학술논문

Patients with isolated REM-sleep behavior disorder have elevated levels of alpha-synuclein aggregates in stool
Document Type
article
Source
npj Parkinson's Disease, Vol 9, Iss 1, Pp 1-11 (2023)
Subject
Neurology. Diseases of the nervous system
RC346-429
Language
English
ISSN
2373-8057
Abstract
Abstract Misfolded and aggregated α-synuclein is a neuropathological hallmark of Parkinson’s disease (PD). Thus, α-synuclein aggregates are regarded as a biomarker for the development of diagnostic assays. Quantification of α-synuclein aggregates in body fluids is challenging, and requires highly sensitive and specific assays. Recent studies suggest that α-synuclein aggregates may be shed into stool. We used surface-based fluorescence intensity distribution analysis (sFIDA) to detect and quantify single particles of α-synuclein aggregates in stool of 94 PD patients, 72 isolated rapid eye movement sleep behavior disorder (iRBD) patients, and 51 healthy controls. We measured significantly elevated concentrations of α-synuclein aggregates in stool of iRBD patients versus those of controls (p = 0.024) or PD patients (p