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西班牙南部帕金森病患者血清尿酸浓度降低。

Low serum uric acid concentration in Parkinson's disease in southern Spain.

机构信息

Unidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla (IBiS), Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Sevilla, Spain.

出版信息

Eur J Neurol. 2013 Jan;20(1):208-10. doi: 10.1111/j.1468-1331.2012.03745.x. Epub 2012 May 12.

Abstract

BACKGROUND AND PURPOSE

Uric acid (UA) is thought to have an antioxidant effect on the central nervous system and may also prevent cerebral damage induced by oxidative stress. Our study aimed to investigate whether patients with Parkinson's disease (PD) had lower serum UA concentrations than controls and whether UA concentration was related to clinical parameters of the disease.

METHODS

We included 161 patients with PD and 178 controls from southern Spain. UA concentration was compared between these two groups. Clinical parameters including severity of the disease were related to serum UA.

RESULTS

Patients with PD showed statistically significant lower serum UA concentrations than controls. Serum UA concentration was lower in patients with PD in severe stages (4 and 5) than in those in moderate stage (2) according to the modified Hoehn and Yahr scale. Other clinical parameters were not related to serum UA concentration, except for levodopa equivalent daily dose that was associated with lower serum UA concentration in men.

CONCLUSIONS

Our study produced consistent findings that UA might have a protective effect against PD and could influence its clinical progression.

摘要

背景与目的

尿酸(UA)被认为对中枢神经系统具有抗氧化作用,并且可能预防氧化应激引起的脑损伤。我们的研究旨在探讨帕金森病(PD)患者的血清 UA 浓度是否低于对照组,以及 UA 浓度是否与疾病的临床参数相关。

方法

我们纳入了来自西班牙南部的 161 名 PD 患者和 178 名对照组。比较了这两组之间的 UA 浓度。与疾病严重程度相关的临床参数与血清 UA 有关。

结果

PD 患者的血清 UA 浓度明显低于对照组。根据改良 Hoehn 和 Yahr 量表,4 级和 5 级 PD 患者的血清 UA 浓度明显低于 2 级患者。其他临床参数与血清 UA 浓度无关,除了左旋多巴等效日剂量,它与男性较低的血清 UA 浓度有关。

结论

我们的研究结果一致表明,UA 可能对 PD 具有保护作用,并可能影响其临床进展。

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