La maladie de Parkinson en France (serveur d'exploration)

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Colonic biopsies to assess the neuropathology of Parkinson's disease and its relationship with symptoms.

Identifieur interne : 000A18 ( PubMed/Curation ); précédent : 000A17; suivant : 000A19

Colonic biopsies to assess the neuropathology of Parkinson's disease and its relationship with symptoms.

Auteurs : Thibaud Lebouvier [France] ; Michel Neunlist ; Stanislas Bruley Des Varannes ; Emmanuel Coron ; Anne Drouard ; Jean-Michel N'Guyen ; Tanguy Chaumette ; Maddalena Tasselli ; Sébastien Paillusson ; Mathurin Flamand ; Jean-Paul Galmiche ; Philippe Damier ; Pascal Derkinderen

Source :

RBID : pubmed:20856865

English descriptors

Abstract

The presence of Lewy bodies and Lewy neurites (LN) has been demonstrated in the enteric nervous system (ENS) of Parkinson's disease (PD) patients. The aims of the present research were to use routine colonoscopy biopsies (1) to analyze, in depth, enteric pathology throughout the colonic submucosal plexus (SMP), and (2) to correlate the pathological burden with neurological and gastrointestinal (GI) symptoms.

DOI: 10.1371/journal.pone.0012728
PubMed: 20856865

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pubmed:20856865

Le document en format XML

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<term>Colon (metabolism)</term>
<term>Colon (pathology)</term>
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<div type="abstract" xml:lang="en">The presence of Lewy bodies and Lewy neurites (LN) has been demonstrated in the enteric nervous system (ENS) of Parkinson's disease (PD) patients. The aims of the present research were to use routine colonoscopy biopsies (1) to analyze, in depth, enteric pathology throughout the colonic submucosal plexus (SMP), and (2) to correlate the pathological burden with neurological and gastrointestinal (GI) symptoms.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The presence of Lewy bodies and Lewy neurites (LN) has been demonstrated in the enteric nervous system (ENS) of Parkinson's disease (PD) patients. The aims of the present research were to use routine colonoscopy biopsies (1) to analyze, in depth, enteric pathology throughout the colonic submucosal plexus (SMP), and (2) to correlate the pathological burden with neurological and gastrointestinal (GI) symptoms.</AbstractText>
<AbstractText Label="METHODOLOGY/PRINCIPAL FINDINGS" NlmCategory="RESULTS">A total of 10 control and 29 PD patients divided into 3 groups according to disease duration were included. PD and GI symptoms were assessed using the Unified Parkinson's Disease Rating Scale part III and the Rome III questionnaire, respectively. Four biopsies were taken from the ascending and descending colon during the course of a total colonoscopy. Immunohistochemical analysis was performed using antibodies against phosphorylated alpha-synuclein, neurofilaments NF 220 kDa (NF) and tyrosine hydroxylase (TH). The density of LN, labeled by anti-phosphorylated alpha-synuclein antibodies, was evaluated using a quantitative rating score. Lewy pathology was apparent in the colonic biopsies from 21 patients and in none of the controls. A decreased number of NF-immunoreactive neurons per ganglion was observed in the SMP of PD patients compared to controls. The amount of LN in the ENS was inversely correlated with neuronal count and positively correlated with levodopa-unresponsive features and constipation.</AbstractText>
<AbstractText Label="CONCLUSION/SIGNIFICANCE" NlmCategory="CONCLUSIONS">Analysis of the ENS by routine colonoscopy biopsies is a useful tool for pre-mortem neuropathological diagnosis of PD, and also provides insight into the progression of motor and non-motor symptoms.</AbstractText>
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<RefSource>Neurogastroenterol Motil. 2008 May;20 Suppl 1:32-8</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>J Neurol Sci. 2008 Jul 15;270(1-2):122-6</RefSource>
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<RefSource>J Neuropathol Exp Neurol. 2008 Oct;67(10):945-53</RefSource>
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<RefSource>Gut. 2008 Dec;57(12):1741-3</RefSource>
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<RefSource>J Neurol. 2000 Apr;247 Suppl 2:II3-10</RefSource>
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