Genetic and Environmental Factors Play a Role

Neurodegenerative diseases involve the progressive degeneration of nerve cells, causing cognitive and motor impairments. Though often thought of as age-related diseases, genetic predisposition and environmental factors can also play a significant role as the causes of neurodegenerative diseases. Read more about these diseases at “Understanding Neurodegenerative Diseases.”
The enteric nervous system (ENS) is a large division of the peripheral nervous system (PNS) that controls gastrointestinal functions and is often called the “second brain” because of its complexity and ability to function independently. The loss, degeneration, or functional impairment of neurons in the enteric system can lead to varied gastrointestinal disorders and has been increasingly linked to various neurological disorders and neurodegenerative conditions that can develop throughout a person’s life.
One disease of the ENS called Hirschsprung’s Disease is relatively common, impacting one in 5,000 babies who are born with it. This congenital condition affects the baby’s large intestine, where neurons (ganglion cells) are absent in the colon, leading to a lack of normal muscle movement. This condition results in constipation, abdominal distension, and difficulty passing stool, as well as abnormal secretion and absorption that occurs during the digestion of food. Because of this disruption, the milk or formula that newborns consume cannot successfully pass down the gut. This can result in distension of their belly, bilious and bloody vomiting, and even death of the baby, all due to this relatively common problem of the ENS.
Another disease that can be associated the ENS as well as the CNS is Parkinson’s Disease, a condition characterized by tremors, rigidity, and bradykinesia. Only about five to 10 percent of patients with Parkinson’s are born genetically predisposed to it. Some researchers propose that Parkinson’s pathology may start in the ENS with gastrointestinal symptoms such as constipation, which may have potential as a biomarker for early diagnosis and be indicative of future CNS disorders. This theory then suggests that Parkinson’s is spread to the CNS via the vagus nerve, followed by the onset of motor symptoms. What about the other 90 percent who aren’t genetically predisposed to it? They have what is called idiopathic Parkinson’s, which is believed to result from exposure to various environmental factors, specifically toxins, which can include pesticides, fungicides, and herbicides.



