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Parkinson's Disease, the Intestine and Infections
Early in my career, one of my mentors was the eminent scientist and
clinician Robert Mahler. He recently passed away at the age of 81, but in
the last two years of his life he was an author on two papers (1, 2) about
an ailment with which he struggled for many years: Parkinson's disease.

Despite the best treatment, he was severely incapacitated by the illness, at
one stage needing a wheelchair to get from his car to his office. But his
fine mind remained undimmed by the illness, and he was intrigued by reports
of an association between stomach ulcers and Parkinson's disease and of
dramatic improvements in the symptoms of some people with Parkinson's
disease who were being treated with antibiotics for gastric ulcers. (Last
year Barry Marshall and Robin Warren were awarded the Nobel Prize in
Physiology or Medicine for their pioneering work on Helicobacter - a
bacterium associated with peptic ulcers. I mentioned in an earlier post have
a strong sense that there are more prizes to come on the interaction between
infectious agents, inflammation, genes, the psyche and the environment.)

Robert was one of the test subjects in a research study and his Parkinsonian
symptoms got much better when he was treated with antibiotics. There are now
several important pieces of research on the fascinating topic. In some
people eradicating Helicobacter may convert rapidly progressive Parkinsonism
to a quieter disease, although only a minority of sufferers have evidence of
current infection.

There seems to be an interaction between aging, genes and this infectious
agent. Clearly not everyone is helped by antibiotic treatment, but this is a
whole new line of very promising research.

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