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Cerebrospinal fluid biomarkers for Parkinson disease diagnosis and progression

Identifieur interne : 000105 ( Main/Corpus ); précédent : 000104; suivant : 000106

Cerebrospinal fluid biomarkers for Parkinson disease diagnosis and progression

Auteurs : Min Shi ; Joshua Bradner ; Aneeka M. Hancock ; Kathryn A. Chung ; Joseph F. Quinn ; Elaine R. Peskind ; Douglas Galasko ; Joseph Jankovic ; Cyrus P. Zabetian ; Hojoong M. Kim ; James B. Leverenz ; Thomas J. Montine ; Carmen Ginghina ; Un Jung Kang ; Kevin C. Cain ; Yu Wang ; Jan Aasly ; David Goldstein ; Jing Zhang

Source :

RBID : ISTEX:9B5D1E4D5793173EFBDFC7B257C2BFFEC943F524

Abstract

Objective:: There is a clear need to develop biomarkers for Parkinson disease (PD) diagnosis, differential diagnosis of Parkinsonian disorders, and monitoring disease progression. We and others have demonstrated that a decrease in DJ‐1 and/or α‐synuclein in the cerebrospinal fluid (CSF) is a potential index for Parkinson disease diagnosis, but not for PD severity. Methods:: Using highly sensitive and quantitative Luminex assays, we measured total tau, phosphorylated tau, amyloid beta peptide 1–42 (Aβ1–42), Flt3 ligand, and fractalkine levels in CSF in a large cohort of PD patients at different stages as well as healthy and diseased controls. The utility of these 5 markers was evaluated for disease diagnosis and severity/progression correlation alone, as well as in combination with DJ‐1 and α‐synuclein. The major results were further validated in an independent cohort of cross‐sectional PD patients as well as in PD cases with CSF samples collected longitudinally. Results:: The results demonstrated that combinations of these biomarkers could differentiate PD patients not only from normal controls but also from patients with Alzheimer disease (AD) and multiple system atrophy. Particularly, with CSF Flt3 ligand, PD could be clearly differentiated from multiple system atrophy, a disease that overlaps with PD clinically, with excellent sensitivity (99%) and specificity (95%). In addition, we identified CSF fractalkine/Aβ1–42 that positively correlated with PD severity in cross‐sectional samples as well as with PD progression in longitudinal samples. Interpretation:: We have demonstrated that this panel of 7 CSF proteins could aid in Parkinson disease diagnosis, differential diagnosis, and correlation with disease severity and progression. ANN NEUROL 2010

Url:
DOI: 10.1002/ana.22311

Links to Exploration step

ISTEX:9B5D1E4D5793173EFBDFC7B257C2BFFEC943F524

Le document en format XML

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</affiliation>
<affiliation>
<mods:affiliation>Mental Illness Research, Education, and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, WA</mods:affiliation>
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<name sortKey="Ginghina, Carmen" sort="Ginghina, Carmen" uniqKey="Ginghina C" first="Carmen" last="Ginghina">Carmen Ginghina</name>
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</affiliation>
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<name sortKey="Kang, Un Jung" sort="Kang, Un Jung" uniqKey="Kang U" first="Un Jung" last="Kang">Un Jung Kang</name>
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</affiliation>
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<name sortKey="Wang, Yu" sort="Wang, Yu" uniqKey="Wang Y" first="Yu" last="Wang">Yu Wang</name>
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<mods:affiliation>Department of Pathology, University of Washington School of Medicine, Seattle, WA</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China</mods:affiliation>
</affiliation>
</author>
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<name sortKey="Aasly, Jan" sort="Aasly, Jan" uniqKey="Aasly J" first="Jan" last="Aasly">Jan Aasly</name>
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<mods:affiliation>Department of Neurology, St. Olavs Hospital, Trondheim, Norway</mods:affiliation>
</affiliation>
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<name sortKey="Goldstein, David" sort="Goldstein, David" uniqKey="Goldstein D" first="David" last="Goldstein">David Goldstein</name>
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</affiliation>
</author>
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<name sortKey="Zhang, Jing" sort="Zhang, Jing" uniqKey="Zhang J" first="Jing" last="Zhang">Jing Zhang</name>
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<div type="abstract" xml:lang="en">Objective:: There is a clear need to develop biomarkers for Parkinson disease (PD) diagnosis, differential diagnosis of Parkinsonian disorders, and monitoring disease progression. We and others have demonstrated that a decrease in DJ‐1 and/or α‐synuclein in the cerebrospinal fluid (CSF) is a potential index for Parkinson disease diagnosis, but not for PD severity. Methods:: Using highly sensitive and quantitative Luminex assays, we measured total tau, phosphorylated tau, amyloid beta peptide 1–42 (Aβ1–42), Flt3 ligand, and fractalkine levels in CSF in a large cohort of PD patients at different stages as well as healthy and diseased controls. The utility of these 5 markers was evaluated for disease diagnosis and severity/progression correlation alone, as well as in combination with DJ‐1 and α‐synuclein. The major results were further validated in an independent cohort of cross‐sectional PD patients as well as in PD cases with CSF samples collected longitudinally. Results:: The results demonstrated that combinations of these biomarkers could differentiate PD patients not only from normal controls but also from patients with Alzheimer disease (AD) and multiple system atrophy. Particularly, with CSF Flt3 ligand, PD could be clearly differentiated from multiple system atrophy, a disease that overlaps with PD clinically, with excellent sensitivity (99%) and specificity (95%). In addition, we identified CSF fractalkine/Aβ1–42 that positively correlated with PD severity in cross‐sectional samples as well as with PD progression in longitudinal samples. Interpretation:: We have demonstrated that this panel of 7 CSF proteins could aid in Parkinson disease diagnosis, differential diagnosis, and correlation with disease severity and progression. ANN NEUROL 2010</div>
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<name>Un Jung Kang MD</name>
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<name>Kevin C. Cain PhD</name>
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<json:item>
<name>Yu Wang MD, PhD</name>
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<json:string>Department of Pathology, University of Washington School of Medicine, Seattle, WA</json:string>
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<name>Jan Aasly MD</name>
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<json:item>
<name>David Goldstein MD, PhD</name>
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<name>Jing Zhang MD, PhD</name>
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<unparsedAffiliation>Clinical Neurocardiology Section, Community Networks Program (CNP), Division of Intramural Research (DIR), National Institute for Neurological Disorders and Stroke (NINDS), National Institutes of Health (NIH), Bethesda, MD</unparsedAffiliation>
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<fundingNumber>ES004696</fundingNumber>
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<fundingAgency>Michael J. Fox Foundation</fundingAgency>
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<p>There is a clear need to develop biomarkers for Parkinson disease (PD) diagnosis, differential diagnosis of Parkinsonian disorders, and monitoring disease progression. We and others have demonstrated that a decrease in DJ‐1 and/or α‐synuclein in the cerebrospinal fluid (CSF) is a potential index for Parkinson disease diagnosis, but not for PD severity.</p>
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<p>Using highly sensitive and quantitative Luminex assays, we measured total tau, phosphorylated tau, amyloid beta peptide 1–42 (Aβ
<sub>1–42</sub>
), Flt3 ligand, and fractalkine levels in CSF in a large cohort of PD patients at different stages as well as healthy and diseased controls. The utility of these 5 markers was evaluated for disease diagnosis and severity/progression correlation alone, as well as in combination with DJ‐1 and α‐synuclein. The major results were further validated in an independent cohort of cross‐sectional PD patients as well as in PD cases with CSF samples collected longitudinally.</p>
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<p>The results demonstrated that combinations of these biomarkers could differentiate PD patients not only from normal controls but also from patients with Alzheimer disease (AD) and multiple system atrophy. Particularly, with CSF Flt3 ligand, PD could be clearly differentiated from multiple system atrophy, a disease that overlaps with PD clinically, with excellent sensitivity (99%) and specificity (95%). In addition, we identified CSF fractalkine/Aβ
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<p>We have demonstrated that this panel of 7 CSF proteins could aid in Parkinson disease diagnosis, differential diagnosis, and correlation with disease severity and progression. ANN NEUROL 2010</p>
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<affiliation>Department of Neurology, Oregon Health and Science University, Portland, OR</affiliation>
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<namePart type="given">Elaine R.</namePart>
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<affiliation>Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA</affiliation>
<affiliation>Mental Illness Research, Education, and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, WA</affiliation>
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<roleTerm type="text">author</roleTerm>
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<namePart type="given">Douglas</namePart>
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<affiliation>Department of Neurosciences, University of California at San Diego, San Diego, CA</affiliation>
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<namePart type="given">Joseph</namePart>
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<affiliation>Department of Neurology, University of Washington School of Medicine, Seattle, WA</affiliation>
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<abstract lang="en">Objective:: There is a clear need to develop biomarkers for Parkinson disease (PD) diagnosis, differential diagnosis of Parkinsonian disorders, and monitoring disease progression. We and others have demonstrated that a decrease in DJ‐1 and/or α‐synuclein in the cerebrospinal fluid (CSF) is a potential index for Parkinson disease diagnosis, but not for PD severity. Methods:: Using highly sensitive and quantitative Luminex assays, we measured total tau, phosphorylated tau, amyloid beta peptide 1–42 (Aβ1–42), Flt3 ligand, and fractalkine levels in CSF in a large cohort of PD patients at different stages as well as healthy and diseased controls. The utility of these 5 markers was evaluated for disease diagnosis and severity/progression correlation alone, as well as in combination with DJ‐1 and α‐synuclein. The major results were further validated in an independent cohort of cross‐sectional PD patients as well as in PD cases with CSF samples collected longitudinally. Results:: The results demonstrated that combinations of these biomarkers could differentiate PD patients not only from normal controls but also from patients with Alzheimer disease (AD) and multiple system atrophy. Particularly, with CSF Flt3 ligand, PD could be clearly differentiated from multiple system atrophy, a disease that overlaps with PD clinically, with excellent sensitivity (99%) and specificity (95%). In addition, we identified CSF fractalkine/Aβ1–42 that positively correlated with PD severity in cross‐sectional samples as well as with PD progression in longitudinal samples. Interpretation:: We have demonstrated that this panel of 7 CSF proteins could aid in Parkinson disease diagnosis, differential diagnosis, and correlation with disease severity and progression. ANN NEUROL 2010</abstract>
<note type="additional physical form">Supplementary Figures and TablesSupplementary Methods</note>
<note type="content">*This manuscript first appeared online on 28 October 2010 as an Accepted Article on onlinelibrary.wiley.com.</note>
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<note type="funding">NIEHS - No. NS057567; No. NS060252; No. NS062684; </note>
<note type="funding">NINDS - No. AG025327; No. AG033398; No. AG005136; No. AG008017; </note>
<note type="funding">NIA - No. UL1RR025014; </note>
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<note type="funding">Parkinson's Disease Foundation</note>
<note type="funding">Michael J. Fox Foundation</note>
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