Table 1

Non-dopaminergic involvement in PD

Evidence of non-dopaminergic involvement in PDImplications on stage of PDAuthor/year
Lewy bodies first described in non-dopaminergic neuronesPremotor and early motorForno, 199617
Neuronal loss in dorsal motor nucleus of the vagus is as marked as in the substantia nigraPremotor and early motorJellinger, 198718
Hirsch, 198719
Halliday, 199013
Cholinergic pediculopontine nucleus neurones and substance P-containing neurones suffer 77% loss in dorsal motor nucleus of the vagus while tyrosine hydroxylase-immunoreactive neurones appear spared (<5% loss)Premotor and early motorJellinger, 198718
Hirsch, 198719
Halliday, 199013
Complete sparing of medullary dopaminergic neurones reportedPremotor and early motorSaper, 199120
Lewy body degeneration is prominent in the non-dopaminergic anterior olfactory nucleusPremotor and early motorWakabayashi, 199721
Non catecholaminergic neurones severely depleted in PD in the autonomic system: spinal intermediolateral nucleus 30–40% loss of preganglionic autonomic neuronesPremotor and early motorWakabayashi, 199721
Lewy bodies are frequent in the vasoactive intestinal peptide neurones of the enteric nervous system but rare in catecholaminergic cellsPremotor and early motorWakabayashi, 199721
Lewy bodies present in both tyrosine hydroxylase+and tyrosine hydroxylase—cells in the cardiac plexusPremotor and early motorWakabayashi, 199721
Iwanaga, 199922
Lewy body degeneration developing in lower brainstem neurones well before the substantia nigraPremotor and early motorBraak, 200315
Incidental Lewy bodies identified within pontomedullary neurones in the absence of substantia nigra pathology, but not vice versaPremotor and early motorBraak, 200423
  • PD, Parkinson's disease.