Early brain signs of Parkinson's found

Scientists say they have identified the earliest signs of Parkinson 's disease in the brain, 15 to 20 years before.

Scans of a small number of high-risk patients found malfunctions in the brain's serotonin system, which controls mood, sleep and movement.

The King's College London researchers say the discovery could lead to new screening tools and treatments.

Experts said larger studies and more affordable scans were needed first.

Parkinson's is a progressive neurological condition affecting about 145,000 people in the UK.

The main symptoms are shaking, tremor and stiffness but depression, memory and sleep problems are also common.

Traditionally, the disease is thought to be related to a chemical called dopamine, which is lacking in the brains of people with the condition.

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Although there is no cure, they do not cure, and they focus on restoring dopamine levels.

But the KCL research team, writing in Lancet Neurology, suggest that changes in the brain's serotonin levels as first – and could act as an early warning sign.

The researchers looked at the brains of 14 people from remote villages in southern Greece and Italy who all have rare mutations in the SNCA gene, making them almost certain to develop the disease.

Half of this group had already been diagnosed with Parkinson's and no longer has any symptoms, making them ideal for studying the disease develops.

By comparing their brains with another 65 patients with Parkinson's and 25 healthy volunteers, the researchers were able to pinpoint early brain changes in patients in their 20s and 30s.

These were found in the serotonin system, a chemical which has many functions in the brain, including mood, appetite, cognition, wellbeing and movement.

'Could open doors'

Lead study author Prof. Marios Politis, from the Institute of Psychiatry, Psychology and Neuroscience at King's, said the abnormalities had been found before moving forward.

"Our results suggest that early detection of serotonin changes in the development of new therapies to slow, and ultimately prevent, progression of Parkinson's disease," he said.

Prof Derek Hill, Professor of Medical Imaging at University College London, said the research provided some valuable insights but also had some limitations.

"Their results may not scale up to larger studies," he said.

"Secondly, the imaging method they are highly specialized and limited to a very small number of research centers, so is not yet usable to help diagnose patients or even to evaluate novel treatments in large clinical studies.

"The research does, however, provide an incentive for the treatment of Parkinson's disease, which is likely to be an opportunity, which is likely to be the best chance of prevention of the disease."

Dr. Beckie Port, Research Manager at Charity Parkinson's UK, said: "Further research is needed to understand the importance of this discovery – but it is possible to unlock a tool to measure Parkinson's develops, it could change countless lives. "