Department of Cellular and Molecular Pharmacology, The Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.
J Parkinsons Dis. 2018;8(4):529-537. doi: 10.3233/JPD-181391.
Parkinson's disease (PD) shares pathological and clinical features with progressive supranuclear palsy (PSP) patients making the diagnosis challenging. Distinguishing PD from PSP is crucial given differences in disease course, treatment and clinical management.
Although some progress has been made in the discovery of biomarkers for PD and PSP, there is an urgent need to identify additional biomarkers capable of distinguishing between these diseases.
In this study, we tested the phosphatases DUSP8 and PTPRC for their diagnostic potential using quantitative PCR assays, in blood of 138 samples from participants nested in the Parkinson's Disease Biomarkers Program.
Relative abundance of PTPRC mRNA was downregulated in PSP patients compared to PD and healthy controls, whereas there was no significant difference in the expression of DUSP8. Interestingly, PTPRC mRNA correlated with the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) total score and MDS-UPDRS- part III, thus indicating it might be useful as part of a biosignature to stratify patients according to disease severity and progression.
Collectively, these results suggest that PTPRC expression may be useful for distinguishing PD from PSP patients as part of a biosignature. Evaluation of PTPRC along with additional biomarkers in a larger and well-characterized longitudinal study is warranted.
帕金森病 (PD) 与进行性核上性麻痹 (PSP) 患者具有相似的病理和临床特征,这使得诊断具有挑战性。鉴于疾病过程、治疗和临床管理的差异,区分 PD 和 PSP 至关重要。
尽管在 PD 和 PSP 的生物标志物发现方面已经取得了一些进展,但仍迫切需要确定能够区分这些疾病的其他生物标志物。
在这项研究中,我们使用定量 PCR 检测了磷酸酶 DUSP8 和 PTPRC 的诊断潜力,检测了来自帕金森病生物标志物计划中嵌套的 138 个参与者的血液样本。
与 PD 和健康对照组相比,PSP 患者的 PTPRC mRNA 相对丰度下调,而 DUSP8 的表达没有显著差异。有趣的是,PTPRC mRNA 与运动障碍协会统一帕金森病评定量表 (MDS-UPDRS) 总分和 MDS-UPDRS-III 部分相关,表明它可能作为生物标志物的一部分,根据疾病严重程度和进展对患者进行分层。
总之,这些结果表明,PTPRC 表达可能有助于区分 PD 和 PSP 患者,作为生物标志物的一部分。在更大且特征良好的纵向研究中评估 PTPRC 以及其他生物标志物是必要的。