Why some Parkinson’s treatments affect decision-making

How Pramipexole influences decision-making in Parkinson's patients.

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Researchers at Fujita Health University in Japan studied how Pramipexole, used to treat Parkinson’s disease, affects decision-making. They found that Pramipexole activates a part of the brain called the external globus pallidus, which may lead to poor decision-making and impulse control.

This impairment can result in harmful behaviors, like gambling or binge eating. Understanding this link could help develop better treatments for Parkinson’s patients.

In a study published on August 14, 2024, researchers at Fujita Health University in Japan, led by Assistant Professor Hisayoshi Kubota, explored how Pramipexole (PPX) affects decision-making in mice with Parkinson’s disease.

The study examined how PPX, which helps relieve Parkinson’s symptoms by acting like dopamine, can impair decision-making. Since Parkinson’s is caused by the loss of neurons that produce dopamine, PPX binds to dopamine receptors in the brain, which may lead to poor patient decision-making.

A study shows how some Parkinson’s treatments can affect decision making
Mice with Parkinson’s Disease and treated with pramipexole show poor decision-making skills in a gambling task, as seen on the left. This is caused by increased activity in the external globus pallidus of the brain. Credit: Hisayoshi Kubota from Fujita Health University.

This study is essential for treating Parkinson’s disease (PD). Dr. Kubota says the results could help create new medications that target the external globus pallidus in the brain, which might reduce decision-making problems in PD patients.

The findings of this study can significantly raise awareness about how PD treatments affect choices, helping patients, families, and the public better understand the disease. This understanding can encourage early care and prevention, empowering individuals with knowledge and insight.

The research highlights how our brains make decisions and aim to improve the quality of life for those with Parkinson’s disease. It also reminds us to think carefully before making decisions, encouraging a sense of caution and mindfulness in our own lives.

Journal reference:

  1. Hisayoshi Kubota, Xinzhu Zhou et al., Pramipexole Hyperactivates the External Globus Pallidus and Impairs Decision-Making in a Mouse Model of Parkinson’s Disease. International Journal of Molecular Sciences. DOI: 10.3390/ijms25168849.
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