Sahai Anjali, Saxena Khyati
Amity Institute of Psychology and Applied Sciences, Amity University, Noida, Uttar Pradesh, India.
Ann Neurosci. 2024 Dec 19:09727531241301878. doi: 10.1177/09727531241301878.
Parkinson's disease (PD) is a degenerative brain disease characterised by motor and non-motor symptoms. Motor disabilities, including dystonia and dyskinesia, cause speech and movement difficulties and limit many aspects of life. Factors affecting PD refer to the various internal and external conditions that contribute to the onset, severity and progression of the disease. These factors can be broadly categorised into genetic, environmental and lifestyle-related factors.
The primary objective of this prospective cohort study is to investigate the association between environmental exposures and genetic predisposition and the risk of developing PD. Secondary objectives include examining the relationships between these factors and clinical outcomes in PD, such as disease severity and progression. We have utilised the data from other research studies, which primarily involve recruiting a cohort of individuals at high risk for PD based on their family history and/or environmental exposure history. These research studies also include participants who will undergo clinical evaluations, including neurological examinations and cognitive assessments, and provide biospecimens for genetic analysis. Environmental exposure histories will be obtained through questionnaires and medical records fetched by the authors of these research studies. In all these studies, participants were followed up regularly over several years to monitor the development of PD and to assess disease progression.
This study provided valuable insights into the role of environmental exposures and genetic predisposition in the development and progression of PD. The results of this study may inform strategies for preventing or delaying the onset of PD in high-risk individuals, as well as guide the development of targeted interventions for those already diagnosed with the disease.
帕金森病(PD)是一种以运动和非运动症状为特征的退行性脑病。运动障碍,包括肌张力障碍和运动障碍,会导致言语和运动困难,并限制生活的许多方面。影响帕金森病的因素是指有助于该疾病的发病、严重程度和进展的各种内部和外部条件。这些因素可大致分为遗传、环境和生活方式相关因素。
这项前瞻性队列研究的主要目的是调查环境暴露与遗传易感性之间的关联以及患帕金森病的风险。次要目标包括研究这些因素与帕金森病临床结局之间的关系,如疾病严重程度和进展。我们利用了其他研究的数据,这些研究主要包括根据家族病史和/或环境暴露史招募一组帕金森病高危个体。这些研究还包括将接受临床评估的参与者,包括神经学检查和认知评估,并提供用于遗传分析的生物样本。环境暴露史将通过问卷调查以及这些研究的作者获取的医疗记录来获得。在所有这些研究中,参与者在几年内定期接受随访,以监测帕金森病的发展并评估疾病进展。
这项研究为环境暴露和遗传易感性在帕金森病的发生和发展中的作用提供了有价值的见解。这项研究的结果可能为预防或延缓高危个体帕金森病发病的策略提供信息,并指导针对已确诊患有该疾病的患者的靶向干预措施的开发。