Apoptosis has been postulated as a mechanism of nerve cell death in Pa
rkinson's disease. In the present study, the substantia nigra of 22 ne
uropathologically confirmed Parkinson cases and 8 control brains was s
tudied using the in situ end-labeling (TUNEL) method. About 50% of par
kinsonian brains showed a small number of TUNEL-positive glial cells i
n the substantia nigra, whereas no neurons showed convincing TUNEL pos
itivity or any morphological signs of apoptosis. No correlation was ob
served between the number of TUNEL-positive glial cells and microglial
activation. Our results fail to demonstrate apoptosis as a mechanism
of cell death in Parkinson's disease.