SLPOtherDysphagia2018

Pink1 -/- Rats Show Early-Onset Swallowing Deficits and Correlative Brainstem Pathology.

Kaylee P Cullen, Laura M Grant, Cynthia A Kelm-Nelson and 4 others

PMID 29713896

WHAT IT FOUND

Rats with a Parkinson-related gene deletion swallowed larger boluses and moved them faster through the throat than normal rats.

Chewing slowed with age but did not differ between groups. These are rat findings, not human swallowing evidence.

Key findings

01Pink1 -/- rats had larger average and maximum bolus area than wildtype rats, regardless of age.

02Average bolus velocity was higher in Pink1 -/- rats than wildtype rats, but maximum velocity was not different.

03Pink1 -/- rats chewed slower at 8 months than at 4 months, but chewing rate did not differ between genotypes at either age.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study was done in rats, not people with Parkinson disease, so it does not show what will happen in a human swallow evaluation or what treatment will help. The swallowing analysis used only the first three clear swallows during a task lasting up to 5 minutes, and the animals often changed position, so it may not represent eating over a full meal. The 30 frames per second capture rate and video resolution were stated by the authors as limitations. One wildtype rat was excluded from the 8-month chewing analysis because it did not show five consecutive mandible opening and closing cycles, leaving 11 wildtype rats for that measure. The alpha-synuclein test used 4 rats per genotype and pooled tissue samples, so it cannot describe individual rat differences. The correlation between chewing rate and locus coeruleus tyrosine hydroxylase does not prove that locus coeruleus loss caused the chewing change; the authors say the mechanism hypothesis was not directly tested.

Declared interests

The article is tagged as supported by NIH extramural and non-U.S. government funding. The authors report no conflict of interest, and the text does not say the funder designed or wrote the study.

The easy way to misread this

Do not conclude that these rat swallowing patterns diagnose or predict human Parkinson disease swallowing problems. The study used rats, not patients, and it did not test any treatment or human swallowing outcome.

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The study

Participants
32 male Long Evans rats were tested at 4 months (Pink1 -/- n = 16, wildtype n = 16); 24 of these were tested at 8 months (Pink1 -/- n = 12, wildtype n = 12). For 8-month chewing rate, wildtype n = 11 after one exclusion. Subsets of n = 4 per genotype were used for immunohistochemistry and immunoblotting.
Certainty of evidence
Low

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Cite

Kaylee P Cullen, Laura M Grant, Cynthia A Kelm-Nelson, et al. Pink1 -/- Rats Show Early-Onset Swallowing Deficits and Correlative Brainstem Pathology. Dysphagia. 2018.

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