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Exercise May Lead To Improvement In Patients With Parkinson's - USC Study On
Dopamine Effects Shows Potential Benefits In Balance And Stability



A new study from researchers at the Keck School of Medicine of the University
of Southern California (USC) shows that treadmill exercises may benefit
patients with Parkinson's Disease and those with similar movement disorders.

 The study is led by USC neuroscientist Michael Jakowec, Ph.D., assistant
professor of neurology and appears in the May 16 issue of the Journal of
Neuroscience.

 Recent studies have shown that exercise can have beneficial effects in
patients with Parkinson's Disease but the underlying reasons haven't been
fully explored. This new study using treadmill exercise in animal models
looked at the effects of dopamine in motor learning and execution.

 Parkinson's Disease is a chronic and degenerative disease that leads to
slowness, balance disorders, tremors and difficulty in walking. The disease
results from the loss of dopamine-producing nerve cells in the brain. It is
critical as a stimulator of motor system nerves in the body. While there is
no current cure for the disease, several treatments do offer relief from its
symptoms.

 This particular study looked at treadmill exercise and its effects between
animal models with and without a loss of certain cells that are similar to
what a Parkinson's Patient might suffer. Given the importance of dopamine in
Parkinson's Disease, the researchers looked at changes in dopamine levels,
among other results.

 They found that the subjects with cell loss and that exercised indeed had an
effect on dopamine levels while normal subjects showed less of a difference
in levels.

 "Our study shows that the beneficial effects of exercise in Parkinson's
Disease may be due to a more efficient use of dopamine, "says Giselle
Petzinger, M.D., assistant professor of neurology at the Keck School of
Medicine of USC and the study's first author. "Surviving dopamine cells in
our animal models- made to simulate what Parkinson's patients suffer with-
subjected to intensive treadmill exercise appear to work harder."

 Studies with John Walsh, Ph.D., associate professor at the USC Andrus
Gerontology Center and a co-investigator of the study, showed that these
cells release greater amounts of dopamine and decrease the rate of its
removal from the synapse compared to neurons in subjects that do not undergo
exercise.

 The findings suggest that the benefits of treadmill exercise on motor
performance may be accompanied by changes in dopamine neurotransmission that
are different in the injured subjects compared to the non-injured.

 "Studies in our animal model of Parkinson's disease support the fact that
exercise is beneficial for patients with Parkinson's," says
Jakowec. "Exercise may help the injured brain to work more efficiently by
allowing the remaining dopamine producing neurons to work harder and in doing
so may promote stronger connections in the brain."

 Further studies will investigate if beneficial effects of exercise have
long-term effect on the injured brain, identifying the molecular links
between exercise and the brain, and to better understand the molecular
mechanisms within neurons that lead to these changes.

 Funding for this study comes from the Parkinson's Disease Foundation, Team
Parkinson Los Angeles, the George and MaryLou Boone Foundation, the National
Institute of Neurological Disorders and Stroke and the US Army Neurotoxin
Exposure Treatment Research Program.

 "Effects of Treadmill Exercise on Dopaminergic Transmission in the
1-Methyl-4-Phenyl-1,2,3,6-Tetrahydropyridine-Lesioned Mouse Model of Basal
Ganglia Injury"
 Petzinger, G.,Walsh, J.,Akopian, G., Hogg, E., Abernathy, A., Arevalo,
P.,Turnquist, P., Vuckovic, M., Fisher, B.,Togasaki, D., Jakowec, M.
 Journal of Neuroscience, May 16, 2007.

 http://www.usc.edu

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