Preview

Experimental and Clinical Gastroenterology

Advanced search

Parkinson’s disease — the association of non-motor signs with gastrointestinal disorders and serum galanin levels

https://doi.org/10.31146/1682-8658-ecg-180-8-78-82

Abstract

Purpose of the study. The study of gastrointestinal disorders in patients with Parkinson’s disease (PD), an assessment of their relationship with other clinical manifestations and serum galanin levels.

Materials and methods. A comprehensive examination of 70 patients with PD and 17 people from the control group was conducted. A neurological examination was used in the work, testing using the following scales was used: a questionnaire for identifying autonomic disorders in patients with PD, cognitive questionnaires MMSE and MoCA, a Beck scale for detecting depression, a questionnaire for quality of life SF-36. Serum galanin level was determined by ELISA.

Results. Among non-motor manifestations in PD, gastrointestinal disturbances, mild cognitive impairment, and mild depression are dominant, which signicantly reduces the quality of patient’s life. Correlation analysis revealed an association of the severity of gastrointestinal disturbances with the level of depression, cognitive decline, quality of life, and other autonomic manifestations. Serum galanine content in PD patients was lower than in healthy volunteers. The degree of decrease in humoral galanin in patients with PD is associated with the severity of gastrointestinal disorders.

Conclusion. Gastrointestinal disorders are observed in most patients with PD and are associated with other autonomic disorders, cognitive impairment, depression, which aff ects the quality of patients life. A reduced amount of galanin contributes to the formation of gastrointestinal disorders in PD and can be used for their objective diagnosis.

About the Authors

N. V. Selyanina
Perm State Medical University named after Academician E.A. Wagner (PSMU)
Russian Federation

Nataliya V. Selyanina - Professor of the Department of Neurology and Medical Genetics, Doctor of Medical Sciences, Perm State Medical University named after Academician E. A. Wagner.

614000, Perm, st. Petropavlovskaya, 26



Yu. V. Karakulova
Perm State Medical University named after Academician E.A. Wagner (PSMU)
Russian Federation

Yuliya V. Karakulova - Head of the neurology and medical genetics department, Professor, Doctor of medical sciences, Perm State Medical University named after Academician E.A. Wagner.

614000, Perm, st. Petropavlovskaya, 26



O. V. Khegai
Perm State Medical University named after Academician E.A. Wagner (PSMU)
Russian Federation

Olga V. Khegai - Postgraduate student of the Department of Neurology and Medical Genetics Perm State Medical University named after Academician E. A. Wagner.

614000, Perm, st. Petropavlovskaya, 26



References

1. Braak H., Sastre M., Bohl J. R. et al. Parkinson’s disease: lesions in dorsal horn layer I, involvement of parasympa-thetic and sympathetic pre-and postganglionic neurons. Acta neuropathol. 2007, no.113, pp.421–429.

2. Chernykova I. V., Goncharova Z. A., Khadzieva K. I., Rabadanova E. A. Traditional perception, of parkinsons disease as a motion disorder only, has. Kuban Scientifi c Medical Bulletin. 2015;(3):134–139. (In Russ.) https://doi. org/10.25207/1608–6228–2015–3–134–139

3. Braak H., Del Tredici K. et al. Stading of brain pathology related to sporadic Parkinsons disease. 2003, no.24 (2), pp.197–211.

4. Visanji, N.P., Brooks, P.L., Hazrati, L. et al. Th e p rion hypothesis in PD: Braak to the future. Acta neuropathol. commun. 2013, no.1, 2. doi: 10.1186/2051–5960–1–2

5. Levin O. S., Fedorova N. F. Parkinson’s disease. Moscow, MEDpress-inform, 2014, pp. 26–30.

6. Darlene H. Brunzell, Jessica Hawes, Venetia Zachariou. Th e neuropeptide galanin modulates behavioral and neurochemical signs of opiate withdrawal. PNAS. 2003;100 (15):9028–9033; doi:10.1073/pnas.1533224100

7. Bartfai Т., Fisone G., Langel U. Galanin and galanin an-tagonists: molecular and chemical perspectives. Trends Pharmacol. Sci. 1992;13(8):312–317.

8. Amiranoff В., Lorinet A. M., Lagny-Pourmir I., Laburthe M. Mechanism of galanin-inhibited in-sulin release. Occurrence of a pertussis-toxin-sensitive inhibition of adenylate cyclase. Eur. J. Biochem. 1988;177(1):147–52.

9. Yablonskaya A. Yu., Fedorova N. V. A scale for assessing autonomic disorders in patients with Parkinson’s disease. Methodical development. State educational institution of additional professional training Russian Medical Academy of Postgraduate Education, 2011, pp. 2. – 32.


Review

For citations:


Selyanina N.V., Karakulova Yu.V., Khegai O.V. Parkinson’s disease — the association of non-motor signs with gastrointestinal disorders and serum galanin levels. Experimental and Clinical Gastroenterology. 2020;(8):78-82. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-180-8-78-82

Views: 208


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1682-8658 (Print)