What role does dysbiosis play in Parkinson's disease?

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What role does dysbiosis play in Parkinson's disease?
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What role does dysbiosis play in Parkinson's disease? Dysbiosis Parkinsons Disease Gutmicrobiota Oral microbiome Pathogenesis Symptoms Dopamine UNIGEnews

By Dr. Liji Thomas, MDMar 19 2023Reviewed by Danielle Ellis, B.Sc. Parkinson's disease is an incurable neurodegenerative disease that affects one in a hundred people the world over, second only to Alzheimer's disease in the number of people affected. However, the mechanism by which it arises is still unclear.

These observations led to Braak et al.'s two-hit hypothesis, which considered a peripheral origin of PD , that then progressed to involve the brain. Recently, two-thirds of PD patients were found to have this "body-first" pattern, but the rest had a "brain-first" model, affecting the olfactory bulb or amygdala initially.

The oral microbiota changes with host factors over the lifespan of the individual. Its beneficial effects include the prevention of infection and the metabolism of nitrates and other vasoactive substances. It affects the microbiota at many other related body sites like the gut and the lungs. The gut and the brain talk to each other via nervous impulses, immune response pathways, and endocrine chemicals. The brain signals regulate the gut microbiome by altering the speed of gut transit, the amount and nature of gut secretions, and the gut wall permeability. The gut, in turn, helps modulate the immune response, endocrine secretions, neural signaling, and neurotransmitter levels via its microbiome-driven interactions with the brain.

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