Brain-first versus gut-first Parkinson's disease: a hypothesis

P Borghammer… - Journal of Parkinson's …, 2019 - content.iospress.com
Parkinson's disease (PD) is a highly heterogeneous disorder, which probably consists of
multiple subtypes. Aggregation of misfolded alpha-synuclein and propagation of these …

Brain-first versus body-first Parkinson's disease: a multimodal imaging case-control study

J Horsager, KB Andersen, K Knudsen, C Skjærbæk… - Brain, 2020 - academic.oup.com
Parkinson's disease is characterized by the presence of abnormal, intraneuronal α-
synuclein aggregates, which may propagate from cell-to-cell in a prion-like manner …

Does Parkinson's disease start in the gut?

A Lionnet, L Leclair-Visonneau, M Neunlist… - Acta …, 2018 - Springer
Parkinson's disease (PD) is pathologically characterized by the presence of intraneuronal
inclusions, termed Lewy bodies and Lewy neurites, whose main component is alpha …

The gut and nonmotor symptoms in Parkinson's disease

L Klingelhoefer, H Reichmann - International review of neurobiology, 2017 - Elsevier
Gastrointestinal (GI) symptoms are one of the most common nonmotor symptoms (NMS) in
patients with Parkinson's disease (PD) involving the whole GI tract (GIT) and being evident …

Motor and non-motor circuit disturbances in early Parkinson disease: which happens first?

J Blesa, G Foffani, B Dehay, E Bezard… - Nature Reviews …, 2022 - nature.com
For the last two decades, pathogenic concepts in Parkinson disease (PD) have revolved
around the toxicity and spread of α-synuclein. Thus, α-synuclein would follow caudo-rostral …

Where and how alpha‐synuclein pathology spreads in Parkinson's disease

K Wakabayashi - Neuropathology, 2020 - Wiley Online Library
In Parkinson's disease (PD), neuronal alpha‐synuclein aggregates are distributed
throughout the nervous system, including the brain, spinal cord, sympathetic ganglia …

What is the evidence that Parkinson's disease is a prion disorder, which originates in the gut?

M Kujawska, J Jodynis-Liebert - International Journal of Molecular …, 2018 - mdpi.com
Parkinson's disease (PD) is a neurodegenerative disorder resulting from degeneration of
dopaminergic neurons in the substantia nigra pars compacta (SNpc). PD is characterized by …

Asymmetric dopaminergic dysfunction in brain-first versus body-first Parkinson's disease subtypes

K Knudsen, TD Fedorova, J Horsager… - Journal of …, 2021 - content.iospress.com
Background: We have hypothesized that Parkinson's disease (PD) comprises two subtypes.
Brain-first, where pathogenic α-synuclein initially forms unilaterally in one hemisphere …

Direct evidence of Parkinson pathology spread from the gastrointestinal tract to the brain in rats

S Holmqvist, O Chutna, L Bousset, P Aldrin-Kirk… - Acta …, 2014 - Springer
The cellular hallmarks of Parkinson's disease (PD) are the loss of nigral dopaminergic
neurons and the formation of α-synuclein-enriched Lewy bodies and Lewy neurites in the …

[HTML][HTML] Clinical and imaging evidence of brain-first and body-first Parkinson's disease

J Horsager, K Knudsen, M Sommerauer - Neurobiology of disease, 2022 - Elsevier
Braak's hypothesis has been extremely influential over the last two decades. However,
neuropathological and clinical evidence suggest that the model does not conform to all …