Department of Neurology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, People's Republic of China.
J Neurol. 2012 Mar;259(3):497-504. doi: 10.1007/s00415-011-6209-4. Epub 2011 Aug 19.
Parkinson's disease (PD) is the second most common neurodegenerative disorder. The presence of Lewy bodies is a major pathological change of PD. α-synuclein is the main component of Lewy bodies and is encoded by the SNCA gene. Mutations in the SNCA gene mainly result in rare familial forms of PD, while genetic variability in the SNCA gene modulates susceptibility to sporadic PD. Recent studies have suggested that levels of α-synuclein in extracellular biological fluid are associated with PD and implicated α-synuclein as a potential biomarker for PD diagnosis and severity. We studied serum α-synuclein concentration and two polymorphic variants of SNCA (Rep1 and rs11931074) in 110 sporadic PD patients and 136 controls. We further explored the influence of the two polymorphisms on the expression levels of serum α-synuclein. Soluble α-synuclein was detected in serum in all subjects, with no statistically significant difference between PD patients and controls (p = 0.611). Different Rep1 alleles and genotypes did not influence the expression of serum α-synuclein. The frequency of allele T of rs11931074 was significantly elevated in PD patients (p = 0.041), and was correlated with decreased serum α-synuclein in both dominant (p = 0.011) and additive (p = 0.008) models of association.
帕金森病(PD)是第二常见的神经退行性疾病。路易体的存在是 PD 的主要病理变化。α-突触核蛋白是路易体的主要组成部分,由 SNCA 基因编码。SNCA 基因的突变主要导致罕见的家族性 PD 形式,而 SNCA 基因的遗传变异性调节散发性 PD 的易感性。最近的研究表明,细胞外生物液中的 α-突触核蛋白水平与 PD 相关,并暗示 α-突触核蛋白可能成为 PD 诊断和严重程度的潜在生物标志物。我们研究了 110 例散发性 PD 患者和 136 例对照者的血清 α-突触核蛋白浓度和 SNCA 的两个多态性变异(Rep1 和 rs11931074)。我们进一步探讨了这两个多态性对血清 α-突触核蛋白表达水平的影响。所有受试者的血清中均可检测到可溶性 α-突触核蛋白,但 PD 患者与对照组之间无统计学差异(p=0.611)。不同的 Rep1 等位基因和基因型不影响血清 α-突触核蛋白的表达。rs11931074 的等位基因 T 在 PD 患者中的频率显著升高(p=0.041),并且在显性(p=0.011)和加性(p=0.008)关联模型中与血清 α-突触核蛋白的降低相关。