The Appendix Is Implicated In Parkinson’s Disease

Fractality

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The appendix may play a role in Parkinson’s disease

The appendix, a once-dismissed organ now known to play a role in the immune system, may contribute to a person’s chances of developing Parkinson’s disease.

An analysis of data from nearly 1.7 million Swedes found that those who’d had their appendix removed had a lower overall risk of Parkinson’s disease. Also, samples of appendix tissue from healthy individuals revealed protein clumps similar to those found in the brains of Parkinson’s patients, researchers report online October 31 in Science Translational Medicine.

Together, the findings suggest that the appendix may play a role in the early events of Parkinson’s disease, Viviane Labrie, a neuroscientist at the Van Andel Research Institute in Grand Rapids, Mich., said at a news conference on October 30.

Parkinson’s, which affects more than 10 million people worldwide, is a neurodegenerative disease that leads to difficulty with movement, coordination and balance. It’s unknown what causes Parkinson’s, but one hallmark of the disease is the death of nerve cells, or neurons, in a brain region called the substantia nigra that helps control movement. Lewy bodies, which are mostly made of clumped bits of the protein alpha-synuclein (SN: 1/12/2013, p. 13), also build up in those neurons but the connection between the cells’ death and the Lewy bodies isn’t clear yet.

Symptoms related to Parkinson’s can show up in the gut earlier than they do in the brain (SN: 12/10/2016, p. 12). So Labrie and her colleagues turned their attention to the appendix, a thin tube around 10 centimeters long that protrudes from the large intestine on the lower right side of the abdomen. Often considered a “useless organ,” Labrie said, “the appendix is actually an immune tissue that’s responsible for sampling and monitoring pathogens.”

In the new study, Labrie’s team analyzed health records from a national registry of Swedish people, some of whom were followed for as many as 52 years. That long observation time was key: People have their appendix removed most often in their teens or 20s but, on average, don’t develop Parkinson’s disease until their 60s. More than half a million people in the registry had had an appendectomy, while a total of 2,252 people out of the 1.7 million developed Parkinson’s.

For people without an appendix, the incidence of Parkinson’s disease was 1.6 per 100,000 people per year compared with about 2 per 100,000 per year for those with the organ. Removing the appendix was associated with a 19 percent drop in the risk of developing Parkinson’s disease, the team reports.

Labrie and her colleagues also compared people in the registry from rural and urban areas. Past research has found that rural living comes with a higher chance of developing Parkinson’s, perhaps due to pesticide exposure (SN: 12/2/2000, p. 360). Indeed, rural residents who’d had their appendix removed had a 25 percent lower risk of developing Parkinson’s disease. There wasn’t a benefit for city dwellers.

Surgical samples from a tissue bank of appendixes from 48 people without Parkinson’s provided another link to the disease. The team discovered alpha-synuclein clumps in 46 of the samples — from both old and young patients — similar to those seen in the brains of Parkinson’s patients. The clumped protein has been found in other areas of the gut, and past research suggests that it’s possible for the protein to travel along the main nerve that connects the gut to the brain (SN: 12/10/2016, p. 12).

If the clumped protein in the appendix turns out to jump-start the disease, Labrie said, “preventing excessive alpha-synuclein clump formation in the appendix, and its departure from the gastrointestinal tract, could be a useful new form of therapy.”

Ongoing clinical trials are investigating different strategies to remove alpha-synuclein from the brain. If a new therapy could clear the protein from the brain, says John Trojanowski, a neuropathologist at the University of Pennsylvania Perelman School of Medicine who was not involved in the new study, perhaps it would do the same for the appendix. “Every facet of what contributes to Parkinson’s disease is important,” he says.
 

Peater

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What's the odds this will be another correlation/causation (Heart healthy PUFAs/whole grains, low fat diets, etc) screw up and having an appendix actually helps prevent Parkinsons and was somehow filtering those protein clumps or something.
 

Mito

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Appendix identified as a potential starting point for Parkinson's disease: Appendix acts as a reservoir for disease-associated proteins; appendectomy lowers the risk of developing Parkinson's

Appendix identified as a potential starting point for Parkinson's disease

Appendix acts as a reservoir for disease-associated proteins; appendectomy lowers the risk of developing Parkinson's
Date:
October 31, 2018
Source:
Van Andel Research Institute
Summary:
Removing the appendix early in life reduces the risk of developing Parkinson's disease by 19 to 25 percent, according to the largest and most comprehensive study of its kind. The findings solidify the role of the gut and immune system in the genesis of the disease, and reveal that the appendix acts as a major reservoir for abnormally folded alpha-synuclein proteins, which are closely linked to Parkinson's onset and progression.
 

Ella

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I somehow don’t trust their interpretation of results. Seems like a justification to remove everyone’s appendix just like everyone’s tonsils.

And don’t forget this older thread when reading this current thread:

Appendix May Have Important Function, New Research Suggests

@lisaferraro the appendix may be a safe house for "healthy" bacteria" but "healthy" bacteria have a habit of going rogue when subjected to the right conditions and are known for their promiscuity.

As Pasteur recanted on his death, "Bernard was correct. I was wrong. The microbe is nothing. The terrain is everything."

https://www.sciencedirect.com/science/article/pii/S0960982201000124
 

michael94

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Ella

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do bad bacteria go good

Yes, apparently if you change the terrain and not subject them to stressful environments they lose their plasmids.

We have to end the war in trying to nuke them all the time. So strategies like raw carrot fibres, mushrooms and bamboo shoots will not trigger adaptation to stressful environments.
 

michael94

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Yes, apparently if you change the terrain and not subject them to stressful environments they lose their plasmids.

We have to end the war in trying to nuke them all the time. So strategies like raw carrot fibres, mushrooms and bamboo shoots will not trigger adaptation to stressful environments.

why not nuke them while making environment low stress. or does the low stress environment get rid of them naturally
 

Ella

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Any kill attempt will cause them to up-regulate resistant genes ie resistance to antibiotics and spore-forming bugs will produce spores/endotoxins etc.

I guess we need to learn to live in harmony and yet not allow them to breed and overstay their residency. We want them to provide our cells with the goodies they produce but we don't want them taking over. A healthy immune system and good thyroid function provide the big stick to keep them in check.
 
L

lollipop

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michael94

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Yes, apparently if you change the terrain and not subject them to stressful environments they lose their plasmids.

We have to end the war in trying to nuke them all the time. So strategies like raw carrot fibres, mushrooms and bamboo shoots will not trigger adaptation to stressful environments.

game on, then
 

Ella

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game on, then

Yeah, we need to outsmart them all the time but the majority of people are not even aware that these bugs are constantly lying in wait to do us in at the slightest sign of weakness.

Keep on pooping them out.
 

CLASH

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Hiroshima and nagasaki were nuked...
 

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