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血清尿酸在帕金森病进展过程中是否会发生变化?

Does Serum Urate Change as Parkinson's Disease Progresses?

机构信息

Department of Neurology, MassGeneral Institute for Neurodegenerative Disease, Massachusetts General Hospital, Boston, MA, USA.

Department of Medicine, Biostatistics Center, Massachusetts General Hospital, Boston, MA, USA.

出版信息

J Parkinsons Dis. 2020;10(4):1571-1576. doi: 10.3233/JPD-202064.

DOI:10.3233/JPD-202064
PMID:32773396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7683051/
Abstract

Higher serum urate concentration is associated with decreased risk of Parkinson's disease (PD) as well as slower disease progression, but its relationship with severity of PD remains unclear. This study investigated whether changes in serum urate concentration over 5 years were associated with disease progression assessed by MDS-UPDRS Part III score, Hoehn and Yahr stage, or DaTscan imaging. Average serum urate concentration was stable over time and change in serum urate concentration did not correlate with worsening of measures of PD progression. These results suggest that serum urate concentration is not a monitoring biomarker of PD progression in early stages.

摘要

血清尿酸浓度升高与帕金森病(PD)风险降低以及疾病进展减缓有关,但它与 PD 严重程度的关系尚不清楚。本研究旨在探讨血清尿酸浓度在 5 年内的变化是否与 MDS-UPDRS 第三部分评分、Hoehn 和 Yahr 分期或 DaTscan 成像评估的疾病进展相关。平均血清尿酸浓度随时间稳定,血清尿酸浓度的变化与 PD 进展测量指标的恶化无关。这些结果表明,血清尿酸浓度不是早期 PD 进展的监测生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e83/7683051/0f5953d5afb2/jpd-10-jpd202064-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e83/7683051/8ba94ab2f881/jpd-10-jpd202064-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e83/7683051/0f5953d5afb2/jpd-10-jpd202064-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e83/7683051/8ba94ab2f881/jpd-10-jpd202064-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e83/7683051/0f5953d5afb2/jpd-10-jpd202064-g002.jpg

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本文引用的文献

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Serum Uric Acid Level as a Biomarker in Idiopathic and Genetic (p.A53T Alpha-Synuclein Carriers) Parkinson's Disease: Data from the PPMI Study.血清尿酸水平作为特发性和遗传(p.A53T 阿尔法-突触核蛋白携带者)帕金森病的生物标志物:来自 PPMI 研究的数据。
J Parkinsons Dis. 2020;10(2):481-487. doi: 10.3233/JPD-191860.
2
Urate and Homocysteine: Predicting Motor and Cognitive Changes in Newly Diagnosed Parkinson's Disease.尿酸和同型半胱氨酸:预测新诊断帕金森病的运动和认知变化。
J Parkinsons Dis. 2019;9(2):351-359. doi: 10.3233/JPD-181535.
3
Higher urate in LRRK2 mutation carriers resistant to Parkinson disease.
LRRK2 突变携带者的尿酸水平较高,对帕金森病有抵抗作用。
Ann Neurol. 2019 Apr;85(4):593-599. doi: 10.1002/ana.25436. Epub 2019 Mar 3.
4
Oxidative Stress in Parkinson's Disease: A Systematic Review and Meta-Analysis.帕金森病中的氧化应激:系统评价与荟萃分析
Front Mol Neurosci. 2018 Jul 5;11:236. doi: 10.3389/fnmol.2018.00236. eCollection 2018.
5
Level of uric acid and uric acid/creatinine ratios in correlation with stage of Parkinson disease.尿酸水平及尿酸/肌酐比值与帕金森病分期的相关性
Medicine (Baltimore). 2018 Jun;97(26):e10967. doi: 10.1097/MD.0000000000010967.
6
Longitudinal Change of Clinical and Biological Measures in Early Parkinson's Disease: Parkinson's Progression Markers Initiative Cohort.早期帕金森病临床和生物学指标的纵向变化:帕金森进展标志物倡议队列。
Mov Disord. 2018 May;33(5):771-782. doi: 10.1002/mds.27361. Epub 2018 Mar 23.
7
Genetics of Parkinson's Disease: Genotype-Phenotype Correlations.帕金森病的遗传学:基因型与表型的相关性
Int Rev Neurobiol. 2017;132:197-231. doi: 10.1016/bs.irn.2017.01.009. Epub 2017 Mar 1.
8
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The relationship between body mass index and uric acid: a study on Japanese adult twins.体重指数与尿酸之间的关系:一项针对日本成年双胞胎的研究。
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