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PARKINSON'S DISEASE NEWS
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Parkinson's Disease News covers all significant new research, reports, books, and resources concerning Parkinson's Disease. Articles are chosen on the basis of their medical significance or potential interest. Our overwhelming priority is the facts, regardless of whether they contradict prevailing views or vested interests. Analysis and further information are provided either to explain the background or implications, or to balance misleading claims. If you notice errors or inadequacies, or dispute what is written, or want to propose articles, please e-mail mail@viartis.net.
LOW RESOLUTION VERSION : There is a low resolution version of this web page INTENDED FOR THOSE PEOPLE THAT EITHER : use 800x600 resolution on their monitors, or have eyesight difficulties, or have slow Internet speeds. GO TO LOW RESOLUTION VERSION 26th January 2012 - New research DUODENAL L-DOPA CAN CAUSE POLYNEUROPATHY Journal of Neurology [2012] Jan 24 [Epub ahead of print] (Santos-García D, de la Fuente-Fernández R, Valldeoriola F, Palasí A, Carrillo F, Grande M, Mir P, De Fabregues O, Casanova J.) Complete abstract Neurology [2011] 77 (22) : 1947-1950 (Y.A.Rajabally, J.Martey) Complete abstract
At least 12 cases of polyneuropathy related to vitamin B12 deficiency, and a case of Guillain-Barré syndrome have been reported in people with Parkinson's Disease treated with duodenal L-dopa infusion. L-dopa gel infusion may cause a decrease in vitamin B12 levels, leading to peripheral neuropathy. Other detrimental effects include alterations related to the metabolism of L-dopa, abnormal L-dopa absorption, and direct neurotoxicity of L-dopa at high doses. Vitamin B12 supplements may need to be considered in people with Parkinson's Disease on duodenal L-dopa infusion therapy, because vitamin B12 deficiency in people on duodenal L-dopa infusion therapy may be more frequent than the published data suggest. In another new study, over a third (37%) of people with Parkinson's Disease were found to have neuropathy. Vitamin B12 deficiency was the most common cause. This could be made more likely by the long term use of L-dopa in any form. Many people with Parkinson's Disease who have neuropathy or Vitamin B12 deficiency are unaware of it. In order to refer to this article on its own click here.
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24th January 2012 - New research DEMENTIA IS LINKED TO INSULIN RESISTANCE IN PARKINSON'S DISEASE
Journal of Neurological Science [2012] Jan 20.
[Epub ahead of print] (Bosco D, Plastino M, Cristiano D, Colica C, Ermio
C, De Bartolo M, Mungari P, Fonte G, Consoli D, Consoli A, Fava A.) Complete abstract
14th January 2012 - New research THE PREVALENCE OF PAIN IN PARKINSON'S DISEASE Movement Disorders [2012] Jan 9 [Epub ahead of print] (M.P.Broen, M.M.Braaksma, J.Patijn, W.E.Weber) Complete abstract
Pain has been found to occur in over two thirds of
people with Parkinson's Disease. Pain has been studied more intensely as a
symptom of Parkinson's Disease in recent years. However, studies on the
characteristics and prevalence of pain in Parkinson's Disease have given
conflicting results, prompting a systematic review of the medical literature. In
the relevant studies, the frequency of pain
in Parkinson's Disease ranged from 40% to 85%
11th January 2012 - New book PSYCHIATRY OF PARKINSON'S DISEASE K.P.Ebmeier, J. O'Brien, J.-P. Taylor, W. F. Gattaz, W.P.Kaschka
7th January 2012 - New research URINARY DYSFUNCTION IN PARKINSON'S DISEASE Journal of Neurological and Neurosurgical Psychiatry [2011] 82 (12) : 1382-1386 (T.Uchiyama, R.Sakakibara, T.Yamamoto, T.Ito, C.Yamaguchi, Y.Awa, M.Yanagisawa, Y.Higuchi, Y.Sato, T.Ichikawa, T.Yamanishi, T.Hattori, S.Kuwabara) Complete abstract
7th January 2012 - New book DEEP BRAIN STIMULATION Kelvin L. Chou, Susan Grube, Parag Patil
18th December 2011 - News release PROSAVIN CLINICAL TRIAL RESULTS FOR PARKINSON'S DISEASE
The degree of efficacy is quite moderate and declines after six months. The average improvement in Parkinson's Disease symptoms for all the dosages was about 27% after 3 months. This improved slightly to about 31% after 6 months. The improvements started to decline after that down to 29% after 1 year, and declined further down to only 23% after 2 years. Three dosages were assessed : 1x, 2x and 5x. The level of efficacy declined when the higher 5x dosage was used. More results are expected in 2012 for the 5x dose. An enhanced administration procedure that facilitates higher dosing was used with some patients, but failed to demonstrate any additional benefit. The safety profile was described as being favourable with no serious adverse events, but details of the side effects were not provided. Oxford BioMedica have claimed that the method could potentially provide more than a 10-fold increase in dopamine formation. However, the moderate improvement in efficacy is entirely inconsistent with that suggestion. Although they have claimed that three genes and enzymes are required for dopamine formation, only two of them are actually needed. Stimulating gene and enzyme levels artificially as they are doing reduces a person's own formation of those genes and enzymes, which is probably why the results start to deteriorate after six months. For more information go to the News release. In order to refer to this article on its own click here.
15th December 2011 - New research INFLUENZA TREBLES THE RISK OF PARKINSON SYMPTOMS Influenza and other respiratory viruses [2011] 5 (5) : 328-333 (S.Toovey, S.S.Jick, C.R.Meier) Complete abstract Influenza has been found to treble the risk of Parkinson symptoms. Influenza has been associated with Encephalitis Lethargica, a medical disorder causing the symptoms of Parkinson's Disease following the 1918 influenza pandemic. For more information go to Encephalitis Lethargica.
10th December 2011 - New research DUODOPA WITH COMT INHIBITORS FOR PARKINSON'S DISEASE European Journal of Neurology [2011] Dec 5 [Epub ahead of print] (D.Nyholm, A.Johansson, H.Lennernäs, H. Askmark) Complete abstract
COMT inhibitors (Catechol-O-methyltransferase inhibitors) may be used to decrease the need for L-dopa, because they reduce its breakdown. COMT inhibitors have already been successfully used orally as Stalevo, which is a combination of L-dopa and carbidopa (the same as Sinemet), plus a COMT inhibitor (Entacapone). So researchers have investigated whether COMT inhibitors can also be taken orally in order to reduce the L-dopa requirement used with Duodopa. Both major COMT inhibitors (entacapone and tolcapone) were tested. The additional oral use of either of the COMT inhibitors was found to reduce the need of L-dopa by 20%. They did this without altering plasma L-dopa concentrations, reducing symptoms, or by reducing "off" time. In order to refer to this article on its own click here.
9th December 2011 - News report BOXING LEGEND DIAGNOSED WITH PARKINSON'S DISEASE
7th December 2011 - New research PRAMIPEXOLE (MIRAPEX) INCREASES THE RISK OF HEART FAILURE
Pharmacological Research [2011] Nov 23 [Epub ahead of print] (Mokhles
MM, Trifirò G, Dieleman JP, Haag MD, van Soest EM, Verhamme KM, Mazzaglia G,
Herings R, de Luise C, Ross D, Brusselle G, Colao A, Haverkamp W, Schade R, van
Camp G, Zanettini R, Sturkenboom MC.)
Complete abstract
2nd December 2011 - News release NEW INHALED VERSION OF L-DOPA The Michael J. Fox Foundation has awarded a grant to Civitas Therapeutics for clinical trials of CVT-301, which is a new inhaled version of L-dopa. It is claimed that CVT-301 has the potential to produce rapid, consistent and durable relief from the motor fluctuations associated with Parkinson’s Disease. Civitas has conducted a range of preclinical studies demonstrating CVT-301’s ability to deliver more rapid and consistent systemic exposure of L-dopa compared to the oral administration of L-dopa. The efficacy of oral L-dopa is significantly compromised by delayed absorption and excessive variability in the circulating drug concentrations. It is anticipated that the inhaled version of L-dopa would be used alongside the use of oral L-dopa. For more information go to the News release.
19th November 2011 - New research SMOKING REDUCES THE RISK OF PARKINSON'S DISEASE Fukuoka Igaku Zasshi [2011] 102 (8) : 254-265 (Kiyohara C, Kusuhara S.) Complete abstract Movement Disorders [2011] Nov 16 [Epub ahead of print] (Searles Nielsen S, Gallagher LG, Lundin JI, Longstreth WT Jr, Smith-Weller T, Franklin GM, Swanson PD, Checkoway H.) Complete abstract
The risk of developing Parkinson's Disease has been found to be far lower in people that smoke. Current smokers reduce the risk of developing Parkinson's Disease down to 31%. Those people that have ever been smokers reduce the risk down to 55%. Former smokers reduce the risk to 72%. The risk of Parkinson's Disease therefore effectively increases over time if somebody gives up smoking. These results were obtained by assessing all the possible studies concerning smoking and Parkinson's Disease. Even the risk for passive smokers was reduced to only 34%. What the results do not show is whether those people inclined to be smokers are for some reason less likely to develop Parkinson's Disease, or if smoking has an effect on the biochemistry involved in Parkinson's Disease. Tobacco smoke contains chemicals that are MAO inhibitors. MAO inhibitors are a type of drug (such as Selegiline and Rasagiline) used commonly in Parkinson's Disease. MAO inhibitors affect Parkinson's Disease by maintaining dopamine levels. The main drug in tobacco, which is nicotine, is heavily involved in the activity of acetylcholine, a chemical in the body that affects the activity of dopamine. In order to refer to this article on its own click here.
17th November 2011 - New research TRICHLOROETHYLENE MULTIPLIES THE RISK OF PARKINSON'S DISEASE Annals of Neurology [2011] Nov 14 [Epub ahead of print] (S.M.Goldman, P.J.Quinlan, G.W.Ross, C.Marras, C.Meng, G.S.Bhudhikanok, K.Comyns, M.Korell, A.R.Chade, M.Kasten, B.Priestley, K.L.Chou, H.H.Fernandez, F.Cambi, J.W.Langston, C.M.Tanner) Complete abstract
A previous study showed that workers with workstations adjacent to the source of Trichloroethylene and who were subjected to chronic inhalation and dermal exposure from handling Trichloroethylene soaked metal parts all had Parkinson's disease. Lesser chronic respiratory exposure to Trichloroethylene led to many features of Parkinsonism. For more information go to the Complete abstract. In order to refer to this article on its own click here.
14th November 2011 - New blog THE DOPAMINE CHRONICLES
5th Novem ber 2011 - New researchNEUROPATHY IS COMMON IN PARKINSON'S DISEASENeurology [2011] Nov 2 [Epub ahead of print] (Y.A.Rajabally, J.Martey) Complete abstract
Neuropathy has been found to be nearly seven times more prevalent in
Parkinson's Disease. Neuropathy is the
malfunction of nerves throughout the body. Neuropathy can cause a
pins-and-needles sensation, numbness, burning pain, loss of vibration
sense, and a loss of position sense, which is not knowing where the arms
and legs are. Walking and even standing can become unsteady. The effects
of neuropathy can progress to far more widespread
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