Woman who can smell Parkinson's helps scientists develop new test for condition

Joy Milne, 72, who lives in Scotland has been dubbed ‘the woman who can smell Parkinson’s’

Undated handout photo of Joy Milne with her late husband Les. Issue date: Wednesday September 7, 2022. PA

A woman’s hyper-sensitive sense of smell has been used by scientists to develop a test to determine whether people have Parkinson’s disease.

The test has taken years to be created after academics first discovered Joy Milne could smell it on people.

The 72-year-old from Perth, Scotland, has a rare condition which gives her a heightened sense of smell.

She noticed that her late husband Les developed a different odour when he was 33 – some 12 years before he was diagnosed with the disease, which leads to parts of the brain become progressively damaged over many years.

Mrs Milne, dubbed ‘the woman who can smell Parkinson’s’ described a “musky” aroma, different from his normal scent.

Her observation piqued the interest of scientists who decided to research what she could smell, and whether this could be harnessed to help identify people with the neurological condition.

Years later, academics at the University of Manchester have made a breakthrough by developing a test which can identify people with Parkinson’s disease using a simple cotton bud run along the back of the neck.

Researchers can examine the sample to identify molecules linked to the disease to help diagnose whether someone has the disease.

While still in the early phases of research, scientists are excited about the prospect of the NHS being able to deploy a simple test for the disease.

There is currently no definitive test for Parkinson’s disease, with diagnosis based on a patient’s symptoms and medical history.

If the new skin swab is successful outside laboratory conditions it could be rolled out to achieve faster diagnosis.

Mrs Milne told the PA news agency that it was “not acceptable” that people with Parkinson’s had such high degrees of neurological damage at the time of diagnosis, adding: “I think it has to be detected far earlier – the same as cancer and diabetes, earlier diagnosis means far more efficient treatment and a better lifestyle for people.

“It has been found that exercise and change of diet can make a phenomenal difference.”

She said her husband, a former doctor, was “determined” to find the right researcher to examine the link between odour and Parkinson’s and they sought out Dr Tilo Kunath at the University of Edinburgh in 2012.

Dr Kunath paired up with Professor Perdita Barran to examine Mrs Milne’s sense of smell.

The scientists believed that the scent may be caused by a chemical change in skin oil, known as sebum, that is triggered by the disease.

In their preliminary work they asked Mrs Milne to smell t-shirts worn by people who have Parkinson’s and those who did not.

Mrs Milne correctly identified the t-shirts worn by Parkinson’s patients but she also said that one from the group of people without Parkinson’s smelled like the disease – eight months later the individual who wore the t-shirt was diagnosed with Parkinson’s.

Researchers hoped the finding could lead to a test being developed to detect Parkinson’s, working under the assumption that if they were able to identify a unique chemical signature in the skin linked to Parkinson’s, they may eventually be able to diagnose the condition from simple skin swabs.

In 2019 researchers at the University of Manchester, led by Prof Barran, announced that they had identified molecules linked to the disease found in skin swabs.

The symptoms of Parkinson's Disease - in pictures

Sheikh Juma with Cleveland Clinic Abu Dhabi staff Ayah Jammali, an occupational therapist, and Dr Shivam Mittal from the Neurological Institute. Photo: Cleveland Clinic Abu Dhabi

Dr Mittal said a combination of therapy, support and drugs can significantly improve quality of life for Parkinson's patients. Photo: Cleveland Clinic Abu Dhabi

Parkinson's is a degenerative condition that causes nerve cells to die. This prevents signals from travelling to the body, which causes movement and speech problems. Pawan Singh / The National

Doctors said they have an array of treatments including surgery, medicines, exercise support and therapy, which can significantly improve quality of life. Courtesy: Cleveland Clinic Abu Dhabi

Regular exercise and breathing can help patients to improve movement, stay active and overcome anxiety and depression, which is common. Ravindranath K / The National

Regular exercise and breathing can help patients to improve movement, stay active and overcome anxiety and depression, which is common. AFP

And now the scientists have developed a test using this information.

The tests have been successfully conducted in research labs and now scientists are assessing whether they can be used in hospital settings.

If successful, the test could potentially be used in the NHS so GPs can refer patients for Parkinson’s tests.

The findings, which have been published in the Journal of the American Chemical Society, detail how sebum can be analysed with mass spectrometry – a method which weighs molecules – to identify the disease.

Some molecules are present only in people who have Parkinson’s disease.

Researchers compared swabs from 79 people with Parkinson’s with a heathy control group of 71 people.

“At the moment, there are no cures for Parkinson’s, but a confirmatory diagnostic would allow them to get the right treatment and get the drugs that will help to alleviate their symptoms," Prof Barran told the PA news agency.

“There would also be non-pharmaceutical interventions, including movement and also nutritional classes, which can really help.

“And I think most critically, it will allow them to have a confirmed diagnosis to actually know what’s wrong with them.”

“What we are now doing is seeing if (hospital laboratories) can do what we’ve done in a research lab in a hospital lab," she added.

“Once that’s happened then we want to see if we can make this a confirmatory diagnostic that could be used along with the referral process from a GP to a consultant.

“At the moment in Greater Manchester there are about 18,000 people waiting for a neurological consult and just to clear that list, without any new people joining it, will take up to two years. Of those 10-15 per cent are suspect Parkinson’s.

“Our test would be able to tell them whether they did or whether they didn’t (have Parkinson’s) and allow them to be referred to the right specialist.

“So at the moment, we’re talking about being able to refer people in a timely manner to the right specialism and that will be transformative.”

Mrs Milne is now working with scientists around the world to see if she can smell other diseases like cancer and tuberculosis (TB).

“I have to go shopping very early or very late because of people’s perfumes, I can’t go into the chemical aisle in the supermarket,” she said.

“So yes, a curse sometimes but I have also been out to Tanzania and have done research on TB and research on cancer in the US – just preliminary work.

“So it is a curse and a benefit.”

She said that she can sometimes smell people who have Parkinson’s while in the supermarket or walking down the street but has been told by medical ethicists she cannot tell them.

“Which GP would accept a man or a woman walking in saying ‘the woman who smells Parkinson’s has told me I have it’? Maybe in the future but not now."

Mrs Milne said that her husband, who died seven years ago, he was like a “changed man” after researchers found the link between Parkinson’s and odour.