4.7 Article

Plasma alpha-synuclein and cognitive impairment in the Parkinson's Associated Risk Syndrome: A pilot study

期刊

NEUROBIOLOGY OF DISEASE
卷 116, 期 -, 页码 53-59

出版社

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.nbd.2018.04.015

关键词

Plasma; alpha-Synuclein; Parkinson's; Prodromal; Risk

资金

  1. National Institutes of Health (NIH) [U01 NS082137, U01 NS091272]
  2. Department of Defense [W81XWH-06-067]
  3. [Z161100000216150]
  4. [2016YFC1306502]
  5. [XDA12040101]
  6. NATIONAL INSTITUTE OF MENTAL HEALTH [R21MH118160] Funding Source: NIH RePORTER
  7. NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE [U01NS082137, R21NS104511, U01NS091272] Funding Source: NIH RePORTER
  8. NATIONAL INSTITUTE ON AGING [R01AG056711, R56AG057417] Funding Source: NIH RePORTER

向作者/读者索取更多资源

Plasma total and nervous system derived exosomal (NDE) alpha-synuclein have been determined as potential biomarkers of Parkinson's disease (PD). To explore the utility of plasma alpha-synuclein in the prodromal phase of PD, plasma total and NDE alpha-synuclein were evaluated in baseline and 2-year follow-up samples from 256 individuals recruited as part of the Parkinson's Associated Risk Syndrome (PARS) study. The results demonstrated that baseline and longitudinal increases in total a-synuclein predicted progression of cognitive decline in hyposmic individuals with dopamine transporter (DAT) binding reduction. On the other hand, a longitudinal decrease in NDE alpha-synuclein predicted worsening cognitive scores in hyposmic individuals with DAT binding reduction. Finally, in individuals with faster DAT progression, decreasing NDE/total alpha-synuclein ratio was associated with a larger reduction in DAT from baseline to follow-up. These results suggest that, though underlying mechanisms remain to be defined, alterations in plasma total and NDE alpha-synuclein concentrations are likely associated with PD progression, especially in the aspect of cognitive impairment, at early stages of the disease.

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