Parkinson's and Huntington's Disease: How Do Dopamine and GABA Imbalances Affect Movement?

Published on 01/22/2025 · 6 min read

Understanding neurological disorders like Parkinson's and Huntington's disease requires delving into the complex world of neurotransmitters. These diseases, while both impacting movement, stem from distinct imbalances in brain chemistry.

Parkinson's Disease: The Dopamine Deficiency

What is Parkinson's Disease?

Parkinson's disease (PD) is a chronic, progressive neurodegenerative disorder affecting millions worldwide. It's often associated with movement-related symptoms, leading to the nickname "shaky palsy."

The Role of Dopamine

The core issue in PD is the loss of dopamine-producing neurons in the substantia nigra, a part of the midbrain. Dopamine is crucial for coordinating muscle activity. When these neurons degenerate, the striatum receives insufficient dopamine, leading to:

  • Bradykinesia (slow movement)
  • Tremors
  • Rigidity
  • Postural instability

Additionally, non-motor symptoms like fatigue and memory loss can occur.

Pathophysiology Simplified

In a healthy brain, dopamine allows for smooth, controlled movements. In PD, the lack of dopamine results in unbalanced signals from the striatum, causing the characteristic tremors and other motor impairments. The exact cause of this neuronal loss remains unknown, though environmental toxins, oxidative stress, and genetic factors are suspected.

Huntington's Disease: The GABA Imbalance

What is Huntington's Disease?

Huntington's disease (HD), also known as chorea, is a progressive neurodegenerative disorder characterized by uncontrolled movements. It has a gradual onset, typically between 30 and 50 years of age.

The Role of GABA

HD involves the degeneration of cells in the basal ganglia, specifically leading to a loss of GABA (gamma-aminobutyric acid), an inhibitory neurotransmitter. GABA normally prevents excessive movement. In HD, the lack of GABA results in:

  • Chorea (uncontrolled, jerky movements)
  • Irritability
  • Difficulty in decision-making

Pathophysiology Simplified

Unlike PD, dopamine levels in HD are typically normal, allowing for the initiation of movements. However, the lack of GABA prevents the brain from effectively stopping or controlling these movements, leading to chorea. This "dancing" movement is a hallmark symptom of HD.

Key Differences Summarized

Feature Parkinson's Disease Huntington's Disease
Primary Neurotransmitter Deficiency Dopamine GABA
Movement Symptoms Tremors, bradykinesia, rigidity Chorea (uncontrolled movements)
Affected Brain Region Substantia nigra Basal ganglia

Citations:

National Institute of Neurological Disorders and Stroke - Parkinson's Disease

National Institute of Neurological Disorders and Stroke - Huntington's Disease

Shop related blood tests

Dopamine, Plasma

While direct dopamine levels in the brain are assessed through imaging, and not blood, understanding related neurological function can be helpful.

Comprehensive Metabolic Panel (CMP)

This expands upon the BMP and includes liver function tests, which can be useful when considering medications that might be metabolized by the liver.

Vitamin B12 (Cobalamin)

Vitamin B12 deficiency can cause neurological symptoms that might mimic or worsen symptoms of Parkinson's or Huntington's disease.

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