Department of Neurology, Dongyang People's Hospital, Zhejiang, China.
Kaohsiung J Med Sci. 2019 Mar;35(3):146-150. doi: 10.1002/kjm2.12026.
Little is known about the relevance of chromogranins (Cgs) and secretogranins (Sgs) in Parkinson's disease (PD). In this study, we determined serum levels of CgA, CgB, and SgII in PD patients and assessed their association with disease severity. PD patients were recruited, identified, and classified as having early (n = 14), intermediate (n = 18), or late (n = 4) stage disease according to Hoehn-Yahr scores. The serum concentrations of CgA, CgB, and SgII in patients with well-defined PD (n = 36) and in healthy controls (n = 52) were measured by enzyme-linked immunosorbent assay. Compared with controls, serum CgA levels were significantly elevated and serum SgII levels were significantly reduced in PD patients (both P < 0.05). There was no difference in serum CgB levels between the two groups. Both serum CgA and SgII levels changed progressively over time from early to intermediate to late stage (P < 0.05). Spearman correlation analysis revealed that serum CgA and SgII levels correlated with Hoehn-Yahr and UPDRS scores (P < 0.001). These results indicate that changes in serum levels of CgA and SgII may be closely related to the severity of PD.
关于嗜铬粒蛋白(Cgs)和分泌粒蛋白(Sgs)在帕金森病(PD)中的相关性知之甚少。在这项研究中,我们测定了 PD 患者血清 CgA、CgB 和 SgII 水平,并评估了它们与疾病严重程度的关系。我们招募了 PD 患者,并根据 Hoehn-Yahr 评分将他们确定为早期(n=14)、中期(n=18)或晚期(n=4)患者。通过酶联免疫吸附试验测定了 36 例明确诊断的 PD 患者(n=36)和 52 例健康对照者(n=52)的血清 CgA、CgB 和 SgII 浓度。与对照组相比,PD 患者的血清 CgA 水平显著升高,SgII 水平显著降低(均 P<0.05)。两组间血清 CgB 水平无差异。血清 CgA 和 SgII 水平从早期到中期再到晚期呈进行性变化(P<0.05)。Spearman 相关分析显示,血清 CgA 和 SgII 水平与 Hoehn-Yahr 和 UPDRS 评分相关(P<0.001)。这些结果表明,血清 CgA 和 SgII 水平的变化可能与 PD 的严重程度密切相关。