Challenges in the diagnosis of Parkinson's disease

E Tolosa, A Garrido, SW Scholz, W Poewe - The Lancet Neurology, 2021 - thelancet.com
Parkinson's disease is the second most common neurodegenerative disease and its
prevalence has been projected to double over the next 30 years. An accurate diagnosis of …

[HTML][HTML] Neuropathology and molecular diagnosis of Synucleinopathies

S Koga, H Sekiya, N Kondru, OA Ross… - Molecular …, 2021 - Springer
Synucleinopathies are clinically and pathologically heterogeneous disorders characterized
by pathologic aggregates of α-synuclein in neurons and glia, in the form of Lewy bodies …

[HTML][HTML] Transneuronal propagation of pathologic α-synuclein from the gut to the brain models Parkinson's disease

S Kim, SH Kwon, TI Kam, N Panicker… - Neuron, 2019 - cell.com
Analysis of human pathology led Braak to postulate that α-synuclein (α-syn) pathology could
spread from the gut to brain via the vagus nerve. Here, we test this postulate by assessing α …

[HTML][HTML] Gastrointestinal involvement in Parkinson's disease: pathophysiology, diagnosis, and management

T Warnecke, KH Schäfer, I Claus, K Del Tredici… - npj Parkinson's …, 2022 - nature.com
Growing evidence suggests an increasing significance for the extent of gastrointestinal tract
(GIT) dysfunction in Parkinson's disease (PD). Most patients suffer from GIT symptoms …

Non-motor features of Parkinson disease

AHV Schapira, KR Chaudhuri, P Jenner - Nature Reviews …, 2017 - nature.com
Many of the motor symptoms of Parkinson disease (PD) can be preceded, sometimes for
several years, by non-motor symptoms that include hyposmia, sleep disorders, depression …

Idiopathic REM sleep behaviour disorder and neurodegeneration—an update

B Högl, A Stefani, A Videnovic - Nature Reviews Neurology, 2018 - nature.com
So-called idiopathic rapid eye movement (REM) sleep behaviour disorder (RBD), formerly
seen as a rare parasomnia, is now recognized as the prodromal stage of an α …

[HTML][HTML] Evidence for bidirectional and trans-synaptic parasympathetic and sympathetic propagation of alpha-synuclein in rats

N Van Den Berge, N Ferreira, H Gram… - Acta …, 2019 - Springer
The conversion of endogenous alpha-synuclein (asyn) to pathological asyn-enriched
aggregates is a hallmark of Parkinson's disease (PD). These inclusions can be detected in …

Pathogenesis of Parkinson disease—the gut–brain axis and environmental factors

L Klingelhoefer, H Reichmann - Nature Reviews Neurology, 2015 - nature.com
Parkinson disease (PD) follows a defined clinical pattern, and a range of nonmotor
symptoms precede the motor phase. The predominant early nonmotor manifestations are …

[HTML][HTML] Neuropathological staging of brain pathology in sporadic Parkinson's disease: separating the wheat from the chaff

H Braak, K Del Tredici - Journal of Parkinson's disease, 2017 - content.iospress.com
A relatively small number of especially susceptible nerve cell types within multiple
neurotransmitter systems of the human central, peripheral, and enteric nervous systems …

[HTML][HTML] Streamlined alpha-synuclein RT-QuIC assay for various biospecimens in Parkinson's disease and dementia with Lewy bodies

C Bargar, W Wang, SA Gunzler, A LeFevre… - Acta neuropathologica …, 2021 - Springer
Definitive diagnosis of Parkinson's disease (PD) and dementia with Lewy bodies (DLB)
relies on postmortem finding of disease-associated alpha-synuclein (αSyn D) as misfolded …