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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0"><Article><Journal><PublisherName>jneuro</PublisherName><JournalTitle>Journal of Neurology and Neuropsychiatry</JournalTitle><PISSN>c</PISSN><EISSN>o</EISSN><Volume-Issue>Volume 2 Issue 2 (July-Dec)</Volume-Issue><IssueTopic>Multidisciplinary</IssueTopic><IssueLanguage>English</IssueLanguage><Season>6 Months </Season><SpecialIssue>N</SpecialIssue><SupplementaryIssue>N</SupplementaryIssue><IssueOA>Y</IssueOA><PubDate><Year>2025</Year><Month>12</Month><Day>25</Day></PubDate><ArticleType>Neurological Disorder</ArticleType><ArticleTitle>Infectious Diseases as a Potential Risk Factor for Parkinson’s Disease and Parkinsonism: A Scoping Review</ArticleTitle><SubTitle/><ArticleLanguage>English</ArticleLanguage><ArticleOA>Y</ArticleOA><FirstPage>1</FirstPage><LastPage>13</LastPage><AuthorList><Author><FirstName>Paula Abola 1*</FirstName><LastName/><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>N</CorrespondingAuthor><ORCID/><FirstName>Dita Cerina</FirstName><LastName>2</LastName><AuthorLanguage>English</AuthorLanguage><Affiliation/><CorrespondingAuthor>Y</CorrespondingAuthor><ORCID/></Author></AuthorList><DOI>https://doi.org/10.71117/JNNP.2025.2202</DOI><Abstract>Parkinsonism is a syndrome characterized by bradykinesia, rigidity, tremor, and postural instability, with Parkinson’s disease (PD) being the most common cause. Increasing evidence suggests that infectious diseases may play a role in triggering or exacerbating Parkinsonian symptoms through direct neurotoxicity, neuroinflammation, or alterations in the gut--brain axis. \textbf{Methods:} A scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines was conducted. PubMed, Cochrane, and MEDLINE databases were searched for studies examining infections, PD, and Parkinsonism. Eligible studies assessed infection-related PD or Parkinsonism risk and symptom modulation. \textbf{Results:} Thirty-seven studies met the inclusion criteria. Several infections were linked to Parkinsonism, with chronic viral infections such as hepatitis C virus (HCV) and hepatitis B virus (HBV), and bacterial infections including \textit{Helicobacter pylori} and \textit{Clostridium difficile}, associated with an increased risk of PD, while some infections showed no significant effect. Acute infections, such as urinary tract and respiratory infections, were frequently linked to transient worsening of symptoms. Antiviral therapy and \textit{H. pylori} eradication demonstrated potential benefits, although findings were inconsistent. \textbf{Conclusion:} The relationship between infections and PD is complex, with certain infections potentially triggering or worsening symptoms, while others appear neutral or protective. Understanding infection-related mechanisms of neurodegeneration is essential for developing preventive and therapeutic strategies. Further longitudinal studies are needed to clarify causal links and optimize infection management in PD.</Abstract><AbstractLanguage>English</AbstractLanguage><Keywords>Parkinsonism, neuroinflammation, bradykinesia</Keywords><URLs><Abstract>https://jneuro.clsconf.com/admin/abstract?id=37</Abstract></URLs><References><ReferencesarticleTitle>References</ReferencesarticleTitle><ReferencesfirstPage>16</ReferencesfirstPage><ReferenceslastPage>19</ReferenceslastPage><References>Duda JE, Lee VMY, Trojanowski JQ. Degenerative Disorders. Published online 2003:825and;ndash;832. Doi: https://doi.org/10.1016/b0-12-226870-9/01063-7 [Google Scholar] [PubMed]Vertes AC, Khan Suheb MZ. Parkinson-plus Syndrome. Published online 2022. Available at: https://www.ncbi.nlm.nih.gov/books/NBK585113/ [Google Scholar]Tansey MG, Wallings RL, Houser MC, Herrick MK, Keating CE, Joers V. Inflammation and immune dysfunction in Parkinson disease. Nature Reviews Immunology 2022;22:1and;ndash;17. Doi: https://doi.org/10.1038/s41577-022-00684-6 [Google Scholar] [PubMed]Henry J, Smeyne RJ, Jang H, Miller B, Okun MS. Parkinsonism and neurological manifestations of influenza throughout the 20th and 21st centuries. Parkinsonism and;amp; Related Disorders 2010;16(9):566and;ndash;571. Doi: https://doi.org/10.1016/j.parkreldis.2010.06.012 [Google Scholar] [PubMed]Mercado G, Kaeufer C, Richter F, Peelaerts W. Infections in the etiology of Parkinsonand;rsquo;s disease and synucleinopathies. Journal of Parkinsonand;rsquo;s Disease 2024:1and;ndash;29. Doi: https://doi.org/10.3233/jpd-240195 [Google Scholar] [PubMed]Bu XL, Wang X, Xiang Y, et al. The association between infectious burden and Parkinsonand;rsquo;s disease: A case-control study. Parkinsonism and;amp; Related Disorders 2015;21(8):877and;ndash;881. Doi: https://doi.org/10.1016/j.parkreldis.2015.05.015 [Google Scholar] [PubMed]Cheng CM, Bai YM, Tsai CF, et al. Risk of Parkinsonand;rsquo;s disease among patients with herpes zoster. CNS Spectrums 2019;25(6):797and;ndash;802. Doi: https://doi.org/10.1017/s1092852919001664 [Google Scholar] [PubMed]Choi H, Mai TH, Kim K, Cho H, Ki M. Association between viral hepatitis infection and Parkinsonand;rsquo;s disease. Journal of Viral Hepatitis 2020;27(11):1171and;ndash;1178. Doi: https://doi.org/10.1111/jvh.13346 [Google Scholar] [PubMed]Goldstein L, Fogel-Grinvald H, Steiner I. Hepatitis B and C virus infection as a risk factor for Parkinsonand;rsquo;s disease in Israel. Journal of the Neurological Sciences 2019;398:138and;ndash;141. Doi: https://doi.org/10.1016/j.jns.2019.01.012 [Google Scholar] [PubMed]Camacho-Soto A, Faust I, Racette BA, Clifford DB, Checkoway H, Searles Nielsen S. Herpesvirus infections and risk of Parkinsonand;rsquo;s disease. Neurodegenerative Diseases 2020;20(2and;ndash;3):97and;ndash;103. Doi: https://doi.org/10.1159/000512874 [Google Scholar] [PubMed]Chang JJ, Kulkarni S, Pasricha TS. Upper gastrointestinal mucosal damage and subsequent risk of Parkinson disease. JAMA Network Open 2024;7(9):e2431949. Doi: https://doi.org/10.1001/jamanetworkopen.2024.31949 [Google Scholar] [PubMed]Tan AH, Mahadeva S, Marras C, et al. Helicobacter pylori infection is associated with worse severity of Parkinsonand;rsquo;s disease. Parkinsonism and;amp; Related Disorders 2015;21(3):221and;ndash;225. Doi: https://doi.org/10.1016/j.parkreldis.2014.12.009 [Google Scholar] [PubMed]Zhao Q, Xu B, Mao W, Ren Z, Chi T, Chan P. Helicobacter pylori infection is a risk factor for constipation in Parkinsonand;rsquo;s disease. Parkinsonism and;amp; Related Disorders 2024;126:107053. Doi: https://doi.org/10.1016/j.parkreldis.2024.107053 [Google Scholar] [PubMed]Liu H, Su W, Li S, et al. Eradication of Helicobacter pylori infection might improve clinical status of Parkinsonand;rsquo;s disease. Clinical Neurology and Neurosurgery 2017;160:101and;ndash;104. Doi: https://doi.org/10.1016/j.clineuro.2017.07.003 [Google Scholar] [PubMed]Huang HK, Wang JH, Lei WY, et al. Helicobacter pylori infection and increased risk of Parkinsonand;rsquo;s disease. Parkinsonism and;amp; Related Disorders 2018;47:26and;ndash;31. Doi: https://doi.org/10.1016/j.parkreldis.2017.11.331 [Google Scholar] [PubMed]Zhang W, Qin K, Miao R, et al. Parkinsonism plus syndrome in neurosyphilis. Infectious Diseases Now 2024;54(8):105009. Doi: https://doi.org/10.1016/j.idnow.2024.105009 [Google Scholar] [PubMed]Hufschmidt A, Shabarin V, Rauer S, Zimmer T. Neurological symptoms accompanying urinary tract infections. European Neurology 2010;63(3):180and;ndash;183. Doi: https://doi.org/10.1159/000289098 [Google Scholar] [PubMed]Taquet M, Geddes JR, Husain M, et al. Neurological and psychiatric outcomes in COVID-19 survivors. Lancet Psychiatry 2021;8:416and;ndash;443. [Google Scholar] [PubMed]Vingeliene S, Hiyoshi A, Lentjes MAH, et al. Hospital-treated infections and Parkinsonand;rsquo;s disease risk. Brain Communications 2024;6(2). Doi: https://doi.org/10.1093/braincomms/fcae098 [Google Scholar]Tsui JKC, Calne DB, Wang Y, Schulzer M, Marion SA. Occupational risk factors in Parkinsonand;rsquo;s disease. Canadian Journal of Public Health 1999;90(5):334and;ndash;337. Doi: https://doi.org/10.1007/bf03404523 [Google Scholar]Martyn CN, Osmond C. Parkinsonand;rsquo;s disease and the environment in early life. Journal of the Neurological Sciences 1995;132(2):201and;ndash;206. Doi: https://doi.org/10.1016/0022-510X(95)00148-U [Google Scholar]Wang J, Huang Y, Zhu Q, et al. Association between hospital-treated infectious diseases and risk of neurodegenerative disease among patients with prediabetes and diabetes. Brain, Behavior, and Immunity 2025;126:30and;ndash;37. Doi: https://doi.org/10.1016/j.bbi.2025.01.027 [Google Scholar] [PubMed]Smith JA, Das A, Ray SK, Banik NL. Role of pro-inflammatory cytokines released from microglia in neurodegenerative diseases. Brain Research Bulletin 2012;87(1):10and;ndash;20. Doi: https://doi.org/10.1016/j.brainresbull.2011.10.004 [Google Scholar] [PubMed]Neamtu M, Bild V, Vasincu A, et al. Inflammasome molecular insights in autoimmune diseases. Current Issues in Molecular Biology 2024;46(4):3502and;ndash;3532. Doi: https://doi.org/10.3390/cimb46040220 [Google Scholar]Klann EM, Dissanayake U, Gurrala A, et al. The gutand;ndash;brain axis and its relation to Parkinsonand;rsquo;s disease. Frontiers in Aging Neuroscience 2022;13. Doi: https://doi.org/10.3389/fnagi.2021.782082 [Google Scholar] [PubMed]Dmytriv TR, Storey KB, Lushchak VI. Intestinal barrier permeability: Influence of gut microbiota, nutrition, and exercise. Frontiers in Physiology 2024;15. Doi: https://doi.org/10.3389/fphys.2024.1380713 [Google Scholar]Sun J, Ludvigsson J, Ingre C, et al. Hospital-treated infections and risk of Alzheimerand;rsquo;s disease, Parkinsonand;rsquo;s disease, and ALS. Brain, Behavior, and Immunity 2022;126:30and;ndash;37. Doi: https://doi.org/10.1016/j.bbi.2025.01.027 [Google Scholar] [PubMed]Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement. BMJ 2021;372:n71. Doi: https://doi.org/10.1136/bmj.n71 [Google Scholar]Alvarado-Esquivel C, Mand;eacute;ndez-Hernand;aacute;ndez EM, Salas-Pacheco JM, et al. Toxoplasma gondii exposure and Parkinsonand;rsquo;s disease. BMJ Open 2017;7(2):e013019. Doi: https://doi.org/10.1136/bmjopen-2016-013019 [Google Scholar]Hasan S, Mielke M, Ahlskog J, et al. Infections or sepsis preceding and;alpha;-synucleinopathies. Movement Disorders 2020;35(9):1684and;ndash;1689. Doi: https://doi.org/10.1002/mds.28111 [Google Scholar]Kang X, Ploner A, Ludvigsson J, et al. Clostridium difficile infection and risk of Parkinsonand;rsquo;s disease. European Journal of Neurology 2020;27:2134and;ndash;2141. Doi: https://doi.org/10.1111/ene.14400 [Google Scholar]Yin J, Zhang S, Zheng Q, Feng Z. COVID-19 and Parkinsonand;rsquo;s disease. Scientific Reports 2024;14(1). Doi: https://doi.org/10.1038/s41598-024-66197-5 [Google Scholar]Araand;uacute;jo N, Silva I, Campos P, et al. Long-term neurological complications in COVID-19 survivors. BMJ Open 2023;13(7):e072981. Doi: https://doi.org/10.1136/bmjopen-2023-072981 [Google Scholar]Tunnicliffe L, Weil RS, Breuer J, et al. Herpes zoster and risk of incident Parkinsonand;rsquo;s disease. Movement Disorders 2024;39(2):438and;ndash;444. Doi: https://doi.org/10.1002/mds.29701 [Google Scholar]Mahami Oskouei M, Hamidi F, Talebi M, et al. Toxoplasma gondii infection and Parkinsonand;rsquo;s disease. Journal of Parasitic Diseases 2014;40(3):872and;ndash;876. Doi: https://doi.org/10.1007/s12639-014-0595-3 [Google Scholar]</References></References></Journal></Article></article>
