Section of Neurology, Hospital Universitario del Sureste, Madrid, Spain.
UNEx, ARADyAL Instituto de Salud Carlos III, University Institute of Molecular Pathology Biomarkers, Cáceres, Spain.
Eur J Neurol. 2020 Nov;27(11):2336-2347. doi: 10.1111/ene.14470. Epub 2020 Sep 11.
The present systematic review and meta-analysis aims to establish the possible value of cerebrospinal fluid (CSF) and serum/plasma levels of amino acids as markers of Parkinson's disease (PD).
This is a review of four databases (PubMed, Embase, MEDLINE and Web of Science - Core Collection) from 1966 to 14 March 2020, with identification of references of interest for the topic. The meta-analysis of eligible studies was done using R software package meta, following the PRISMA and MOOSE guidelines.
Compared with age- and sex-matched controls, PD patients showed decreased CSF levels of glutamate and taurine and increased CSF levels of tyrosine; decreased serum/plasma levels of aspartate, serine, tryptophan and lysine, and increased serum/plasma proline and homocysteine levels.
Despite the limitations of this study due to the important variability of results between different series, our findings suggest the value of CSF or serum/plasma levels of several amino acids in the discrimination of PD patients from healthy subjects, related to the levels of some amino acids.
本系统评价和荟萃分析旨在确定脑脊液(CSF)和血清/血浆氨基酸水平作为帕金森病(PD)标志物的可能价值。
这是对四个数据库(PubMed、Embase、MEDLINE 和 Web of Science - Core Collection)从 1966 年至 2020 年 3 月 14 日的回顾,对感兴趣的主题的参考文献进行了识别。使用 R 软件包 meta 对符合条件的研究进行荟萃分析,遵循 PRISMA 和 MOOSE 指南。
与年龄和性别匹配的对照组相比,PD 患者的 CSF 谷氨酸和牛磺酸水平降低,酪氨酸水平升高;血清/血浆中天冬氨酸、丝氨酸、色氨酸和赖氨酸水平降低,脯氨酸和同型半胱氨酸水平升高。
尽管由于不同系列之间结果的重要变异性,本研究存在局限性,但我们的研究结果表明,CSF 或血清/血浆中几种氨基酸的水平在区分 PD 患者与健康受试者方面具有一定的价值,与某些氨基酸的水平有关。