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Appendix removal tracked with lower Parkinson's risk

The appendix has long been treated as a leftover organ, worth little notice until it becomes inflamed.

Crescent Bioresearch24 April, 4:09 PMKillinger et al., Science Translational Medicine, 2018 · Van Andel Research Institute2 min read

Researchers at the Van Andel Research Institute in Michigan tracked more than 1.6 million people across two separate medical records databases, covering over 91 million person-years, to see whether removing the appendix changed the odds of later developing Parkinson's disease.

People who had their appendix removed decades earlier had a lower risk of developing Parkinson's and, among those who still developed it, a later age of onset, an effect strongest in people from rural areas. The team also found clumps of a Parkinson's-linked protein, alpha-synuclein, sitting inside the healthy appendix tissue of people who had never been diagnosed.

The pattern suggested the appendix might act as a reservoir for the misfolded protein that defines Parkinson's disease, giving a normally overlooked organ a possible role in starting the disease in the gut before it ever reaches the brain. The result is an association drawn from medical records, not a controlled trial, and removing an appendix as a preventive step is not something the finding supports.

Crescent Discovery Series cover: Appendix removal tracked with lower Parkinson's risk

A spare organ, holding a clue to Parkinson's.

Source

  1. Killinger, B. A., Madaj, Z., Sikora, J. W., Rey, N., Haas, A. J., Vepa, Y., Lindqvist, D., Chen, H., Thomas, P. M., Brundin, P., Brundin, L., & Labrie, V. (2018). The vermiform appendix impacts the risk of developing Parkinson's disease. Science Translational Medicine, 10(465). https://doi.org/10.1126/scitranslmed.aar5280
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