Increased Gut Permeability to Lipopolysaccharides (LPS) in Parkinson's Disease

NCT ID: NCT01155492

Last Updated: 2013-05-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

43 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-09-30

Study Completion Date

2013-02-28

Brief Summary

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The gut may be a portal of entry for agents that cause or contribute to the causes of Parkinson's disease (PD). The investigators are studying changes in the normal population of gut flora and in intestinal permeability and their associations with early PD.

Detailed Description

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Clinical and pathological data suggest Parkinson's disease (PD) may result from an inflammatory process beginning in the intestinal wall that initiates alpha-synuclein aggregation, which then spreads from neuron to neuron, reaching the central nervous system. Bacteria living within the intestinal tract produce lipopolysaccharide endotoxin, a toxin known to induce parkinsonism in animal models. We hypothesize that exposure to LPS, either from excessive production or excessive absorption may be the cause of this inflammation. This study aims to: (1) describe differences in the population of gut bacteria in PD compared to control subjects; (2) assess leakiness of the gut wall by differential absorption of non-absorbable sugars; (3) measure plasma levels of endotoxin and inflammation; and (4) study characteristic PD pathology and evidence of inflammation in biopsy samples of the colon obtained by sigmoidoscopy.

Conditions

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Parkinson's Disease Multiple System Atrophy

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Subjects with Parkinson's disease

Male and female subjects with clinically diagnosed Parkinson's disease, Stage I-IV.

No interventions assigned to this group

Control subjects

Age- and gender-matched subjects who do not have Parkinson's disease

No interventions assigned to this group

Multiple system atrophy.

Men and women with clinically diagnosed multiple system atrophy.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Clinically diagnosed Parkinson's disease
* Hoehn \& Yahr stage 1-2.5
* No symptomatic treatment of Parkinson's disease symptoms


* Clinically diagnosed Multiple System Atrophy.


* No diagnosis of Parkinson's disease and no signs of Parkinson's disease on screening neurological examination

Exclusion Criteria

* Secondary or atypical parkinsonism other than Multiple System Atrophy
* Occupation or medical treatment known to influence intestinal flora
* Organic gastrointestinal disease other than hiatal hernia or hemorrhoids; history of gastrointestinal surgery other than remote appendectomy or cholecystectomy.
* Acute or chronic medical illness that would confound study results.
* Coagulopathy or use of anticoagulant medications (including aspirin).
* Chronic use of diuretics
Minimum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Rush University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Kathleen M. Shannon

Professor, Neurological Sciences

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kathleen M Shannon, M.D.

Role: PRINCIPAL_INVESTIGATOR

Rush University Medical Center

Locations

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Rush University Medical Center

Chicago, Illinois, United States

Site Status

Countries

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United States

References

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Forsyth CB, Shannon KM, Kordower JH, Voigt RM, Shaikh M, Jaglin JA, Estes JD, Dodiya HB, Keshavarzian A. Increased intestinal permeability correlates with sigmoid mucosa alpha-synuclein staining and endotoxin exposure markers in early Parkinson's disease. PLoS One. 2011;6(12):e28032. doi: 10.1371/journal.pone.0028032. Epub 2011 Dec 1.

Reference Type DERIVED
PMID: 22145021 (View on PubMed)

Other Identifiers

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07100403

Identifier Type: -

Identifier Source: org_study_id

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