Key result
Vagal application of DOPAL in rats significantly reduced blood pressure and baroreflex sensitivity, suggesting Parkinson's disease etiology may initiate from the peripheral nervous system.
Why the study?
Autonomic failures are a common non-motor symptom of Parkinson's disease, but why they occur earlier than typical motor disorders remains unclear.
Answers are grounded in this paper and cite their sources.
No immediate clinical implications; leaves open peripheral nervous system initiation of Parkinson's disease for human studies.
AIM: To understand why autonomic failures, a common non-motor symptom of Parkinson's disease (PD), occur earlier than typical motor disorders. METHODS: Vagal application of DOPAL (3,4-dihydroxyphenylacetaldehyde) to simulate PD-like autonomic dysfunction and understand the connection between PD and cardiovascular dysfunction. Molecular and morphological approaches were employed to test the time-dependent alternation of α-synuclein aggregation and the ultrastructure changes in the heart and nodose (NG)/nucleus tractus solitarius (NTS). RESULTS: Blood pressure (BP) and baroreflex sensitivity of DOPAL-treated rats were significantly reduced accompanied with a time-dependent change in orthostatic BP, consistent with altered echocardiography and cardiomyocyte mitochondrial ultrastructure. Notably, time-dependent and collaborated changes in Mon-/Tri-α-synuclein were paralleled with morphological alternation in the NG and NTS. CONCLUSION: These all demonstrate that early autonomic dysfunction mediated by vagal application of DOPAL highly suggests the plausible etiology of PD initiated from peripheral, rather than central site. It will provide a scientific basis for the prevention and early diagnosis of PD.
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Sun et al. (2021) studied Parkinson's disease autonomic dysfunction. Vagal application of DOPAL (3,4-dihydroxyphenylacetaldehyde) was evaluated on Blood pressure and baroreflex sensitivity. Vagal application of DOPAL in rats significantly reduced blood pressure and baroreflex sensitivity, suggesting Parkinson's disease etiology may initiate from the peripheral nervous system.
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