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针对髓鞘相关糖蛋白的体液反应反映了帕金森病中的少突胶质细胞变性。

Humoral response against myelin associated glycoprotein reflects oligodendroglial degeneration in Parkinson's disease.

作者信息

Papuć Ewa, Wilczyńska Barbara, Rejdak Konrad

机构信息

Department of Neurology, Medical University of Lublin, Poland.

Chair and Department of Clinical Immunology, Medical University of Lublin, Poland.

出版信息

Ann Agric Environ Med. 2016 Jun 2;23(2):390-3. doi: 10.5604/12321966.1203998.

Abstract

UNLABELLED

Identification of disease-specific diagnostic and prognostic biomarkers which would enable early detection and follow-up of Parkinson's disease (PD) is a crucial problem. Recently, we confirmed the presence of adaptive immune response against different glial-derived antigens in PD.

OBJECTIVE

The aim of the study was to assess humoral response against myelin-associated glycoprotein (MAG) on a larger group of PD patients. IgM autoantibodies against MAG were measured by an ELISA system in 66 PD patients and 66 control subjects.

RESULTS

The study confirmed a significantly increased production of anti-MAG IgM antibodies in parkinsonian patients (p<0.05). No correlations were found between anti-MAG IgM antibody titers and disease severity measured on the Hoehn-Yahr scale, MMSE or age of PD onset (p>0.05). The results provide evidence for activation of humoral response against MAG in PD patients, but argue against the utility of anti-MAG antibodies as biomarkers of disease severity. The results additionally indicate the potential protective role of autoimmunity in maintaining the body's homeostasis, which may involve the clearance of abnormal proteins. Further studies are necessary to confirm the role of anti-MAG antibodies as biomarkers of PD, especially in relation to other neurodegenerative disorders.

摘要

未标注

识别疾病特异性的诊断和预后生物标志物,以实现帕金森病(PD)的早期检测和随访,是一个关键问题。最近,我们证实了PD患者中存在针对不同神经胶质来源抗原的适应性免疫反应。

目的

本研究旨在评估更大规模PD患者群体中针对髓鞘相关糖蛋白(MAG)的体液反应。采用酶联免疫吸附测定(ELISA)系统检测了66例PD患者和66例对照者血清中抗MAG IgM自身抗体。

结果

研究证实帕金森病患者抗MAG IgM抗体产生显著增加(p<0.05)。抗MAG IgM抗体滴度与采用 Hoehn-Yahr分级量表、简易精神状态检查表(MMSE)评估的疾病严重程度或PD发病年龄之间未发现相关性(p>0.05)。这些结果为PD患者中针对MAG的体液反应激活提供了证据,但不支持将抗MAG抗体作为疾病严重程度生物标志物的效用。结果还表明自身免疫在维持机体稳态中可能具有潜在的保护作用,这可能涉及异常蛋白质的清除。有必要进一步研究以确认抗MAG抗体作为PD生物标志物的作用,特别是与其他神经退行性疾病相关的作用。

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