학술논문

Cerebrospinal fluid, plasma, and saliva in the BioFIND study: Relationships among biomarkers and Parkinson's disease Features
Document Type
article
Source
Movement Disorders. 33(2)
Subject
Parkinson's Disease
Clinical Research
Brain Disorders
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
Neurosciences
Acquired Cognitive Impairment
Aging
Neurodegenerative
Dementia
Aetiology
4.1 Discovery and preclinical testing of markers and technologies
Detection
screening and diagnosis
2.1 Biological and endogenous factors
Neurological
Aged
Amyloid beta-Peptides
Biomarkers
Cohort Studies
Correlation of Data
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Parkinson Disease
Peptide Fragments
Postural Balance
Saliva
Sensation Disorders
United States
alpha-Synuclein
tau Proteins
Fox Investigation of New Biomarker Discovery
alpha-synuclein
amyloid
cerebrospinal fluid
postural instability gait difficulty
tau
Clinical Sciences
Human Movement and Sports Sciences
Neurology & Neurosurgery
Language
Abstract
ObjectiveExamine relationships among neurodegenerative biomarkers and PD motor and nonmotor symptoms.BackgroundCSF alpha-synuclein is decreased in PD versus healthy controls, but whether plasma and saliva alpha-synuclein differentiate these groups is controversial. Correlations of alpha-synuclein among biofluids (CSF, plasma, saliva) or biomarkers (eg, beta-amyloid, tau [total, phosphorylated]) are not fully understood. The relationships of these biomarkers with PD clinical features remain unclear.MethodsBioFIND, a cross-sectional, observational study, examines clinical and biomarker characteristics in moderate-advanced PD and matched healthy controls. We compared alpha-synuclein concentrations across diagnosis, biofluids, and CSF biomarkers. Correlations of CSF biomarkers and MDS-UPDRS, motor phenotype, MoCA, and rapid eye movement sleep behavior disorder questionnaire scores in PD were examined.ResultsCSF alpha-synuclein was lower in PD versus controls (P = .01), controlling for age, gender, and education. Plasma and saliva alpha-synuclein did not differ between PD and controls, and alpha-synuclein did not significantly correlate among biofluids. CSF beta-amyloid1-42 was lower in PD versus controls (P