Advancing Research

Fueling Discovery: 9 Research Projects Funded by Parkinson’s Foundation Grants

Researcher working on computer

Taking on a disease as complex as Parkinson’s disease (PD) requires the best scientific minds in the world and the ability to fund innovative ideas. The next Parkinson’s research breakthrough can happen in any lab, at any time. Parkinson’s Foundation research grants exist to decipher this disease and find new ways to stop it from progressing. 

“Many of our grant-funded researchers pursue high-risk projects unlikely to receive federal funding. These projects push the envelope of research and are the kinds of projects the Parkinson’s community eagerly awaits — those that explore the potential for new treatments based on the science behind Parkinson’s,” said James Beck, PhD, Chief Scientific Officer at the Parkinson's Foundation. 

Explore nine Parkinson’s Foundation-funded studies below divided into three critical research avenues:  

  • New movement symptom treatments. 

  • How gut bacteria and PD are related. 

  • How aging impacts PD development and progression. 

9 research studies infographic

Go in depth into each study below:  

Investigating how gut bacteria play a role in PD 

1. Searching for gut bacteria that may lead to PD. 

Chris Smillie, PhD, recipient of a Parkinson’s Foundation Impact Award, is using cutting-edge genetic techniques to find bacterial cells associated with PD, identify how their activity and function may contribute to the disease and how we might be able to target gut bacteria to slow, stop or prevent disease progression.

Learn more

2. How gut bacteria influence levodopa effectiveness. 

Christine Olson, PhD, recipient of a Parkinson’s Foundation Launch Award and a previous Postdoctoral Fellow, is researching a certain type of bacteria in the gut she suspects may impact the effectiveness of levodopa. She’s also investigating whether there are ways to use targeted antibiotics to improve levodopa use.

Learn more

3. Exploring gut health biomarkers as early indicators for PD. 

Trisha Pasricha, MD, recipient of a Parkinson’s Foundation Impact Award, aims to compare the gut biology of people with and without Parkinson’s using new technology to discover the biomarkers of PD-linked bloating and nausea to improve future diagnoses.

Learn more

Searching for treatments for movement symptoms 

4. Using ultrasound stimulation to address freezing of gait.

Amitabh Bhattacharya, PhD, recipient of the Parkinson’s Foundation Postdoctoral Fellowship, is investigating if non-invasive ultrasound stimulation could reduce freezing of gait symptoms without the need for invasive surgery.

Learn more

5. Treating levodopa-induced movement symptoms.

Jeroen Habets, MD, PhD, recipient of the Parkinson’s Foundation Postdoctoral Fellowship, is working to identify brain wave “biomarkers” of levodopa-induced dyskinesia (LID), highlighting regions of the brain that go awry during LID and could be targeted by magnetic stimulation therapy to reduce or eliminate LID completely.

Learn more

6. Improving deep brain stimulation to treat movement symptoms. 

Coralie de Hemptinne, PhD, recipient of a Parkinson’s Foundation Stanley Fahn Junior Faculty Award  is searching for a way to improve deep brain stimulation (DBS) therapy for PD by developing a process that would automatically program DBS devices.

Learn more

Studying how aging impacts PD development and progression 

7. Boosting brain immune cells as a new preventative PD therapy. 

Rebecca Wallings, PhD, recipient of a Parkinson’s Foundation Launch Award, is investigating how aging impairs a certain type of immune cell outside the brain — and how this impairment impacts cells within the brain that contribute to the development of PD.

Learn more

8. Exploring DNA “safety caps” as a source of neuron loss in PD. 

Edward Burton, MD, PhD, recipient of a Parkinson’s Foundation Impact Award, is researching how the damage of telomeres, the protective “caps” on chromosomes linked to aging, may contribute to neuron loss in Parkinson’s.

Learn more

9. Untangling the connections between inflammation, aging and PD. 

Sarah Talley, PhD, recipient of the Parkinson’s Foundation Postdoctoral Fellowship, is studying how “inflammaging,” age-related inflammation, may worsen the spread of alpha-synuclein clumps in brain, with the hope of better understanding how anti-inflammatory therapies could be used to treat people with PD.

Learn more

Meet more Parkinson’s researchers! Explore our My PD Stories featuring PD researchers.  

Videos & Webinars

Expert Briefing: The Latest Advances in Parkinson’s Research and Treatment

April 9, 2025

Join us for an in-depth look at the latest advancements in Parkinson’s disease research and the emerging treatments. This webinar will cover the current medication pipeline, highlighting new therapies and their potential impact on symptom management. Participants will also learn how to identify and participate in relevant clinical studies, staying informed on the cutting-edge research that is shaping the future of Parkinson’s care.

Download Slides

Additional Resources

Presenter

Kevin McFarthing, PhD
Parkinson's Research Advocate, Oxford, UK

Advancing Research

Engaging the Parkinson’s Community in Research: The Path to Better Treatments

Woman sitting at desk working on computer

PD community involvement in trial design outshines recent clinical trial outcomes 

The role of people with Parkinson’s disease (PD) in shaping research has never been more critical than today. “People living with Parkinson’s are experts, they have the lived experience and should be engaged as equal partners in the drug development process,” said Evelyn Stevens, Parkinson’s Foundation Senior Director of Community Engagement.  

One avenue of engagement is the Patient Engagement Council for Parkinson’s Research (PECPR). Established in 2021, the PECPR has worked to ensure that the Parkinson’s community has a seat at the table in drug development. A collaboration between UCB, the Parkinson’s Foundation, Parkinson’s UK, and five people living with Parkinson’s, the council believes patient insights should guide research priorities.  

The goal of the PECPR was to engage those with PD in research and trial design, guiding development toward results that will most impact and benefit their lives. The council: 

  1. Developed a “playbook” for including people with Parkinson’s feedback, ensuring that medicines are designed to address what matters most to the PD community. 

  1. Prioritized accessibility and inclusivity in all stages of treatment research, so that treatments are developed with the wide diversity of the PD community in mind. 

  1. Advanced the field of disease-modifying therapies for PD, which seek to slow, stop, or even reverse the disease progression rather than simply treat its symptoms. 

The council’s efforts were recognized when it won a 2024 Made with Patients award from the Patient Focused Medicines Development, underscoring the impact of patient-driven collaboration. 

PECPR played a key role in shaping a recent clinical study called ORCHESTRA, testing the efficacy of the pharmaceutical company UCB’s drug, minzasolmin. Unfortunately, in December 2024, UCB announced the study did not meet its efficacy goals. Days later, another pharmaceutical company, Roche, announced similar results — their intravenous PD drug called prasinezumab also missed the primary endpoint, but suggests possible benefit in early-stage PD.  

Both drugs were designed to slow the progression of PD by targeting a protein called alpha-synuclein normally found in the brain. When this protein is mishappen and builds up in the brain it disrupts brain function and leads to PD symptoms. Neither drug significantly slowed disease progression in trial participants when compared to the participant group that received a placebo.  

“Developing effective disease-modifying PD treatments comes with numerous challenges,” said Maggie Caulfield, PhD, Director of Research at the Parkinson’s Foundation. “One concern is that a therapy needs to reach the right area in the brain, get into the right cells, and interact with a particular molecule — all in a system where cells in the brain are already unhealthy.” 

While the minzasolmin trial did not yield the hoped-for results, PECPR’s mission remains unchanged: to push for research that directly addresses the real needs of people with Parkinson’s.  

Looking ahead, PECPR is focused on expanding patient engagement strategies, refining accessibility in research, and continuing to advocate for treatments that go beyond symptom management to fundamentally change the course of Parkinson’s.  

Strengthening the Odds of Finding New Disease Modifying Therapies 

While trial failures for disease modifying therapies for PD are disappointing, they ultimately provide researchers with new, valuable data that will guide the next round of treatments. Researchers can utilize data (positive and negative results) to help overcome previous biological hurdles.  

“Parkinson’s researchers will keep trying and tweaking until we have the next breakthrough,” said Dr. Caulfield, “There are all kinds of different ways that researchers and clinicians are trying to reach disease related targets, we just have to keep pushing and eventually something will work.” 

One area where patient engagement is vital is in genetics research. Understanding the genetic factors behind PD can help researchers develop more targeted, effective treatments. Pharmaceutical companies are already partnering with people with PD to improve their clinical trials that are based on genetic ties to PD. 

Studies like the Parkinson’s Foundation PD GENEration: Mapping the Future of Parkinson’s Disease are advancing this effort by offering free genetic testing and counseling to people with PD. By identifying genetic variants linked to PD, researchers can uncover new pathways for treatment — bringing the field closer to personalized medicine, where therapies can be tailored to a person’s genetic profile. 

“There is a lot of hope in understanding Parkinson’s through genetics and leveraging study data to find the next disease modifying treatment,” said Evelyn. 

Patience, Perseverance and Continued Progress 

Every person with PD experiences unique symptoms and disease progression. These differences can be related to genetics, environment, age or other factors, all of which make finding new, effective disease-modifying therapies for PD a daunting task.  

As PD research moves forward, the involvement of the PD community is invaluable and critical. Groups like PECPR and Parkinson’s Foundation research advocates ensure that the experiences of those with PD guide treatment development in ways most beneficial to the PD community.  

“It’s an exciting time to see so many researchers and industry partners wanting to listen and learn from those living with Parkinson’s,” said Evelyn. “That’s what community engagement is all about — it’s a collaborative process where we combine our experience and expertise to improve the health of those living with Parkinson’s. That’s what will lead us to a cure for PD” 

Learn More 

The Parkinson’s Foundation works to improve care for people with PD and advance research toward a cure. 

  • Learn about PD GENEration: our global genetics study that provides genetic testing and counseling at no cost for people with Parkinson’s. 

Advancing Research

Neuro Talk: What’s Next for PD Research

Parkinson’s disease (PD) research has changed drastically over the last few decades. In the past, scientists approached PD research more broadly, often applying general neurological concepts rather than focusing specifically on the unique aspects of PD itself. Today, the field has advanced to include more specific treatments and interventions tailored to address the symptoms and underlying causes of PD directly, offering new possibilities for more effective care and management

Dr. James Beck, Chief Scientific Officer of the Parkinson’s Foundation, alongside a few of the Parkinson’s Foundation research grantees discuss the advancements in PD research, how the field has transformed and where it is headed in the future. 

My PD Story

John Rosiak rock climbing
People with PD

John Rosiak

When I was diagnosed with Parkinson’s disease (PD) in the fall of 2023, my response was to go on a crash course to learn as much as I could about this “progressive” disease and see what action I could take.  

I was familiar with the disease, trying to help support my brother’s journey with PD the last 10 years of his life. I saw his classic symptoms of slowness, falling, freezing, swallowing and speech problems, and more. Yet, he never really had tremors, and his mind was sharp until the end. I didn’t understand just how different PD can be in different people. 

A few years ago, I was constantly fatigued and losing confidence in my balance. I went to my primary care physician (PCP), who sent me to different doctors to find the underlying problem. These referrals included a neurologist, who ordered an MRI, and did the standard “clinical assessment.” She said I didn’t have PD.  

The cardiologist, sleep study, endocrinologist, and ear, nose and throat (ENT) specialists, all found no answers to my symptoms. So, back to the PCP, who told me to avoid the heat, and referred me to another neurologist, which took months to get an appointment. 

This neurologist made the clinical diagnosis of Parkinsonism. To learn more, she offered me a choice of a skin biopsy to see if there was alpha synuclein abnormality, or a DaTScan, to see if there was any dopamine deficit. I chose the former. When the synuclein skin biopsy test came back abnormal, that “supporting information” warranted the diagnosis of PD in December of 2023, even though symptoms were mild. 

I immediately went to clinicaltrials.gov to see what studies I should sign up for, thinking I could learn more about my new situation, and how to get a handle on it. I am fortunate to live in the Washington, DC area, with its abundant biomedical centers and institutions. I applied to the Parkinson’s Progression Markers Initiative (PPMI) study, which included a DaTScan at Johns Hopkins Parkinson's Disease and Movement Disorders Center, which is also a Parkinson’s Foundation Center of Excellence

My neurologist later read that DaTScan, which showed an overall loss of dopamine in my brain, and a more significant loss of dopamine in the right brain hemisphere. This scan helped explain why I had less coordination and strength on the left side of my body. The positive DaTScan result provided further “supporting” information for the diagnosis of PD. 

I signed up for the National Institute of Health’s (NIH) Phenotype/Genotype Correlations in Movement Disorders, run out of their Parkinson’s Clinic. My wife and I spent a day there meeting with neurologists who tried to understand my case, given the mild symptoms. They also drew blood to test the full genome to check for PD-related genes.  

I also signed up for the PD GENEration: Mapping the Future of Parkinson’s disease genetic testing study, which collected my genes by a buccal (cheek) swab. The results were back in one month; they were negative for any of the seven genes related to PD. That testing came with excellent genetic counseling to understand what the results meant for my family and me. Likewise, NIH’s genetic testing “did not detect disease-causing variants.” I was interested to know if there was a genetic connection because I figured that might tell me something about possible disease progression, and preferred treatments.  

There was one more study I signed up for right away. In December of 2023 I contacted Marymount University in VA, about participating in their study about the effects of rock climbing on PD. I signed up for data collection in January, which involved 10 baseline measures that assessed agility, balance, grip strength and general well-being. Then I had to rock climb 24 times in 12 weeks.  

I finished all 24 climbs by March. I then repeated the 10 tests I took in January, before climbing. I didn't see the comparison results (it's a study, so it was “blind”), but I really feel that I did as well on the posttests, or even better, after all those climbs, than on the pretests back in January.  

I never did rock climbing before, but did many other physical activities over the years. I knew that exercise was so important for PD, as well as for general health. In January I told my wife, "I hope I like rock climbing because I just signed up to do 24 climbing sessions in 3 months!" After climbing for several months for the study I have to say I don't like rock climbing — I love it!  

Exercise in the form of climbing has changed my life. After every session my body feels tired and sore (which, frankly, I feel all of the time with PD). But I liken that feeling to those good, tough workouts from playing sports for years. Walking out of the climbing gym I feel better. That natural dopamine my brain is short of might be kicking in because of the climbing. I walk with greater confidence. My attitude toward life is positive and focused. I forget about the PD. 

I continued to climb the rest of the year (in fact, I now work at the gym instructing others). In addition to climbing twice a week with my peers with PD in the UpENDing Parkinson’s program I try to help support UEP’s growth so more climbers in more gyms can participate in this remarkable exercise therapy.  

In addition, I completed the Parkinson’s Foundation Ambassador training, and was also trained as a Research Advocate.  I continue to look for, and participate in a variety of studies, many of them online, run by various universities or institutions trying to understand various issues related to PD. 

I believe research is so important to help people better understand the disease and, more importantly, what we might be able to do about it. 

My goal is to be as active as I can physically and mentally. Having the diagnosis has also prompted more reflection about life. While not sure what the future will bring, I am grateful to have found a “power through weakness.” Because of this experience, I have a new perspective, and hope for the future. There are so many resources to help those living with PD. 

Explore how you can get involved in Parkinson’s research today. Visit our Join A Study page and learn more about our Research Advocate program.   

Science News

Study Shows Multiple Sleep Problems Are Common in Early Parkinson's

Science News Blog header

More than 75% of people with Parkinson’s disease (PD) report sleep-related symptoms. The presence of sleep disorders can significantly impact quality of life for the person with Parkinson’s and their care partner, contributing to fatigue, cognitive impairment and mood disorders. 

Man laying in bed having trouble sleeping

Sleep disorders can manifest in various ways, including insomnia (difficulty falling asleep or staying asleep), Rapid eye movement (REM) sleep behavior disorder (acting out dreams), restless leg syndrome, excessive daytime sleepiness and sleep apnea.  

Research shows that sleep problems are common in early Parkinson’s stages and can get worse as the disease progresses. It’s likely that these issues stem from a combination of factors including the disease's impact on brain regions regulating sleep-wake cycles. Research also shows that sleep issues are worsened due to coexisting PD conditions like depression and anxiety, medication side effects and movement symptoms.  

However, it remains unclear if people with PD usually suffer from one single type of sleep problem, or from multiple sleep problems at the same time. In addition, researchers are still learning how sleep issues relate to other aspects of PD. A new study published in npj Parkinson's Disease systematically evaluated sleep issues in people with early-stage Parkinson's.  

Study Results 

To learn more about sleep disorders, the study examined sleep issues in 162 people with early-stage Parkinson's and 58 people without the disease. The research team used interviews, overnight sleep studies (polysomnography) and various tests to understand the participants' sleep, motor skills, thinking abilities and other health factors.  

They found that a large majority (71%) of those with early-stage Parkinson's had at least one sleep disorder. Importantly, about half of those with sleep problems experienced multiple issues at the same time. They also observed that the longer someone had Parkinson's and the more problems they had with involuntary bodily functions (like blood pressure or digestion), the more sleep disorders they tended to have. 

This new study data shows that most common sleep issues associated with Parkinson’s were insomnia (41% of participants), followed by REM sleep behavior disorder and excessive daytime sleepiness (both 25% of participants), and restless legs syndrome (16% of participants). Rates of sleep-disordered breathing, such as sleep apnea, were consistent between those with and without the disease. 

The researchers looked for trends between sleep disorders, demographics, and common PD symptoms. They found that insomnia, especially trouble staying asleep, was more common in women and those with restless legs syndrome but wasn't linked to movement problems or mood issues. REM sleep behavior disorder seemed to be connected to problems with involuntary bodily functions (like blood pressure or digestion) and older age, but not movement or thinking difficulties. Excessive daytime sleepiness was related to mood symptoms, movement problems and the use of certain Parkinson's medications, but not other sleep disorders. 

Overall, the study found that sleep problems are very common even in early-stage Parkinson's and that people with PD often suffer from multiple sleep issues at the same time. The results suggest that these sleep issues are more likely to be tied to physical changes in the body rather than psychological factors, like anxiety or depression. 

Highlights 

  • The study enrolled 162 people with early-stage Parkinson's and 58 people without the disease. 

  • The study found that sleep problems are very common in early Parkinson's and that many PD patients have multiple sleep disturbances. 

  • The most common sleep problems impacting people with Parkinson’s were insomnia (41% of participants), REM sleep behavior disorder (25% of participants), excessive daytime sleepiness (25% of participants), and restless legs syndrome (16% of participants). 

  • Sleep issues are more likely tied to physical changes in the body rather than psychological factors, like anxiety or depression. 

What does this mean? 

Sleep disorders are a common non-movement symptom in Parkinson’s disease, and are typically caused by changes in the body, rather than by anxiety or depression. Importantly, this study shows that people with PD frequently experience multiple sleep disorders at once. This increases the difficulty of properly treating sleep disorders and likely increases the burden of sleep issues on the daily lives of those with PD. 

Additionally, this study reflects that many people in the early stages of PD — even before the development of severe motor impairment — experience sleep issues. Thrashing around in bed or acting out dreams when deeply asleep may be an early sign of Parkinson's

What do these findings mean to the people with PD right now? 

There are many tips you can try at home to naturally address sleep issues. There are also treatments your care team can recommend addressing sleep disorders. This is a topic everyone with PD should bring up to their doctor and care team, who may refer you to a sleep specialist. A specialist can evaluate and identify sleep issues, which can customize treatment options.   

Sleep is particularly essential to people with PD as recent research studies have shown that sleep helps clear waste products from the brain. This has significant implications for people with PD as abnormal proteins build up in the brain.   

Learn More 

The Parkinson’s Foundation believes in empowering the Parkinson’s community through education. Learn more about PD and sleep in our below resources, or by calling our free Helpline at 1-800-4PD-INFO (1-800-473-4636) for answers to your Parkinson’s questions. 

Advancing Research

Meet a Researcher Investigating a Missing Link Between Genetic Mutation and Protein Clumping in PD

Dr. Silas Buck

After decades of research, several genetic mutations have been linked to Parkinson’s disease (PD) but we do not fully understand how these mutations cause PD. 

One such PD-associated mutation leads to the production of a malfunctioning version of the protein Leucine Rich Repeat Kinase 2 (LRRK2). Faulty LRRK2 is believed to disrupt several important processes within neurons and consequently contribute to PD progression, but how exactly these disruptions lead to the disease is still being studied. 

When looking at the posthumous brain tissue of people who had LRRK2-mutant PD, scientists have routinely seen unhealthy aggregates or clumps of a protein called tau. Similar to alpha-synuclein clumping, tau clumping is believed to contribute to the disease-related breakdown of dopamine neurons and is associated with PD dementia.   

Silas Buck, PhD, recipient of a Parkinson’s Foundation Postdoctoral Fellowship, is investigating how a relatively understudied protein called Histone Deacetylase 6 (HDAC6), which is responsible for regulating tau and keeping it from clumping, may be affected by mutant LRRK2 and drive PD-related cellular breakdown.  

“What I’m studying is how LRRK2 may cause the accumulation of a protein called tau. When tau is misfolded, it can accumulate into these clumps in the brain cells and that can cause neurons, or brain cells, to degenerate and lead to not just movement symptoms, but tau, specifically, is also associated with the cognitive symptoms that are seen in Parkinson’s. So, addressing the cause of tau protein accumulation can potentially treat non-movement symptoms in people with PD,” said Dr. Buck. 

Using neurons grown in petri dishes, Dr. Buck will first measure how much LRRK2 and HDAC6 interact in healthy brain cells.   

Then, he will introduce mutant LRRK2 into those cells and analyze how that affects the LRRK2-HDAC6 interactions and if such changes result in tau clumping. Finally, Dr. Buck will investigate if mutant LRRK2’s impact on HDAC6 also contributes to disrupted mitochondria repair and cleanup, another cellular stressor commonly seen in PD brain tissue.   

Uncovering more biochemical links in the chain between gene mutation and PD means more opportunities to intervene in the disease’s progression. Through Dr. Buck’s experiments, we will understand more about HDAC6’s role in PD development and how it could be the target of new future therapies, expanding the effective medication options and improving doctors’ ability to provide genetically personalized treatment plans for people with Parkinson’s. 

“Studying these proteins and how they are dysfunctional in Parkinson’s disease can inform us not just about those genetic cases but also how Parkinson’s disease forms in cases that do not have a clear genetic form as well,” Dr. Buck said. 

“This fellowship from the Parkinson’s Foundation is key to helping me develop into a fully independent scientist and investigator, where I can one day have my own research program and run my own lab to continue investigating mechanisms of degeneration in Parkinson’s disease,” Dr. Buck said. “Receiving this postdoctoral fellowship allows me to pursue my passion of performing exciting and important research that could one day help substantially improve the lives of people with Parkinson’s disease. It has always been my dream to make a difference in the health of others through research, and I hope to achieve that through this project.”  

Meet more Parkinson’s researchers! Explore our My PD Stories featuring PD researchers

Advancing Research

Actualización: Un nuevo estudio revela que fármacos como el Ozempic son ineficaces en el tratamiento del Parkinson

ozempic pen injection

Este mes de febrero, un nuevo estudio publicado en la revista médica The Lancet ha despertado importantes dudas acerca de la eficacia potencial de la clase de fármacos para la diabetes agonistas del receptor GLP-1 en el tratamiento de la enfermedad de Parkinson (EP).  

Un ensayo clínico de fase 3 evaluó el agonista del receptor de GLP-1 llamado Exenatida. El estudio, que constó de 194 participantes a quienes se dio seguimiento durante dos años, encontró que el uso diario de Exenatide no proporcionó ninguna mejora significativa para los síntomas del Parkinson en comparación con el placebo. Esta falta de mejora fue consistente en todos los grupos de edad, sexos y estadios de la EP. Los investigadores también realizaron tomografías computarizadas (CT scan) del cerebro antes y después del estudio en participantes seleccionados y descubrieron que la Exenatida no afectaba la actividad dopaminérgica en las regiones cerebrales relevantes para la EP. 

Estos resultados sugieren que los actuales medicamentos agonistas del receptor GLP-1 no son eficaces como tratamientos modificadores de la enfermedad de Parkinson. A medida que los científicos aprendan más acerca de la vía biológica del GLP-1 y cómo afecta la salud de las neuronas dopaminérgicas, es probable que en el futuro se desarrollen y se pongan a prueba nuevos medicamentos con GLP-1 específicamente diseñados para el Parkinson. 

¿Podrían los medicamentos para la diabetes como el Ozempic ser un tratamiento para el Parkinson? 

Un ensayo clínico de lixisenatida, un fármaco aprobado por la FDA en 2016 para tratar la diabetes, mostró potencial para reducir los síntomas motores en personas con Parkinson 

La enfermedad de Parkinson (EP) es un trastorno neurodegenerativo en el que las células cerebrales productoras de dopamina se descomponen lentamente con el paso del tiempo. Esta pérdida de dopamina provoca diversos síntomas motores, como temblor, rigidez, lentitud de movimientos y problemas con el equilibrio. Aunque los tratamientos actuales pueden ayudar a controlar muchos de los síntomas de la EP, no abordan las causas de la enfermedad y, por lo tanto, no pueden evitar su progresión.  

Nuevas investigaciones sugieren una posible relación entre la disminución de la sensibilidad del cerebro a la hormona insulina y la progresión del Parkinson. Esta observación ha llevado a los investigadores a estudiar si los medicamentos antidiabéticos que ayudan a controlar los niveles de insulina podrían ralentizar la progresión del Parkinson. 

Los fármacos Ozempic y Wegovy pertenecen a una clase de medicamentos para la diabetes llamados agonistas de los receptores GLP-1 que, junto con algunos otros medicamentos para la diabetes, han mostrado potencial para reducir el riesgo de desarrollar Parkinson en personas con diabetes. Estos fármacos imitan la acción de una hormona natural que regula los niveles de azúcar en sangre. 

Sin embargo, se desconoce si los fármacos agonistas del receptor GLP-1 pueden beneficiar a las personas con Parkinson que no tienen diabetes. 

Un reciente ensayo clínico, publicado en el New England Journal of Medicine, analizó si un agonista del GLP-1 llamado lixisenatida podría ofrecer un nuevo enfoque de tratamiento para las personas en los primeros estadios del Parkinson. El estudio mostró que la lixisenatida, que fue aprobada por la FDA en 2016 para ayudar a los diabéticos a controlar el azúcar en la sangre, ayudó con los síntomas motores en personas con la EP y podría ralentizar la progresión del Parkinson.  

Como parte de este estudio, un modelo de ratón del Parkinson demostró que la lixisenatida mejoraba los problemas motores y preservaba las células cerebrales, lo que sugiere que los agonistas del GLP-1 podrían tratar las causas subyacentes de la EP.  

Además, la lixisenatida no es el único agonista del receptor GLP-1 con potenciales aplicaciones terapéuticas para el Parkinson: al menos otros seis medicamentos similares están bajo evaluación actualmente como tratamiento potencial para la EP. Sin embargo, en comparación con la liraglutida y la semaglutida (como Wegovy), la lixisenatida parece ser más eficaz en atravesar la barrera hematoencefálica. 

Resultados del estudio 

El nuevo estudio, —un ensayo clínico de fase 2—, reclutó a 156 personas con Parkinson, que fueron asignadas aleatoriamente para recibir lixisenatida o un placebo. Los participantes fueron diagnosticados con Parkinson dentro de los tres años anteriores y estaban tomando medicamentos dopaminérgicos, como la levodopa y continuaron haciéndolo durante el ensayo. Para cada participante, los investigadores evaluaron los síntomas antes del tratamiento con la inyección diaria de placebo o lixisenatida y 12 meses después. 

Tras 12 meses de tratamiento, las personas que recibieron lixisenatida mostraron mejores resultados en sus síntomas motores en comparación con las que recibieron un placebo. Mientras que los síntomas motores del grupo de lixisenatida no cambiaron en comparación con el inicio del ensayo, el grupo de placebo experimentó un empeoramiento de sus síntomas.  

Tras 12 meses de tomar lixisenatida o un placebo, los participantes se sometieron a dos meses sin ningún tratamiento y se volvieron a evaluar los síntomas. El grupo de lixisenatida mostró mejores síntomas motores en comparación con el grupo de control después de dos meses, lo que sugiere que la lixisenatida puede tener un impacto positivo en la progresión de la enfermedad.  

Cabe destacar que los que recibieron lixisenatida tuvieron más efectos secundarios gastrointestinales: un 46% de los participantes que tomaron lixisenatida tuvieron náuseas y 13% experimentaron vómitos. Aproximadamente un tercio de los participantes (28 personas) que recibieron lixisenatida optaron por una dosis inferior durante el estudio debido a los efectos secundarios. 

Destacados 

  • En el estudio participaron 156 personas con Parkinson, que fueron asignadas aleatoriamente a recibir una inyección diaria de lixisenatida (un agonista del GLP-1) o un placebo. 

  • Tras un año de tratamiento, las personas que recibieron lixisenatida mostraron mejores resultados en sus síntomas motores en comparación con las que recibieron un placebo. 

  • La lixisenatida provocó efectos secundarios gastrointestinales en muchos participantes: un 46% tuvo náuseas y un 13% experimentó vómitos. 

¿Qué significa esto para los medicamentos del GLP-1 y el Parkinson? 

Este estudio puede indicar que ciertos agonistas del GLP-1 podrían ser beneficiosos para reducir ciertos síntomas del Parkinson. Estos prometedores resultados inspirarán más investigaciones sobre los efectos a largo plazo de la lixisenatida en la progresión de la EP.  

Este estudio tenía un tamaño de muestra pequeño y sólo evaluó el fármaco en los recién diagnosticados (diagnosticados en los últimos tres años). Se necesitan estudios más amplios, con un número significativamente mayor de participantes que vivan con rangos más amplios de los estadios de la EP, antes de que podamos establecer una conexión entre los agonistas del GLP-1 y el control de los síntomas o la progresión de la enfermedad.  

Por último, actualmente se están investigando muchos agonistas del GLP-1 para el tratamiento de la EP y otros fármacos similares han mostrado resultados menos prometedores en comparación con la lixisenatida. Se necesitan más investigaciones para comprender las diferencias entre los distintos agonistas del GLP-1 sobre los síntomas de la EP.  

¿Qué significan estos hallazgos para las personas con la EP en este momento? 

Actualmente, los agonistas del GLP-1 sólo están aprobados para el tratamiento de la diabetes y la obesidad. Las personas con Parkinson que también tienen diabetes y obesidad deben hablar con su médico antes de empezar a tomar un agonista del GLP-1. Actualmente no hay pruebas suficientes que respalden el uso de agonistas del GLP-1 como la lixisenatida como tratamiento para las personas con Parkinson que no tienen diabetes ni obesidad.  

Además, la pérdida de peso asociada a los agonistas del GLP-1 puede ser un problema para las muchas personas con Parkinson que experimentan una pérdida de peso involuntaria a lo largo de la enfermedad.  

Cabe destacar que la lixisenatida ya no está disponible en los EE.UU.  

Aprenda más 

La Parkinson’s Foundation cree en el empoderamiento de la comunidad de Parkinson a través de la educación. Aprenda más acerca de la EP y de los temas en este artículo a través de nuestros recursos mencionados abajo o llame a nuestra Línea de Ayuda gratuita al 1-800-4PD-INFO (1-800-473-4636), opción 3 para español, para obtener respuestas a sus preguntas acerca del Parkinson. 

Advancing Research

PD GENEration: Advancing Research, Empowering Lives

PD GENEration map of U.S.

PD GENEration: Mapping the Future of Parkinson’s Disease is an international Parkinson’s Foundation research study that has enrolled more than 20,000 people with Parkinson’s disease (PD) since its launch six years ago. Study data has already led to eye-opening insights into the disease, such as determining a more precise range of 12-13% of people with PD having a genetic link to the disease — significantly more accurate than the previously estimated 5-10% average prevalence.

As PD GENEration continues to expand, the Parkinson’s Foundation remains dedicated to its core mission of educating people with Parkinson’s. The Foundation held a live webinar to share what we’ve learned from PD GENEration so far and where the study may be headed. Joining the study team speakers were two PD GENEration participants who spoke about their experiences. This webinar offered PD GENEration participants and their families the opportunity to ask questions of the study team.   

The following article is based on the Parkinson’s Foundation webinar PD GENEration: Advancing Research, Empowering Lives, hosted on January 21, 2025 by James Beck, PhD, Chief Scientific Officer, with guests Roy Alcalay, MD, PD GENEration Principal Investigator, Vanessa Russell-Palmer, Parkinson’s Foundation Research Advocate, and Lisa Kirk, PD GENEration participant.

Watch the full webinar recording now

Previous Genetic Testing Studies Did Not Share Testing Results with Participants

A scientific focus on the genetic risk factors that influence PD is a relatively recent development for the PD research field, which has only gained momentum since the discovery of the first PD-related gene in the 1990s. Since then, more clinical studies began to include genetic testing as a part of their research protocols.

However, the genetic information collected in these studies was not shared with participants, sometimes putting researchers in difficult situations where they identified genetic risk factors but could not let participants know due to trial protocols. Many studies did not include genetic counseling where a trained and licensed counselor reveals and explains test results.

This left many of the people living with PD who were involved in these trials unaware of their PD genetic risk factors. Many then missed opportunities to join future clinical trials centered on their genetic variant, slowing down the progress of PD research for those populations.

“You cannot undo knowledge. If you’re telling someone that they carry a mutation, we cannot take it back,” said Dr. Alcalay. Thus, a hallmark of PD GENEration is to deliver the potential life-changing genetic test results with care and consideration through certified genetic counselors at no-cost to study participants.

PD GENEration Begins: From Pilot Study to Soaring Engagement

In late 2019, the Parkinson’s Foundation launched PD GENEration, which was designed to be accessible to all people with a confirmed Parkinson’s diagnosis. This open approach was in contrast to many previous PD genetics studies, which often limited participation to specific populations. The PD GENEration genetic panel focuses on seven of the most common variants in PD-related genes, all of which are widely recognized as relevant in PD research fields.

In response to COVID-19 precautions in the study’s early years, PD GENEration quickly evolved, providing the ability for people to join the study through an at-home test kit or in-person at a clinical study site.

PD GENEration: Mapping the future of Parkinson's disease

In the next few years, PD GENEration grew its study population with ever-increasing momentum as more healthcare sites and genetic counselors were brought on board across the country. In March 2024, the total participant count reached 15,000, a significant milestone that encouraged a new phase of expansion.

PD GENEration evolved in two ways:

  1. The first was the launch of new initiatives to reach and encourage enrollment in PD communities from non-European populations, from where >90% of genetic testing has focused. This expansion recognizes that Parkinson’s is a complicated disease, and therefore working to increase the diversity of genetic data being collected is crucial to offer insights and potential for breakthrough discoveries impacting the global PD community. One way this was achieved was to expand the study to Latin America in collaboration with The Latin American Research Consortium on the Genetics of Parkinson’s Disease (LARGE-PD), focused on increasing PD knowledge in these countries.
  2. The second was PD GENEration expanded was to extend the genetic testing panel itself. Today, in addition to the seven genes related to PD, 21 additional PD-associated genes can be reported back to the participant if they so choose. This panel extension provides valuable data toward understanding the impact these less-well understood mutations may have on PD onset and progression. Not only that, but participants can now also elect to receive results regarding 10 gene variants with a known link to hereditary cancer and heart disease. These results offer additional personal biological insights without an additional sample. Importantly, these disease states also have therapeutic interventions available, which may be of value to those who did not previously know their genetic risk.

A goal of PD GENEration is to accelerate PD research. The Parkinson’s Foundation is doing just that by vastly expanding the amount of genetic data available for analysis. To obtain the necessary amount of DNA for analysis, PD GENEration pivoted from saliva-based sample collection to blood-based. Thanks to the innovative Tasso+ device, which allows for quick at-home blood sample collection in a safe and comfortable way, people can continue to join the study remotely while also ensuring they can fully contribute to advancing PD research.

More than Just Data: Knowledge as Empowerment

Since the beginning, PD GENEration’s goal has been to make genetic testing accessible to everyone living with Parkinson’s. In doing so, the study not only collects and shares valuable data with the PD research community in search of treatment breakthroughs but also empowers participants with a greater understanding of their unique disease journey.

Lisa Kirk, a former search-and-rescue canine handler, remembers the shock of learning that her early symptoms were not just aging-related. “It never occurred to me that it was Parkinson's. I thought at the most I had essential tremors. When I did get the diagnosis, it was one of those moments when you remember every detail. You remember the weather, what you were wearing, who was with you. It was a shock.”

Over time, as Lisa better understood how to manage her PD symptoms, she began searching for ways to participate to PD research.

“Whatever treatment I received was because someone else, another patient with Parkinson’s, had participated in a study of some kind. I wanted to help make a difference for other people. That was what motivated me to participate in the PD GENEration study.”

- Lisa Kirk, PD GENEration participant

For Vanessa Palmer, her diagnosis came after an orthopedic injury. “I noticed on my right side in my hand, it felt like I had a tremor, but when I looked I couldn’t see any movement. My orthopedic doctor just thought I had a lot of sciatic nerve damage and said ‘We’ll just watch it’. But by the end of 2015, I had a true resting tremor.”

Eventually she found a neurologist who ran some tests. “The neurologist asked me ‘Did you bring anyone with you?’ I said no, I’m on my lunch hour, and she said ‘Well, I think you have early-onset Parkinson’s disease. And it just took the wind out of me.” A second opinion at a movement disorders clinic confirmed Vanessa’s PD diagnosis.

Her first few years of living with PD Vanessa was in survival mode. “Just taking my meds, hoping they’re working and just trying to survive.” One day her doctor asked if she wanted to participate in research. She said yes “because at this point, I wanted to do something to contribute or fight back. The first thing she presented to me was PD GENEration.” Having no family history of PD, Vanessa was interested to better understand the cause of her diagnoses.

The genetic results and counseling provided to Lisa and Vanessa had their share of surprises. Lisa learned that she had the GBA1 mutation, the most common PD risk factor. “That’s when I realized I needed to talk to my family and tell them that hereditary PD is a possibility. I understand that most people with this mutation never get Parkinson’s, but some do so I wanted to give my family a heads up,” Lisa said.

The unexpected result related to Lisa’s ancestry. Lisa believed that her family history was based in northern Europe, but from the genetic testing she learned that her genealogy is primarily French with an Ashkenazi background, a genetic heritage linked to greater risk for PD. “All of these things were grounding,” Lisa says, “It actually helped me feel like I have a better understanding of who I am and my role in Parkinson’s.”

Vanessa’s results revealed that she did not have a genetic tie to PD. “At least I know, and I’m not worried about my children and my grandchildren to come,” she said. While the results may not have helped explain Vanessa’s diagnosis, they still help researchers look for new undiscovered causes or risk factors for PD, which “helped me feel better, and I wanted to help other people feel better, and [as an African American] I wanted to help get more diversity in the database.” Vanessa would go on to become a Parkinson’s Foundation Research Advocate in 2023, and continues to support her PD community through outreach, information sharing, and empowerment.

The Future of PD GENEration

PD GENEration continues to grow at an inspiring pace, in large part due to generous support from groups including the Global Parkinson’s Genetics Program (GP2), a program of the Aligning Sciences Across Parkinson’s (ASAP) initiative.

This support allows the study to reach more people with PD as well as increase the pace of genetic knowledge gained and provide back to those who join. As the study advances, the Parkinson’s Foundation seeks to answer questions including:

  • Can genetic information predict if deep brain stimulation (DBS) would be an effective treatment?
  • How do genetic risk factors and environmental risk factors interact in PD development and progression?
  • What underlies the asymmetric nature of PD (e.g. why might tremors develop on one side of the body instead of the other)?
  • What explains a family history of PD where none of the family members test positive for the seven main genetic risk factors?

As the study progresses, driven by collaboration between researchers, clinicians and the PD community, PD GENEration is confident that it can help contribute the data and knowledge to help answer these and many other questions.

There is still so much more to understand about Parkinson’s, but the continued success and support of PD GENEration is undoubtedly helping the science behind PD and the community move forward, together.

Learn more about PD GENEration and how you can enroll today.

Raise Awareness

Meet Four People Walking, Running and Riding Toward a Cure

Group at Moving Day walk

In 2024, Moving Day, A Walk for Parkinson’s, Parkinson’s Revolution and Parkinson’s Champions raised $8.3 million to advance Parkinson’s disease (PD) research, improve access to care and connect people with PD and their loved ones to life-changing resources and support. 

These fundraisers and volunteers inspire us as they passionately spread Parkinson’s awareness and make Parkinson’s Foundation events a success. Meet Cindy, Hailey, Peggy and more community members who help us move toward a cure:

Cindy George

Cindy Builds Community Through Caregiving

Cindy George set out to learn as much as she could about Parkinson’s disease after her husband, Dale, was diagnosed 13 years ago. Together, they have grown their local PD community by starting a support group, participating in Moving Day Salt Lake City and more.

“People with Parkinson’s are superheroes who deserve to be recognized, and that’s what happens at Moving Day. It highlights the importance of exercise for people with Parkinson’s and provides so much education and information.”

KEEP READING


Hailey Harn's group at Revolution ride

Hailey Honors Dad, Rallies Friends through Parkinson’s Revolution

After her dad was diagnosed with PD, Hailey Harn wanted to wanted to find a positive and productive way to channel her energy toward a mission that would make an impact. She was touched when friends and other members of her community wanted to make an impact alongside her.

“Friends enthusiastically joined my team to raise money through Parkinson’s Revolution — we all realized PD touches far more people than we thought. With each donation came a story of a relative, colleague or friend who also had a connection to PD, and gratitude for working toward PD education, care and a cure!”

KEEP READING


Peggy Faber running a race

Peggy Completes 50 Marathons in 50 States to Raise Parkinson’s Awareness

Peggy was halfway to her goal of completing 50 marathons in 50 states when she was diagnosed with Parkinson’s. She didn’t let this deter her, and finished her final marathon as a part of Parkinson’s Champions on September 24, 2024.

“I found out during a race, around mile 20 when my gait and balance started to suffer, that I was going to have to work harder to make this goal happen with Parkinson’s. Other concerned racers asked if I needed help or medical attention. I thanked them for their concern and said, ‘This is what Parkinson’s looks like; help us find a cure.’”

KEEP READING


Piedmont Community Walk

Piedmont Fayetteville Unites Parkinson’s Community with First Community Walk

When Evan M. Johnson, MD, MSc, joined Piedmont Fayette Hospital in Fayetteville, GA, as a movement disorders specialist, he told his team his goal was to reach as many people as possible to support those with Parkinson’s and educate others. Organizing a Moving Day Community Walk for Fayetteville allowed them to unite their community and raise almost four times their fundraising goal.

“Community events like this are special moments to recognize and celebrate all individuals who are connected to Parkinson’s. Doing so helps reinforce to patients that they are not alone but are a part of a large community of peers and support.”

KEEP READING 

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