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Westerlund M et al. – Altered ATP-binding cassette, sub-family B, member 1 (ABCB1) gene and/or protein P-glycoprotein (P-gp) in Parkinson's disease (PD) pts is reported, and impaired drug efflux across barriers (eg, gastrointestinal/nasal mucosal linings; blood–brain barrier) may result in accumulation of drugs and/or endogenous molecules in toxic amounts, possibly contributing to disease. ABCB1 polymorphisms show genetic predisposition and environmental influences may combine to increase risk of PD.

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