To assess the involvement of the immune system in Parkinson's disease we st
udied the phenotype of circulating lymphocytes in 30 untreated and 34 treat
ed patients. We found a numeric decrease in helper T cells (higher in CD4()CD45RA(-) than in CD4(+)CD29(+)) and B cells, and a rise in activated, CD4
(+)CD25(+) lymphocytes that was correlated with lymphocyte depletion. All t
hese alterations were independent of levodopa treatment. In addition, we pe
rformed striatal dopamine depletion in rats with either MPP+ or 6-OHDA, sho
wing that MPP+ but not 6-OHDA can increase CD4(+)CD25(+) lymphocytes. Thus,
mechanisms other than dopamine deficit may explain the immune activation i
n Parkinson's disease. (C) 2001 Elsevier Science B.V. All rights reserved.