\u2010modifying strategies for PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This review aims to systematically summarize recent advances in \u03b1\u2010syn\u2013targeted immunotherapies for PD and to evaluate the translational challenges and future directions of precision immunotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We critically reviewed the preclinical evidence and clinical trial outcomes of both active immunization strategies, including PD01A and UB\u2010312, and passive monoclonal antibody therapies, such as prasinezumab and cinpanemab.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Early\u2010phase studies demonstrated favorable safety profiles and robust peripheral target engagement for several immunotherapeutic candidates. However, recent Phase II clinical trials, including PASADENA and SPARK, failed to achieve their primary clinical endpoints, highlighting a substantial gap between biological target engagement and meaningful clinical benefit. Emerging strategies aimed at overcoming these limitations include stage\u2010specific interventions, optimized patient stratification, and differentiated therapeutic approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although current \u03b1\u2010syn\u2013targeted immunotherapies have shown limited clinical efficacy, ongoing advances in precision immunotherapy and individualized intervention strategies may help overcome existing therapeutic bottlenecks. This review provides a strategic framework for the future development of disease\u2010modifying therapies for PD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cns.70964","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T14:46:16Z","timestamp":1780411576000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Progress of Immunotherapies in Parkinson's Disease"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8390-7668","authenticated-orcid":false,"given":"Yong","family":"Peng","sequence":"first","affiliation":[{"name":"Department of Neurology First Affiliated Hospital of Hunan Traditional Chinese Medical College (Hunan Provincial Directly Affiliated Hospital of Traditional Chinese Medicine)  Zhuzhou China"},{"name":"Department of Neurology Provincial Hospital of Traditional Chinese Medicine Affiliated to Hunan University of Traditional 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