Eye-movement biomarkers may flag Parkinson’s decline earlier

Company data link subtle eye changes to later declines in daily functioning

Written by Andrea Lobo | Aug. 17, 2026

  • Eye-movement biomarkers may flag functional decline before standard assessments.
  • Parkinson's can cause slower, less accurate eye movements as the disease progresses.
  • Eye tracking may offer a sensitive way to monitor progression and treatment effects.

Neuralight’s eye-movement biomarkers may predict declines in daily functioning in people with Parkinson’s disease before those changes can be detected by conventional clinical assessments, new clinical study data suggest.

The PALOMA study (NCT05862649), which involved hundreds of adults at clinical sites in the U.S. and Europe, previously produced data that Neuralight said showed the biomarkers were more sensitive than the Movement Disorder Society-Sponsored Revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), a standardized clinical scale used to assess Parkinson’s symptoms and daily functioning.

The latest data extend those findings, with the company reporting that the eye-movement biomarkers can predict deterioration before it becomes apparent on conventional clinical assessments such as the MDS-UPDRS.

Eye tracking may better detect Parkinson’s progression

These biomarkers could help researchers assess treatment responses, monitor changes in disease over time, and evaluate strategies aimed at slowing disease progression.

“Neurology has needed a way to quantify how the brain changes over time, and to connect that change to what matters most: how a patient feels and functions day to day. These results provide evidence that this can now be done, and more sensitively than the gold-standard scale allows,” Edmund Ben-Ami, Neuralight’s co-founder and CEO, said in a company press release.

“This is another exciting milestone in our mission to make brain function measurable, for both the field and the patients it serves,” Ben-Ami added.

Parkinson’s is caused by the progressive dysfunction and loss of dopaminergic neurons — nerve cells that produce dopamine, a chemical messenger important for normal signaling and movement. People with Parkinson’s can have slower and less accurate eye movements, which may become more pronounced as the disease progresses.

Tracking eye movements may, therefore, help monitor disease progression. Neuralight’s computer-based eye-tracking technology uses a standard webcam to record facial videos, with machine-learning algorithms analyzing eye movements to generate biomarkers of brain function.

The PALOMA study aimed to assess whether Neuralight’s eye-movement biomarkers could be used to track disease progression and correlate with standard clinical assessments. Earlier data reported by Neuralight indicated that its eye-movement biomarkers were about 10 times more sensitive than the MDS-UPDRS at detecting disease progression.

Exploring Genetic Differences in Parkinson’s Disease by Ancestry

By Olivia Dimmer – Aug 4, 2026 - Northwestern Medicine

A landmark international study has found that the genetic drivers of Parkinson’s disease can vary dramatically between populations, underscoring the need to include people of various ancestries in genetic research and clinical trials.

The study, published in The Lancet Neurology, analyzed genetic data from 99,783 participants in the Global Parkinson’s Genetics Program, including 58,559 people with Parkinson’s disease and 41,224 people without the disease. Investigators examined known Parkinson’s disease-causing mutations and high-risk variants across 11 ancestry groups, making it the largest and most genetically diverse Parkinson’s study conducted to date.

The findings have immediate implications for the newest generation of therapies targeting specific Parkinson’s-related genes as they move through clinical trials, said Niccolo Mencacci, MD, PhD, assistant professor in the Ken and Ruth Davee Department of Neurology’s Division of Movement Disorders, who was a co-author of the study.

“Scientists have learned a lot about the genetics of Parkinson’s disease over the past couple of decades, but there’s a big blind spot: almost all of that research has been done in people of European ancestry,” Mencacci said. “About three out of every four genetic studies of Parkinson’s disease have focused on this one group, even though Parkinson’s affects people all over the world.”  

In the study, investigators found that 2.1 percent of people with Parkinson’s carried a genetic variant known to directly cause the disease, while nearly 12 percent carried variants that increase disease risk. However, the frequency of variants differed substantially among ancestry groups. For example, disease-causing variants were identified in 10.7 percent of participants of Ashkenazi Jewish ancestry, but as few as 0.4 percent of participants of African ancestry. Based on the study data, risk-associated variants in the genes GBA1 and LRRK2 were detected in nearly 6,900 people with Parkinson’s disease.

More activity linked to slower motor, cognitive decline in Parkinson’s

Benefits appeared to involve mechanisms beyond preserving dopamine function

Written by Patricia Inácio, PhD | Aug. 18, 2026

  • More physical activity was linked to slower decline in certain motor and cognitive measures and caudate DAT availability.
  • Greater activity was tied to slower worsening of rigidity, axial symptoms, overall motor severity, and processing speed.
  • Clinical benefits were not explained by DAT preservation, suggesting other brain mechanisms may be involved.

Higher levels of physical activity are associated with slower worsening of certain motor symptoms and better preservation of certain measures of cognitive function in people with Parkinson’s disease, according to a recent study.

People who were more physically active also showed a slower decline in dopamine transporter (DAT) availability in the caudate, a brain region affected by Parkinson’s. But that preservation of dopamine function did not explain the slower motor and cognitive decline linked to greater activity, suggesting other brain mechanisms may contribute to the benefits.

The study, “Physical activity promotes clinical benefits beyond dopaminergic preservation in Parkinson’s disease: a longitudinal analysis of the PPMI cohort,” was published in Neurological Research and Practice.

Physical activity may influence Parkinson’s progression

Parkinson’s disease is caused by the progressive loss of dopamine-producing nerve cells. Dopamine is a chemical messenger that helps the brain control movement, and its loss contributes to characteristic Parkinson’s motor symptoms such as rigidity, slowed movement, tremor, and walking difficulties.

Cognitive and other nonmotor symptoms also are common and can involve brain pathways beyond the dopamine system.

One way researchers can track changes in the dopamine system is by measuring DAT availability. DAT is a specialized protein on nerve cells that clears dopamine after its release into the space between nerve cells. In Parkinson’s, there is a steady decrease of the transporter in the brain, reflecting the progressive loss of dopamine-producing neurons.

Physical activity has consistently been associated with better outcomes in Parkinson’s, including slower worsening of gait and postural problems, daily functioning, and processing speed. But researchers still do not know exactly why activity may help, including whether its benefits come from protecting dopamine-producing nerve cells.

To find out, researchers in South Korea examined data from the Parkinson’s Progression Markers Initiative (PPMI), an ongoing observational study that follows people with newly diagnosed Parkinson’s who show reduced DAT availability on brain scans.

Participants had at least four years between physical activity assessments and at least two evaluations of DAT availability, motor symptoms, and cognitive function. The researchers analyzed DAT imaging, motor function, and cognitive function separately, using the available data for each. DAT availability was measured in the caudate and putamen, two major parts of the striatum, a brain region affected by Parkinson’s.

Physical activity was assessed using a questionnaire in which participants reported the intensity, frequency, and duration of their leisure, household, and work-related activities during the previous week. Researchers averaged participants’ scores over follow-up to estimate their usual level of physical activity.

The results showed that higher physical activity levels were significantly associated with a slower decline in DAT availability in the caudate, but not in the putamen.

Improving Parkinson’s disease treatment

August 11, 2026 - National Institutes of Health

At a Glance

  • Researchers identified a drug candidate that enhanced effectiveness and reduced side effects of the standard Parkinson’s disease treatment in animal models.
  • If the drug candidate proves effective in people, it could be an effective way to improve treatment for Parkinson’s disease.

The brain needs a precise balance of chemicals to work correctly. Even small shifts in that balance can cause problems. This makes it challenging to develop treatments for brain disorders without causing side effects.

The standard treatment for Parkinson’s disease involves such a trade-off. Parkinson’s disease occurs when brain cells that produce the chemical dopamine die. This leads to movement problems such as shaking, stiffness, and difficulty with balance.

A medication called levodopa helps patients by increasing dopamine levels in the brain. However, it can also cause rapid, involuntary twisting or writhing movements. This side effect is called dyskinesia. Levodopa also becomes less effective the longer patients take it.

An NIH-funded research team led by Dr. Aarash Bordbar at Sinopia Biosciences looked into how levodopa reduces Parkinson’s symptoms and causes dyskinesia. They used that knowledge to find a drug candidate that could boost levodopa’s benefits and reduce its side effects. The results were published in Science Translational Medicine on July 15, 2026.

Prior research in a mouse model of Parkinson’s disease showed levodopa changes gene activity in brain cells that respond to dopamine. The team linked some of those changes to levodopa’s beneficial effects and others to dyskinesia.

The researchers then looked for a drug candidate with the same effects on genes linked to levodopa’s benefits, but the opposite effects on genes linked to dyskinesia. Their search of a database of existing candidates turned up a chemical compound called SB-0107.

They tested combinations of SB-0107 and levodopa in rodent models of Parkinson’s disease. The team looked at how the treatment affected movement and gene activity in a brain region containing cells that respond to dopamine. SB-0107 had similar effects as levodopa on genes linked to levodopa’s benefits. It also boosted levodopa’s beneficial effects on movement symptoms. Additionally, SB-0107 countered levodopa’s effects on genes linked to dyskinesia and avoided inducing or exacerbating dyskinesia in rats.

Gut bacteria can vary with Parkinson’s severity, age, and medications

Study findings could help guide new treatment approaches

Written by Margarida Maia, PhD | Aug. 18, 2026

  • Parkinson's disease is linked to specific alterations in gut bacterial communities that differ from healthy individuals.
  • These microbial variations are closely associated with patient age, disease severity, and medications.
  • Further research is needed to determine if gut microbiome changes directly drive symptom progression.

Changes in gut bacteria may be linked to Parkinson’s disease and can vary with age, disease severity, and medications, but more research is needed to understand whether these changes actually contribute to how symptoms develop and progress, a study suggests.

“These findings regarding the relationships between microbial communities and disease characteristics warrant further investigation and may inform the development of novel therapeutic approaches for managing Parkinson’s disease,” researchers wrote.

The study, “Gut microbial dysbiosis in a Southern Chinese cohort of patients with Parkinson’s disease,” was published in Antonie van Leeuwenhoek.

Several bacterial groups more common in patients than in controls

There is increasing evidence that bacteria and other microbes living in the digestive tract, called the gut microbiome, may play a role in how Parkinson’s develops and progresses. Changes in the normal balance and variety of the gut microbiome may affect the communication between the gut and the brain via the gut-brain axis.

“However, bacterial profiles can vary based on factors like diet, age, and medication use,” the researchers wrote.

To understand whether and how the gut bacteria differ in Parkinson’s when considering factors like age, disease severity, and medication usage, the researchers compared stool samples collected from 42 patients and 25 age-matched control individuals. A technique called 16S rRNA gene sequencing was used to identify and compare the bacteria in the samples. The 16S rRNA gene is a piece of genetic material that can distinguish different bacteria.

Of the 42 patients, 18 were men and 24 were women. Their mean age was 64.1 years. Most patients were taking dopamine agonists (85.7%) or levodopa (83.3%). Dopamine agonists work by mimicking dopamine, the brain chemical that is missing in Parkinson’s, while levodopa provides the body with a precursor it can convert into dopamine.

Living near dry cleaners linked to higher Parkinson’s odds in older adults

Study found a dose-response pattern, with the highest odds within 500 feet

Written by Margarida Maia, PhD | Aug. 11, 2026

  • Living near dry cleaners was associated with higher Parkinson’s odds in adults age 67 and older.
  • The association was strongest among those living within about 500 feet, but the study did not establish that long-term TCE exposure caused the higher odds.
  • The researchers said more study is needed to better understand environmental exposures and the regional differences seen in Parkinson’s risk.

People age 67 and older who lived closer to dry cleaners had higher odds of Parkinson’s disease than those who lived farther away, according to a U.S. study. The researchers said exposure to dry-cleaning chemicals such as trichloroethylene (TCE) could help explain the association, but more research is needed.

The highest odds were among those living within 500 feet of a dry cleaner, with particularly strong links in the Dallas–Fort Worth area, parts of the South, the Detroit area, and the New York City metropolitan area extending into New Jersey.

Dry-cleaning chemicals may contribute to Parkinson’s risk

“Our findings suggest that chemicals used in dry cleaning may contaminate nearby neighborhoods and contribute to [Parkinson’s] risk,” the researchers wrote in “Nationwide association between proximity to dry cleaners and risk of Parkinson’s disease,” published in npj Parkinson’s Disease.

Breathing certain chemicals may fuel the buildup of protein clumps called Lewy bodies in the brain. Lewy bodies can damage nerve cells and lead to symptoms of Parkinson’s. One chemical, TCE, a solvent used in dry cleaning, can persist in soil, air, and groundwater for many years and has been linked to an increased risk of Parkinson’s. The researchers noted, however, that they could not specifically test measured TCE levels in relation to Parkinson’s risk in this study.

This study examined whether living near dry cleaners was associated with Parkinson’s. It included U.S. Medicare beneficiaries age 67 and older who lived within five miles of a dry cleaner. The researchers compared 180,982 people newly diagnosed with Parkinson’s with more than 18.8 million people who did not have the disease.

Parkinson’s was more common in older adults and men — patterns already well known from previous research. However, the closer people lived to a dry cleaner, the higher their odds of Parkinson’s. Those living within 500 feet of a dry cleaner had 14% higher odds than those living four to five miles away.

The strongest link was found for Parkinson’s with gait disturbance or postural instability, which can cause problems with walking and maintaining balance. People living within about 500 feet of a dry cleaner had 23% higher odds of Parkinson’s with these gait problems than those living four to five miles away.