Biomarkers for dementia and mild cognitive impairment in Parkinson's disease

ABSTRACT Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease experience mild cognitive impairment, a well‐established risk factor for the development of dementia. However, mild cognitive impai...

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Published inMovement disorders Vol. 31; no. 6; pp. 861 - 881
Main Authors Delgado-Alvarado, Manuel, Gago, Belén, Navalpotro-Gomez, Irene, Jiménez-Urbieta, Haritz, Rodriguez-Oroz, María C.
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.06.2016
Wiley Subscription Services, Inc
Subjects
Online AccessGet full text
ISSN0885-3185
1531-8257
1531-8257
DOI10.1002/mds.26662

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Abstract ABSTRACT Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease experience mild cognitive impairment, a well‐established risk factor for the development of dementia. However, mild cognitive impairment in patients with Parkinson's disease is a heterogeneous entity that involves different types and extents of cognitive deficits. Because it is not currently known which type of mild cognitive impairment confers a higher risk of progression to dementia, it would be useful to define biomarkers that could identify these patients to better study disease progression and possible interventions. In this sense, the identification among patients with Parkinson's disease and mild cognitive impairment of biomarkers associated with dementia would allow the early detection of this process. This review summarizes studies from the past 25 years that have assessed the potential biomarkers of dementia and mild cognitive impairment in Parkinson's disease patients. Despite the potential importance, no biomarker has as yet been validated. However, features such as low levels of epidermal and insulin‐like growth factors or uric acid in plasma/serum and of Aß in CSF, reduction of cerebral cholinergic innervation and metabolism measured by PET mainly in posterior areas, and hippocampal atrophy in MRI might be indicative of distinct deficits with a distinct risk of dementia in subgroups of patients. Longitudinal studies combining the existing techniques and new approaches are needed to identify patients at higher risk of dementia. © 2016 International Parkinson and Movement Disorder Society
AbstractList Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease experience mild cognitive impairment, a well‐established risk factor for the development of dementia. However, mild cognitive impairment in patients with Parkinson's disease is a heterogeneous entity that involves different types and extents of cognitive deficits. Because it is not currently known which type of mild cognitive impairment confers a higher risk of progression to dementia, it would be useful to define biomarkers that could identify these patients to better study disease progression and possible interventions. In this sense, the identification among patients with Parkinson's disease and mild cognitive impairment of biomarkers associated with dementia would allow the early detection of this process. This review summarizes studies from the past 25 years that have assessed the potential biomarkers of dementia and mild cognitive impairment in Parkinson's disease patients. Despite the potential importance, no biomarker has as yet been validated. However, features such as low levels of epidermal and insulin‐like growth factors or uric acid in plasma/serum and of Aß in CSF, reduction of cerebral cholinergic innervation and metabolism measured by PET mainly in posterior areas, and hippocampal atrophy in MRI might be indicative of distinct deficits with a distinct risk of dementia in subgroups of patients. Longitudinal studies combining the existing techniques and new approaches are needed to identify patients at higher risk of dementia. © 2016 International Parkinson and Movement Disorder Society
Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease experience mild cognitive impairment, a well-established risk factor for the development of dementia. However, mild cognitive impairment in patients with Parkinson's disease is a heterogeneous entity that involves different types and extents of cognitive deficits. Because it is not currently known which type of mild cognitive impairment confers a higher risk of progression to dementia, it would be useful to define biomarkers that could identify these patients to better study disease progression and possible interventions. In this sense, the identification among patients with Parkinson's disease and mild cognitive impairment of biomarkers associated with dementia would allow the early detection of this process. This review summarizes studies from the past 25 years that have assessed the potential biomarkers of dementia and mild cognitive impairment in Parkinson's disease patients. Despite the potential importance, no biomarker has as yet been validated. However, features such as low levels of epidermal and insulin-like growth factors or uric acid in plasma/serum and of Aß in CSF, reduction of cerebral cholinergic innervation and metabolism measured by PET mainly in posterior areas, and hippocampal atrophy in MRI might be indicative of distinct deficits with a distinct risk of dementia in subgroups of patients. Longitudinal studies combining the existing techniques and new approaches are needed to identify patients at higher risk of dementia. © 2016 International Parkinson and Movement Disorder Society.
Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease experience mild cognitive impairment, a well-established risk factor for the development of dementia. However, mild cognitive impairment in patients with Parkinson's disease is a heterogeneous entity that involves different types and extents of cognitive deficits. Because it is not currently known which type of mild cognitive impairment confers a higher risk of progression to dementia, it would be useful to define biomarkers that could identify these patients to better study disease progression and possible interventions. In this sense, the identification among patients with Parkinson's disease and mild cognitive impairment of biomarkers associated with dementia would allow the early detection of this process. This review summarizes studies from the past 25 years that have assessed the potential biomarkers of dementia and mild cognitive impairment in Parkinson's disease patients. Despite the potential importance, no biomarker has as yet been validated. However, features such as low levels of epidermal and insulin-like growth factors or uric acid in plasma/serum and of As in CSF, reduction of cerebral cholinergic innervation and metabolism measured by PET mainly in posterior areas, and hippocampal atrophy in MRI might be indicative of distinct deficits with a distinct risk of dementia in subgroups of patients. Longitudinal studies combining the existing techniques and new approaches are needed to identify patients at higher risk of dementia. copyright 2016 International Parkinson and Movement Disorder Society
Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease experience mild cognitive impairment, a well-established risk factor for the development of dementia. However, mild cognitive impairment in patients with Parkinson's disease is a heterogeneous entity that involves different types and extents of cognitive deficits. Because it is not currently known which type of mild cognitive impairment confers a higher risk of progression to dementia, it would be useful to define biomarkers that could identify these patients to better study disease progression and possible interventions. In this sense, the identification among patients with Parkinson's disease and mild cognitive impairment of biomarkers associated with dementia would allow the early detection of this process. This review summarizes studies from the past 25 years that have assessed the potential biomarkers of dementia and mild cognitive impairment in Parkinson's disease patients. Despite the potential importance, no biomarker has as yet been validated. However, features such as low levels of epidermal and insulin-like growth factors or uric acid in plasma/serum and of Aß in CSF, reduction of cerebral cholinergic innervation and metabolism measured by PET mainly in posterior areas, and hippocampal atrophy in MRI might be indicative of distinct deficits with a distinct risk of dementia in subgroups of patients. Longitudinal studies combining the existing techniques and new approaches are needed to identify patients at higher risk of dementia. © 2016 International Parkinson and Movement Disorder Society.Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease experience mild cognitive impairment, a well-established risk factor for the development of dementia. However, mild cognitive impairment in patients with Parkinson's disease is a heterogeneous entity that involves different types and extents of cognitive deficits. Because it is not currently known which type of mild cognitive impairment confers a higher risk of progression to dementia, it would be useful to define biomarkers that could identify these patients to better study disease progression and possible interventions. In this sense, the identification among patients with Parkinson's disease and mild cognitive impairment of biomarkers associated with dementia would allow the early detection of this process. This review summarizes studies from the past 25 years that have assessed the potential biomarkers of dementia and mild cognitive impairment in Parkinson's disease patients. Despite the potential importance, no biomarker has as yet been validated. However, features such as low levels of epidermal and insulin-like growth factors or uric acid in plasma/serum and of Aß in CSF, reduction of cerebral cholinergic innervation and metabolism measured by PET mainly in posterior areas, and hippocampal atrophy in MRI might be indicative of distinct deficits with a distinct risk of dementia in subgroups of patients. Longitudinal studies combining the existing techniques and new approaches are needed to identify patients at higher risk of dementia. © 2016 International Parkinson and Movement Disorder Society.
ABSTRACT Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease experience mild cognitive impairment, a well‐established risk factor for the development of dementia. However, mild cognitive impairment in patients with Parkinson's disease is a heterogeneous entity that involves different types and extents of cognitive deficits. Because it is not currently known which type of mild cognitive impairment confers a higher risk of progression to dementia, it would be useful to define biomarkers that could identify these patients to better study disease progression and possible interventions. In this sense, the identification among patients with Parkinson's disease and mild cognitive impairment of biomarkers associated with dementia would allow the early detection of this process. This review summarizes studies from the past 25 years that have assessed the potential biomarkers of dementia and mild cognitive impairment in Parkinson's disease patients. Despite the potential importance, no biomarker has as yet been validated. However, features such as low levels of epidermal and insulin‐like growth factors or uric acid in plasma/serum and of Aß in CSF, reduction of cerebral cholinergic innervation and metabolism measured by PET mainly in posterior areas, and hippocampal atrophy in MRI might be indicative of distinct deficits with a distinct risk of dementia in subgroups of patients. Longitudinal studies combining the existing techniques and new approaches are needed to identify patients at higher risk of dementia. © 2016 International Parkinson and Movement Disorder Society
Author Delgado-Alvarado, Manuel
Gago, Belén
Jiménez-Urbieta, Haritz
Rodriguez-Oroz, María C.
Navalpotro-Gomez, Irene
Author_xml – sequence: 1
  givenname: Manuel
  surname: Delgado-Alvarado
  fullname: Delgado-Alvarado, Manuel
  organization: Biodonostia Health Research Institute, San Sebastián, Spain
– sequence: 2
  givenname: Belén
  surname: Gago
  fullname: Gago, Belén
  organization: Biodonostia Health Research Institute, San Sebastián, Spain
– sequence: 3
  givenname: Irene
  surname: Navalpotro-Gomez
  fullname: Navalpotro-Gomez, Irene
  organization: Biodonostia Health Research Institute, San Sebastián, Spain
– sequence: 4
  givenname: Haritz
  surname: Jiménez-Urbieta
  fullname: Jiménez-Urbieta, Haritz
  organization: Biodonostia Health Research Institute, San Sebastián, Spain
– sequence: 5
  givenname: María C.
  surname: Rodriguez-Oroz
  fullname: Rodriguez-Oroz, María C.
  email: maria.rodriguezoroz@biodonostia.org
  organization: Biodonostia Health Research Institute, San Sebastián, Spain
BackLink https://www.ncbi.nlm.nih.gov/pubmed/27193487$$D View this record in MEDLINE/PubMed
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Keywords dementia
mild cognitive impairment
Parkinson's disease
biomarkers
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2016 International Parkinson and Movement Disorder Society.
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Relevant conflicts of interests/financial disclosures
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Institute of Health Carlos III (ISCIII), grants PI08/1539 and PI14/00763; Government of the Basque Country, grants 2011111074 and SAIO12‐PE12BN012; and CIBERNED. M.D.‐A. is funded by a Basque Country Ph.D. studentship and a Jesús de Gangoiti Barrera Foundation grant.
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2009; 15
1995; 9
2010; 32
1991; 79
2011; 77
2014; 2014
2014; 42
1990; 2
2001; 311
2005; 19
2012; 234
2002; 125
2014; 37
2014; 35
2012; 119
2010; 51
2003; 23
2015; 36
2004; 127
2015; 39
2015; 30
2015; 220
2005; 20
1992; 13
2003; 18
2008; 147
2011; 17
1998; 351
1993; 6
2012; 72
2006; 406
2007; 414
2000; 54
2005; 32
2011; 26
2012; 69
2014; 561
2011; 28
2011; 27
2009; 23
2012; 83
2009; 22
2009; 24
2012; 263
2009; 132
2008; 14
2009; 256
2005; 43
2012; 79
2013; 260
2012; 78
1999; 5
2005; 44
2009; 34
1994; 9
2004; 354
2014; 347
2009; 36
2009; 30
2004; 19
2000; 37
2015; 22
2015; 21
2013; 136
2012; 7
1994; 5
2014; 343
1994; 7
2005; 58
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SSID ssj0011516
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SecondaryResourceType review_article
Snippet ABSTRACT Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease...
Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease...
SourceID proquest
pubmed
crossref
wiley
istex
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 861
SubjectTerms Biomarkers
Cognitive Dysfunction - blood
Cognitive Dysfunction - cerebrospinal fluid
Cognitive Dysfunction - diagnostic imaging
Cognitive Dysfunction - etiology
dementia
Dementia - blood
Dementia - cerebrospinal fluid
Dementia - diagnostic imaging
Dementia - etiology
Humans
mild cognitive impairment
Movement disorders
Parkinson Disease - blood
Parkinson Disease - cerebrospinal fluid
Parkinson Disease - complications
Parkinson Disease - diagnostic imaging
Parkinson's disease
Title Biomarkers for dementia and mild cognitive impairment in Parkinson's disease
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https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fmds.26662
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Volume 31
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