Longitudinal changes in CSF alpha-synuclein species reflect Parkinson's disease progression

ABSTRACT Background Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers for disease diagnosis and progression has a key role for developing disease‐modifying therapies. In this article, we investiga...

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Published inMovement disorders Vol. 31; no. 10; pp. 1535 - 1542
Main Authors Majbour, Nour K., Vaikath, Nishant N., Eusebi, Paolo, Chiasserini, Davide, Ardah, Mustafa, Varghese, Shiji, Haque, M. Emdadul, Tokuda, Takahiko, Auinger, Peggy, Calabresi, Paolo, Parnetti, Lucilla, El-Agnaf, Omar M.A.
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.10.2016
Wiley Subscription Services, Inc
Subjects
Online AccessGet full text
ISSN0885-3185
1531-8257
1531-8257
DOI10.1002/mds.26754

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Abstract ABSTRACT Background Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers for disease diagnosis and progression has a key role for developing disease‐modifying therapies. In this article, we investigated the longitudinal changes of CSF α‐synuclein species in early PD patients and explored the potential use of these species as surrogate biomarkers for PD progression. Methods We used our newly developed enzyme‐linked immunosorbent assay systems for measuring different forms of α‐synuclein, such as oligomeric‐α‐synuclein, phosphorylated‐α‐synuclein at serine 129, or total‐α‐synuclein in CSF from the longitudinal Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study cohort (n = 121). CSF Alzheimer's disease biomarkers (total‐tau, phosphorylated‐tau, Aβ40, and Aβ42) were also measured for this cohort. Results Interestingly, total‐α‐synuclein and oligomeric‐α‐synuclein levels significantly increased during the 2‐year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study follow‐up period, whereas phosphorylated‐α‐synuclein at serine 129 levels showed a longitudinal decrease. We have also noted an association between a change of the oligomeric‐α‐synuclein/total‐α‐synuclein ratio and a worsening of motor signs, in particular in the postural‐instability and gait‐difficulty dominant PD group. A strong positive correlation between the changes in CSF total‐α‐synuclein and oligomeric‐α‐synuclein during the 2‐year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study was also noted (r = 0.84, P < .001). Conclusion Our data show that CSF α‐synuclein species have a dynamic pattern along the course of the disease, supporting their possible role as progression biomarkers for PD and their link with PD clinical phenotypes. © 2016 International Parkinson and Movement Disorder Society
AbstractList ABSTRACT Background Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers for disease diagnosis and progression has a key role for developing disease‐modifying therapies. In this article, we investigated the longitudinal changes of CSF α‐synuclein species in early PD patients and explored the potential use of these species as surrogate biomarkers for PD progression. Methods We used our newly developed enzyme‐linked immunosorbent assay systems for measuring different forms of α‐synuclein, such as oligomeric‐α‐synuclein, phosphorylated‐α‐synuclein at serine 129, or total‐α‐synuclein in CSF from the longitudinal Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study cohort (n = 121). CSF Alzheimer's disease biomarkers (total‐tau, phosphorylated‐tau, Aβ40, and Aβ42) were also measured for this cohort. Results Interestingly, total‐α‐synuclein and oligomeric‐α‐synuclein levels significantly increased during the 2‐year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study follow‐up period, whereas phosphorylated‐α‐synuclein at serine 129 levels showed a longitudinal decrease. We have also noted an association between a change of the oligomeric‐α‐synuclein/total‐α‐synuclein ratio and a worsening of motor signs, in particular in the postural‐instability and gait‐difficulty dominant PD group. A strong positive correlation between the changes in CSF total‐α‐synuclein and oligomeric‐α‐synuclein during the 2‐year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study was also noted (r = 0.84, P < .001). Conclusion Our data show that CSF α‐synuclein species have a dynamic pattern along the course of the disease, supporting their possible role as progression biomarkers for PD and their link with PD clinical phenotypes. © 2016 International Parkinson and Movement Disorder Society
Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers for disease diagnosis and progression has a key role for developing disease-modifying therapies. In this article, we investigated the longitudinal changes of CSF α-synuclein species in early PD patients and explored the potential use of these species as surrogate biomarkers for PD progression. We used our newly developed enzyme-linked immunosorbent assay systems for measuring different forms of α-synuclein, such as oligomeric-α-synuclein, phosphorylated-α-synuclein at serine 129, or total-α-synuclein in CSF from the longitudinal Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study cohort (n = 121). CSF Alzheimer's disease biomarkers (total-tau, phosphorylated-tau, Aβ , and Aβ ) were also measured for this cohort. Interestingly, total-α-synuclein and oligomeric-α-synuclein levels significantly increased during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study follow-up period, whereas phosphorylated-α-synuclein at serine 129 levels showed a longitudinal decrease. We have also noted an association between a change of the oligomeric-α-synuclein/total-α-synuclein ratio and a worsening of motor signs, in particular in the postural-instability and gait-difficulty dominant PD group. A strong positive correlation between the changes in CSF total-α-synuclein and oligomeric-α-synuclein during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study was also noted (r = 0.84, P < .001). Our data show that CSF α-synuclein species have a dynamic pattern along the course of the disease, supporting their possible role as progression biomarkers for PD and their link with PD clinical phenotypes. © 2016 International Parkinson and Movement Disorder Society.
Background: Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers for disease diagnosis and progression has a key role for developing disease-modifying therapies. In this article, we investigated the longitudinal changes of CSF α-synuclein species in early PD patients and explored the potential use of these species as surrogate biomarkers for PD progression. Methods: We used our newly developed enzyme-linked immunosorbent assay systems for measuring different forms of α-synuclein, such as oligomeric-α-synuclein, phosphorylated-α-synuclein at serine 129, or total-α-synuclein in CSF from the longitudinal Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study cohort (n = 121). CSF Alzheimer's disease biomarkers (total-tau, phosphorylated-tau, Aβ40, and Aβ42) were also measured for this cohort. Results: Interestingly, total-α-synuclein and oligomeric-α-synuclein levels significantly increased during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study follow-up period, whereas phosphorylated-α-synuclein at serine 129 levels showed a longitudinal decrease. We have also noted an association between a change of the oligomeric-α-synuclein/total-α-synuclein ratio and a worsening of motor signs, in particular in the postural-instability and gait-difficulty dominant PD group. A strong positive correlation between the changes in CSF total-α-synuclein and oligomeric-α-synuclein during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study was also noted (r = 0.84, P <.001). Conclusion: Our data show that CSF α-synuclein species have a dynamic pattern along the course of the disease, supporting their possible role as progression biomarkers for PD and their link with PD clinical phenotypes.
Background Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers for disease diagnosis and progression has a key role for developing disease-modifying therapies. In this article, we investigated the longitudinal changes of CSF [alpha]-synuclein species in early PD patients and explored the potential use of these species as surrogate biomarkers for PD progression. Methods We used our newly developed enzyme-linked immunosorbent assay systems for measuring different forms of [alpha]-synuclein, such as oligomeric-[alpha]-synuclein, phosphorylated-[alpha]-synuclein at serine 129, or total-[alpha]-synuclein in CSF from the longitudinal Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study cohort (n=121). CSF Alzheimer's disease biomarkers (total-tau, phosphorylated-tau, A[beta]40, and A[beta]42) were also measured for this cohort. Results Interestingly, total-[alpha]-synuclein and oligomeric-[alpha]-synuclein levels significantly increased during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study follow-up period, whereas phosphorylated-[alpha]-synuclein at serine 129 levels showed a longitudinal decrease. We have also noted an association between a change of the oligomeric-[alpha]-synuclein/total-[alpha]-synuclein ratio and a worsening of motor signs, in particular in the postural-instability and gait-difficulty dominant PD group. A strong positive correlation between the changes in CSF total-[alpha]-synuclein and oligomeric-[alpha]-synuclein during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study was also noted (r=0.84, P<.001). Conclusion Our data show that CSF [alpha]-synuclein species have a dynamic pattern along the course of the disease, supporting their possible role as progression biomarkers for PD and their link with PD clinical phenotypes. © 2016 International Parkinson and Movement Disorder Society
Background Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers for disease diagnosis and progression has a key role for developing disease-modifying therapies. In this article, we investigated the longitudinal changes of CSF alpha -synuclein species in early PD patients and explored the potential use of these species as surrogate biomarkers for PD progression. Methods We used our newly developed enzyme-linked immunosorbent assay systems for measuring different forms of alpha -synuclein, such as oligomeric- alpha -synuclein, phosphorylated- alpha -synuclein at serine 129, or total- alpha -synuclein in CSF from the longitudinal Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study cohort (n=121). CSF Alzheimer's disease biomarkers (total-tau, phosphorylated-tau, A beta sub(40), and A beta sub(42)) were also measured for this cohort. Results Interestingly, total- alpha -synuclein and oligomeric- alpha -synuclein levels significantly increased during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study follow-up period, whereas phosphorylated- alpha -synuclein at serine 129 levels showed a longitudinal decrease. We have also noted an association between a change of the oligomeric- alpha -synuclein/total- alpha -synuclein ratio and a worsening of motor signs, in particular in the postural-instability and gait-difficulty dominant PD group. A strong positive correlation between the changes in CSF total- alpha -synuclein and oligomeric- alpha -synuclein during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study was also noted (r=0.84, P<.001). Conclusion Our data show that CSF alpha -synuclein species have a dynamic pattern along the course of the disease, supporting their possible role as progression biomarkers for PD and their link with PD clinical phenotypes. copyright 2016 International Parkinson and Movement Disorder Society
Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers for disease diagnosis and progression has a key role for developing disease-modifying therapies. In this article, we investigated the longitudinal changes of CSF α-synuclein species in early PD patients and explored the potential use of these species as surrogate biomarkers for PD progression.BACKGROUNDParkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers for disease diagnosis and progression has a key role for developing disease-modifying therapies. In this article, we investigated the longitudinal changes of CSF α-synuclein species in early PD patients and explored the potential use of these species as surrogate biomarkers for PD progression.We used our newly developed enzyme-linked immunosorbent assay systems for measuring different forms of α-synuclein, such as oligomeric-α-synuclein, phosphorylated-α-synuclein at serine 129, or total-α-synuclein in CSF from the longitudinal Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study cohort (n = 121). CSF Alzheimer's disease biomarkers (total-tau, phosphorylated-tau, Aβ40 , and Aβ42 ) were also measured for this cohort.METHODSWe used our newly developed enzyme-linked immunosorbent assay systems for measuring different forms of α-synuclein, such as oligomeric-α-synuclein, phosphorylated-α-synuclein at serine 129, or total-α-synuclein in CSF from the longitudinal Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study cohort (n = 121). CSF Alzheimer's disease biomarkers (total-tau, phosphorylated-tau, Aβ40 , and Aβ42 ) were also measured for this cohort.Interestingly, total-α-synuclein and oligomeric-α-synuclein levels significantly increased during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study follow-up period, whereas phosphorylated-α-synuclein at serine 129 levels showed a longitudinal decrease. We have also noted an association between a change of the oligomeric-α-synuclein/total-α-synuclein ratio and a worsening of motor signs, in particular in the postural-instability and gait-difficulty dominant PD group. A strong positive correlation between the changes in CSF total-α-synuclein and oligomeric-α-synuclein during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study was also noted (r = 0.84, P < .001).RESULTSInterestingly, total-α-synuclein and oligomeric-α-synuclein levels significantly increased during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study follow-up period, whereas phosphorylated-α-synuclein at serine 129 levels showed a longitudinal decrease. We have also noted an association between a change of the oligomeric-α-synuclein/total-α-synuclein ratio and a worsening of motor signs, in particular in the postural-instability and gait-difficulty dominant PD group. A strong positive correlation between the changes in CSF total-α-synuclein and oligomeric-α-synuclein during the 2-year Deprenyl and Tocopherol Antioxidative Therapy for Parkinsonism study was also noted (r = 0.84, P < .001).Our data show that CSF α-synuclein species have a dynamic pattern along the course of the disease, supporting their possible role as progression biomarkers for PD and their link with PD clinical phenotypes. © 2016 International Parkinson and Movement Disorder Society.CONCLUSIONOur data show that CSF α-synuclein species have a dynamic pattern along the course of the disease, supporting their possible role as progression biomarkers for PD and their link with PD clinical phenotypes. © 2016 International Parkinson and Movement Disorder Society.
Author Ardah, Mustafa
Calabresi, Paolo
El-Agnaf, Omar M.A.
Tokuda, Takahiko
Eusebi, Paolo
Chiasserini, Davide
Parnetti, Lucilla
Vaikath, Nishant N.
Varghese, Shiji
Haque, M. Emdadul
Majbour, Nour K.
Auinger, Peggy
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  organization: Dipartimento di Medicina, Sezione di Neurologia, Università degli Studi di Perugia, Perugia, Italy
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  surname: Chiasserini
  fullname: Chiasserini, Davide
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  givenname: Mustafa
  surname: Ardah
  fullname: Ardah, Mustafa
  organization: Department of Biochemistry, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
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  givenname: Shiji
  surname: Varghese
  fullname: Varghese, Shiji
  organization: Department of Biochemistry, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
– sequence: 7
  givenname: M. Emdadul
  surname: Haque
  fullname: Haque, M. Emdadul
  organization: Department of Biochemistry, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
– sequence: 8
  givenname: Takahiko
  surname: Tokuda
  fullname: Tokuda, Takahiko
  organization: Department of Neurology, Research Institute for Geriatrics, Kyoto Prefectural University of Medicine, Kyoto, Japan
– sequence: 9
  givenname: Peggy
  surname: Auinger
  fullname: Auinger, Peggy
  organization: Department of Neurology, Center for Human Experimental Therapeutics, University of Rochester School of Medicine and Dentistry, New York, Rochester, USA
– sequence: 10
  givenname: Paolo
  surname: Calabresi
  fullname: Calabresi, Paolo
  organization: Dipartimento di Medicina, Sezione di Neurologia, Università degli Studi di Perugia, Perugia, Italy
– sequence: 11
  givenname: Lucilla
  surname: Parnetti
  fullname: Parnetti, Lucilla
  organization: Dipartimento di Medicina, Sezione di Neurologia, Università degli Studi di Perugia, Perugia, Italy
– sequence: 12
  givenname: Omar M.A.
  surname: El-Agnaf
  fullname: El-Agnaf, Omar M.A.
  email: oelagnaf@qf.org.qa, oelagnaf@qf.org.qa
  organization: Neurological Disorders Research Center, Qatar Biomedical Research Institute (QBRI), Hamad Bin Khalifa University (HBKU), Qatar Foundation, PO Box 5825, Doha, Qatar
BackLink https://www.ncbi.nlm.nih.gov/pubmed/27548849$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright 2016 International Parkinson and Movement Disorder Society
2016 International Parkinson and Movement Disorder Society.
Copyright_xml – notice: 2016 International Parkinson and Movement Disorder Society
– notice: 2016 International Parkinson and Movement Disorder Society.
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Lunds universitet
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Issue 10
Keywords DATATOP
Parkinson's disease
alpha-synuclein
biomarkers
oligomers
Language English
License http://onlinelibrary.wiley.com/termsAndConditions#vor
2016 International Parkinson and Movement Disorder Society.
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Michael J. Fox Foundation for Parkinson's Research (New York)
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Relevant conflicts of interests/financial disclosures
This study was supported by the Michael J. Fox Foundation for Parkinson's Research (New York).
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PublicationTitle Movement disorders
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Ardah MT, Paleologou KE, Lv G, et al. Ginsenoside Rb1 inhibits fibrillation and toxicity of alpha-synuclein and disaggregates preformed fibrils. Neurobiol Dis 2015;74:89-101.
Jankovic J, McDermott M, Carter J, et al. Variable expression of Parkinson's disease: a base-line analysis of the DATATOP cohort. The Parkinson Study Group. Neurology 1990;40(10):1529-1534.
Hall S, Surova Y, Öhrfelt A, Zetterberg H, Lindqvist D, Hansson O. CSF biomarkers and clinical progression of Parkinson disease. Neurology 2015;84(1):57-63.
El-Agnaf OM, Jakes R, Curran MD, et al. Aggregates from mutant and wild-type alpha-synuclein proteins and NAC peptide induce apoptotic cell death in human neuroblastoma cells by formation of beta-sheet and amyloid-like filaments. FEBS Lett 1998;440(1-2):71-75.
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Domellöf ME, Elgh E, Forsgren L. The relation between cognition and motor dysfunction in drug-naive newly diagnosed patients with Parkinson's disease. Mov Disord 2011;26(12):2183-2189.
Compta Y, Valente T, Saura J, et al. Correlates of cerebrospinal fluid levels of oligomeric- and total-α-synuclein in premotor, motor and dementia stages of Parkinson's disease. J Neurol 2015;262(2):294-306.
Parnetti L, Chiasserini D, Bellomo G, et al. Cerebrospinal fluid Tau/α-synuclein ratio in Parkinson's disease and degenerative dementias. Mov Disord 2011;26(8):1428-1435.
Tokuda T, Salem SA, Allsop D, et al. Decreased alpha-synuclein in cerebrospinal fluid of aged individuals and subjects with Parkinson's disease. Biochem Biophys Res Commun 2006;349(1):162-166.
Parnetti L, Farotti L, Eusebi P, et al. Differential role of CSF alpha-synuclein species, tau, and Aβ42 in Parkinson's Disease. Front Aging Neurosci 2014;6:53.
Kang JH, Irwin DJ, Chen-Plotkin AS, et al. Association of cerebrospinal fluid β-amyloid 1-42, T-tau, P-tau181, and α-synuclein levels with clinical features of drug-naive patients with early Parkinson disease. JAMA Neurol 2013;70(10):1277-1287.
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Parnetti L, Castrioto A, Chiasserini D, et al. Cerebrospinal fluid biomarkers in Parkinson disease. Nat Rev Neurol 2013;9(3):131-140.
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Barbour R, Kling K, Anderson JP, et al. Red blood cells are the major source of alpha-synuclein in blood. Neurodegener Dis 2008;5(2):55-59.
Vaikath NN, Majbour NK, Paleologou KE, et al. Generation and characterization of novel conformation-specific monoclonal antibodies for α-synuclein pathology. Neurobiol Dis 2015;79:81-99.
El-Agnaf OM, Walsh DM, Allsop D. Soluble oligomers for the diagnosis of neurodegenerative diseases. Lancet Neurol 2003;2(8):461-462.
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References_xml – reference: Barbour R, Kling K, Anderson JP, et al. Red blood cells are the major source of alpha-synuclein in blood. Neurodegener Dis 2008;5(2):55-59.
– reference: Majbour NK, Vaikath NN, van Dijk KD, et al. Oligomeric and phosphorylated alpha-synuclein as potential CSF biomarkers for Parkinson's disease. Mol Neurodegener 2016;11(1):7.
– reference: Stewart T, Sossi V, Aasly JO, et al. Phosphorylated α-synuclein in Parkinson's disease: correlation depends on disease severity. Acta Neuropathol Commun 2015;3:7.
– reference: El-Agnaf OM, Jakes R, Curran MD, et al. Aggregates from mutant and wild-type alpha-synuclein proteins and NAC peptide induce apoptotic cell death in human neuroblastoma cells by formation of beta-sheet and amyloid-like filaments. FEBS Lett 1998;440(1-2):71-75.
– reference: Spillantini MG, Schmidt ML, Lee VM, Trojanowski JQ, Jakes R, Goedert M. Alpha-synuclein in Lewy bodies. Nature 1997;388(6645):839-840.
– reference: Prodoehl J, Planetta PJ, Kurani AS, Comella CL, Corcos DM, Vaillancourt DE. Differences in brain activation between tremor- and nontremor-dominant Parkinson disease. JAMA Neurol 2013;70(1):100-106.
– reference: Tokuda T, Salem SA, Allsop D, et al. Decreased alpha-synuclein in cerebrospinal fluid of aged individuals and subjects with Parkinson's disease. Biochem Biophys Res Commun 2006;349(1):162-166.
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– reference: El-Agnaf OM, Walsh DM, Allsop D. Soluble oligomers for the diagnosis of neurodegenerative diseases. Lancet Neurol 2003;2(8):461-462.
– reference: Parnetti L, Chiasserini D, Persichetti E, et al. Cerebrospinal fluid lysosomal enzymes and alpha-synuclein in Parkinson's disease. Mov Disord 2014;29(8):1019-1027.
– reference: Jankovic J, McDermott M, Carter J, et al. Variable expression of Parkinson's disease: a base-line analysis of the DATATOP cohort. The Parkinson Study Group. Neurology 1990;40(10):1529-1534.
– reference: Ardah MT, Paleologou KE, Lv G, et al. Structure activity relationship of phenolic acid inhibitors of α-synuclein fibril formation and toxicity. Front Aging Neurosci 2014;6:197.
– reference: Hall S, Surova Y, Öhrfelt A, et al. Longitudinal measurements of cerebrospinal fluid biomarkers in Parkinson's disease. Mov Disord 2016;31(6):898-905.
– reference: Domellöf ME, Elgh E, Forsgren L. The relation between cognition and motor dysfunction in drug-naive newly diagnosed patients with Parkinson's disease. Mov Disord 2011;26(12):2183-2189.
– reference: Parnetti L, Chiasserini D, Bellomo G, et al. Cerebrospinal fluid Tau/α-synuclein ratio in Parkinson's disease and degenerative dementias. Mov Disord 2011;26(8):1428-1435.
– reference: Hall S, Surova Y, Öhrfelt A, Zetterberg H, Lindqvist D, Hansson O. CSF biomarkers and clinical progression of Parkinson disease. Neurology 2015;84(1):57-63.
– reference: Compta Y, Valente T, Saura J, et al. Correlates of cerebrospinal fluid levels of oligomeric- and total-α-synuclein in premotor, motor and dementia stages of Parkinson's disease. J Neurol 2015;262(2):294-306.
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– reference: Stewart T, Liu C, Ginghina C, et al. Cerebrospinal fluid α-synuclein predicts cognitive decline in Parkinson disease progression in the DATATOP cohort. Am J Pathol 2014;184(4):966-975.
– reference: Forloni G, Artuso V, La Vitola P, Balducci C. Oligomeropathies and pathogenesis of Alzheimer and Parkinson's diseases. Mov Disord 2016;31(6):771-781.
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Snippet ABSTRACT Background Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable...
Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers for...
Background Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable biomarkers...
Background: Parkinson's disease (PD) diagnosis is mainly based on clinical criteria, with a high risk of misdiagnosis. The identification of reliable...
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SubjectTerms Aged
alpha-synuclein
alpha-Synuclein - cerebrospinal fluid
Antioxidants - therapeutic use
Basic Medicine
biomarkers
Biomarkers - cerebrospinal fluid
DATATOP
Disease Progression
Female
Humans
Longitudinal Studies
Male
Medical and Health Sciences
Medicin och hälsovetenskap
Medicinska och farmaceutiska grundvetenskaper
Middle Aged
Movement disorders
Neurosciences
Neurovetenskaper
oligomers
Parkinson Disease - cerebrospinal fluid
Parkinson Disease - drug therapy
Parkinson's disease
Title Longitudinal changes in CSF alpha-synuclein species reflect Parkinson's disease progression
URI https://api.istex.fr/ark:/67375/WNG-68JN5LFR-6/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fmds.26754
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https://www.proquest.com/docview/1837305991
Volume 31
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