Gastrointestinal Dysfunction in Parkinson’s Disease
Abstract
Purpose of review During the past 25 years, there has been an explosion of information regarding the occurrence of gastrointestinal dysfunction in Parkinson's disease. In this review, the clinical features of gastrointestinal dysfunction in Parkinson's disease will be described and information regarding the potential role of the enteric nervous system and the gut microbiome in the genesis of Parkinson's disease will be addressed.Recent findings Recognition is growing regarding the role that gastroparesis and small intestinal dysfunction may play in Parkinson's disease, especially with regard to erratic responses to anti-Parkinson medication. The presence of enteric nervous system involvement in Parkinson's disease is now well established, but whether the enteric nervous system is the starting point for Parkinson's disease pathology remains a source of debate. The potential role of the gut microbiome also is beginning to emerge. Gastrointestinal dysfunction is a prominent nonmotor feature of Parkinson's disease and dysfunction can be found along the entire length of the gastrointestinal tract. The enteric nervous system is clearly involved in Parkinson's disease. Whether it is the initial source of pathology is still a source of controversy. There also is growing recognition of the role that the gut microbiome may play in Parkinson's disease, but much more research is needed to fully assess this aspect of the disorder.
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There is a strong non-genetic contribution to the risk of neurodegenerative diseases, which is poorly understood.
“Genetics affects the risk of these diseases, but there is a strong non-genetic contribution to the risk, which is poorly understood [1, 2].”
From The endotoxin hypothesis of neurodegeneration (2019) · cites this paper as [2]
During Parkinson's disease, α-synuclein aggregation starts in the gut, and one of the earliest symptoms of PD is gut dysfunction.
“During PD, α-synuclein aggregation starts in the gut, and one of the earliest symptoms of PD is gut dysfunction [2].”
From The endotoxin hypothesis of neurodegeneration (2019) · cites this paper as [2]
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Self-citation
- Authors
- Pfeiffer, R. F.
- Affiliations
- Oregon Health & Science University (US)
- Corresponding author
- Pfeiffer, Ronald F.
- ORCID
- Pfeiffer, Ronald F.
- Venue
- Current Treatment Options in Neurology
- Published
- 2018-10-25
- Volume
- 20
- Issue
- 12
- Pages
- 54-54
- ISSN
- 1092-8480 (ISSN-L)
- 1534-3138
- OpenAlex
- W2898584843
- Cited by
- 94
- References
- 85
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 11 · 2023: 13 · 2022: 11 · 2021: 16 · 2020: 19 · 2019: 12 · 2018: 1
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Treatment Options in Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Keywords
- Parkinson's disease, gastrointestinal dysfunction, gastroparesis, enteric nervous system, gut microbiota, non-motor symptoms, gut-brain axis
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