Health
Parkinson’s disease risk is linked to gut health, researchers say
Gut health has been linked to a common neurological disorder in a new study.
Those who have sustained damage to the upper lining of their gastrointestinal (GI) tract are 76% more likely to develop Parkinson’s disease, according to research led by Beth Israel Deaconess Medical Center (BIDMC) in Boston.
The findings were published in JAMA Network Open on Sept. 5.
THE EFFECTS OF PARKINSON’S DISEASE ON THE BRAIN AND COMMON WAYS THOSE IMPACTED SUBDUE SYMPTOMS
The study included 9,350 patients (averaging 52 years of age) who underwent an upper endoscopy — a procedure that examines the esophagus, stomach and first portion of the small intestine — between 2000 and 2005 within the Mass General Brigham system.
Gut health has been linked to a common neurological disorder in a new study. (iStock)
Those who had “mucosal damage” were shown to have an elevated risk, the researchers found.
Parkinson’s disease was diagnosed an average of 14.2 years after the damage was detected, the study showed.
Mucosa, also called the mucous membrane, is the “soft tissue that lines the body’s canals and organs in the digestive, respiratory and reproductive systems,” according to Cleveland Clinic.
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“When asked, many of my patients with Parkinson’s disease will say, ‘Come to think of it, yeah, I started to get bad constipation or nausea, years before anyone diagnosed me with Parkinson’s,’” lead study author Trisha Pasricha, MD, a gastroenterologist at Massachusetts General Hospital and an instructor of medicine at Harvard Medical School, told Fox News Digital.
“We now know that gut symptoms like these herald a future diagnosis of Parkinson’s disease.”
The study included 9,350 patients who underwent an upper endoscopy, a procedure that examines the esophagus, stomach and first portion of the small intestine. (iStock)
Dr. Earnest Lee Murray, a board-certified neurologist at Jackson-Madison County General Hospital in Jackson, Tennessee, was not involved in the study, but confirmed that gastrointestinal dysfunction is very common in patients with Parkinson’s.
“Motor symptoms, such as stiffness, tremors and difficulty walking, are the stereotypical features of Parkinson’s,” Murray said.
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“However, there are several non-motor symptoms that are often seen, the most common being gastrointestinal dysfunction, especially constipation and difficulty swallowing.”
These gastrointestinal symptoms can appear years before the motor symptoms, the neurologist added.
Patients who had “mucosal damage” were shown to have an elevated risk, the researchers found. (iStock)
“Given the prominence of early gastrointestinal issues in Parkinson’s, there has been a theory suggesting that the pathology that causes Parkinson’s can originate in the GI tract and travel to the brain via the vagus nerve,” Murray said.
“This study gives additional evidence to the ‘gut-first’ theory.”
Causes and prevention of upper GI damage
Many factors can cause damage to the mucosal lining, Pasricha said.
“Those include taking NSAIDs like ibuprofen, drinking alcohol, stress or bacteria like H. pylori,” she said.
“Our study only examined people whose stomach symptoms were so severe that they sought an upper endoscopy to investigate the etiology, but we all experience small amounts of damage to our gut lining throughout our lives for various reasons.”
Gastrointestinal symptoms can appear years before the motor symptoms, such as tremors and stiffness, a neurologist said. (iStock)
It is not clear how those frequent, smaller amounts of damage impact the risk of Parkinson’s, the doctor noted.
“Nonetheless, I advise my patients — regardless of their risk of any neurological disease — that minimizing NSAIDs, reducing stress and cutting down on alcohol will only help their gut health,” she added.
As Murray noted, Parkinson’s is caused by a depletion of the neurotransmitter dopamine — which leads to slowed muscle movements, stiffness and tremors — and is also involved in the integrity of the GI tract.
Parkinson’s is caused by a depletion of the neurotransmitter dopamine — which leads to slowed muscle movements, stiffness and tremors — and is also involved in the integrity of the GI tract, a neurologist said. (iStock)
“As the study authors point out, we don’t know if the injury to the GI tissue triggers a depletion in dopamine or if the destruction of the GI tissue is the earliest sign of an issue with dopamine that eventually leads to more stereotypical Parkinson’s symptoms,” he told Fox News Digital.
Potential study limitations
While the study reveals a “strong link” between injury to the upper gastrointestinal tract and later development of Parkinson’s disease, Pasricha noted that the mechanisms leading to this effect are not yet known.
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The study did not include cases of Parkinson’s that were diagnosed outside the Mass General Brigham system, the researchers noted.
“The brain-gut connection is really a two-way street.”
Due to the small sample sizes in the study — and the risk of “confounding variables” that could introduce a measure of bias — the research team called for additional studies to confirm the association.
“The brain-gut connection is really a two-way street,” said Pasricha.
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“The gut can exert an enormous influence on the brain in ways we are still only beginning to understand — but when we do, we might be able to open new avenues for early intervention and treatment strategies for many diseases.”
The study was funded by grants from the National Institute on Aging, the American Gastroenterological Association and Harvard University.
Health
Aging process could accelerate due to ‘forever chemicals’ exposure, study finds
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A new study suggests that middle-aged men may be more vulnerable to faster biological aging, potentially linked to exposure to “forever chemicals.”
The research, published in the journal Frontiers in Aging, examined how perfluoroalkyl and polyfluoroalkyl substances, more commonly known as PFAS, could impact aging at the cellular level.
PFAS are synthetic chemicals commonly used in nonstick cookware, food packaging, water-resistant fabrics and other consumer products, the study noted.
Their chemical structure makes them highly resistant to breaking down, allowing them to accumulate in water, soil and the human body.
Chinese researchers analyzed blood samples from 326 adults enrolled in the U.S. National Health and Nutrition Examination Survey between 1999 and 2000.
A new study suggests that middle-aged men could face accelerated biological aging at the cellular level due to exposure to PFAS. (iStock)
The researchers measured levels of 11 PFAS compounds in participants’ blood and used DNA-based “epigenetic clocks” — tools that analyze chemical changes to DNA to estimate biological age — to determine how quickly their bodies were aging at the cellular level, the study stated.
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Two compounds, perfluorononanoic acid (PFNA) and perfluorooctanesulfonamide (PFOSA), were detected in 95% of participants.
Higher concentrations of those chemicals were associated with faster biological aging in men of certain age groups, but not in women.
“People should not panic.”
The compounds most strongly linked to accelerated aging were not the PFAS chemicals that typically receive the most public attention, the researchers noted.
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“The associations were strongest in adults aged 50 to 64, particularly in men,” Dr. Xiangwei Li, professor at Shanghai Jiao Tong University School of Medicine and the study’s corresponding author, told Fox News Digital.
“While this does not establish that PFAS cause aging, it suggests that these widely present ‘forever chemicals’ may be linked to molecular changes related to long-term health and aging.”
The study found that two of the compounds were detected in 95% of participants, and higher levels were linked to faster biological aging in men ages 50–64. (iStock)
Midlife may represent a more sensitive biological period, when the body becomes more vulnerable to age-related stressors, according to the researchers.
Lifestyle factors, such as smoking, may influence biological aging markers, potentially increasing vulnerability to environmental pollutants.
While Li said “people should not panic,” she does recommend looking for reasonable ways to reduce exposure.
That might mean checking local drinking water reports, using certified water filters designed to reduce PFAS, and limiting the use of stain- or grease-resistant products when alternatives are available.
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Meaningful reductions in PFAS exposure will likely depend on broader regulatory action and environmental cleanup efforts, Li added.
The researchers noted that midlife could be a particularly sensitive stage, when the body is more susceptible to stressors associated with aging. (iStock)
Study limitations
The researchers outlined several important limitations of the research, including that the findings show an association, but do not prove that PFAS directly causes accelerated aging.
“The study is cross-sectional, meaning exposure and aging markers were measured at the same time, so we cannot determine causality,” Li told Fox News Digital.
The study was also relatively small, limited to 326 adults age 50 or older, which means the findings may not apply to younger people or broader populations.
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Researchers measured PFAS levels using data collected between 1999 and 2000, and today’s exposure patterns may differ.
Li added that while PFAS is known to persist in the environment and the body, these results should be validated through larger, more recent studies that follow participants over time.
Health
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Health
Alzheimer’s prevention breakthrough found in decades-old seizure drug
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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.
The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.
Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)
“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release.
“Our new results uncovered new biology while also opening doors for new drug targets.”
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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted.
“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)
That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.
In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.
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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.
The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.
“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)
“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.
Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.
Limitations and caveats
The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.
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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.
Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.
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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”
“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”
The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.
It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.
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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.
Fox News Digital reached out to the drug manufacturer and the researchers for comment.
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