Parkinson's Disease: A Multisystem Disorder

Neurosci Bull. 2023 Jan;39(1):113-124. doi: 10.1007/s12264-022-00934-6. Epub 2022 Aug 22.

Abstract

The way sporadic Parkinson's disease (PD) is perceived has undergone drastic changes in recent decades. For a long time, PD was considered a brain disease characterized by motor disturbances; however, the identification of several risk factors and the hypothesis that PD has a gastrointestinal onset have shed additional light. Today, after recognition of prodromal non-motor symptoms and the pathological processes driving their evolution, there is a greater understanding of the involvement of other organ systems. For this reason, PD is increasingly seen as a multiorgan and multisystemic pathology that arises from the interaction of susceptible genetic factors with a challenging environment during aging-related decline.

Keywords: Blood-brain barrier; Gut microbiome; Intestinal barrier; Parkinson's disease; α-Synuclein.

Publication types

  • Review

MeSH terms

  • Gastrointestinal Microbiome*
  • Gastrointestinal Tract
  • Humans
  • Parkinson Disease* / genetics
  • Parkinson Disease* / pathology
  • Prodromal Symptoms
  • Risk Factors
  • alpha-Synuclein

Substances

  • alpha-Synuclein