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Alpha-Synuclein as a Biomarker of Parkinson's Disease: Good, but Not Good Enough.

作者信息

Ganguly Upasana, Singh Sukhpal, Pal Soumya, Prasad Suvarna, Agrawal Bimal K, Saini Reena V, Chakrabarti Sasanka

机构信息

Department of Biochemistry and Central Research Laboratory, Maharishi Markandeshwar Institute of Medical Sciences and Research, Maharishi Markandeshwar Deemed University, Ambala, India.

Department of General Medicine, Maharishi Markandeshwar Institute of Medical Sciences and Research, Maharishi Markandeshwar Deemed University, Ambala, India.

出版信息

Front Aging Neurosci. 2021 Jul 8;13:702639. doi: 10.3389/fnagi.2021.702639. eCollection 2021.


DOI:10.3389/fnagi.2021.702639
PMID:34305577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8298029/
Abstract

Parkinson's disease (PD) is the second most common neurodegenerative disorder of the elderly, presenting primarily with symptoms of motor impairment. The disease is diagnosed most commonly by clinical examination with a great degree of accuracy in specialized centers. However, in some cases, non-classical presentations occur when it may be difficult to distinguish the disease from other types of degenerative or non-degenerative movement disorders with overlapping symptoms. The diagnostic difficulty may also arise in patients at the early stage of PD. Thus, a biomarker could help clinicians circumvent such problems and help them monitor the improvement in disease pathology during anti-parkinsonian drug trials. This review first provides a brief overview of PD, emphasizing, in the process, the important role of α-synuclein in the pathogenesis of the disease. Various attempts made by the researchers to develop imaging, genetic, and various biochemical biomarkers for PD are then briefly reviewed to point out the absence of a definitive biomarker for this disorder. In view of the overwhelming importance of α-synuclein in the pathogenesis, a detailed analysis is then made of various studies to establish the biomarker potential of this protein in PD; these studies measured total α-synuclein, oligomeric, and post-translationally modified forms of α-synuclein in cerebrospinal fluid, blood (plasma, serum, erythrocytes, and circulating neuron-specific extracellular vesicles) and saliva in combination with certain other proteins. Multiple studies also examined the accumulation of α-synuclein in various forms in PD in the neural elements in the gut, submandibular glands, skin, and the retina. The measurements of the levels of certain forms of α-synuclein in some of these body fluids or their components or peripheral tissues hold a significant promise in establishing α-synuclein as a definitive biomarker for PD. However, many methodological issues related to detection and quantification of α-synuclein have to be resolved, and larger cross-sectional and follow-up studies with controls and patients of PD, parkinsonian disorders, and non-parkinsonian movement disorders are to be undertaken.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c86/8298029/5a12d565adba/fnagi-13-702639-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c86/8298029/5a12d565adba/fnagi-13-702639-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c86/8298029/5a12d565adba/fnagi-13-702639-g001.jpg

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本文引用的文献

[1]
Effects of α-Synuclein-Associated Post-Translational Modifications in Parkinson's Disease.

ACS Chem Neurosci. 2021-4-7

[2]
α-synuclein impairs autophagosome maturation through abnormal actin stabilization.

PLoS Genet. 2021-2

[3]
Extracellular Vesicles in Alzheimer's and Parkinson's Disease: Small Entities with Large Consequences.

Cells. 2020-11-15

[4]
Dopamine, Alpha-Synuclein, and Mitochondrial Dysfunctions in Parkinsonian Eyes.

Front Neurosci. 2020-10-19

[5]
Detection of Phosphorylated Alpha-Synuclein in the Muscularis Propria of the Gastrointestinal Tract Is a Sensitive Predictor for Parkinson's Disease.

Parkinsons Dis. 2020-9-23

[6]
Alpha-Synuclein Protofibrils in Cerebrospinal Fluid: A Potential Biomarker for Parkinson's Disease.

J Parkinsons Dis. 2020

[7]
Skin α-Synuclein Aggregation Seeding Activity as a Novel Biomarker for Parkinson Disease.

JAMA Neurol. 2020-9-28

[8]
No enhanced (p-) α-synuclein deposition in gastrointestinal tissue of Parkinson's disease patients.

Parkinsonism Relat Disord. 2020-11

[9]
In vivo distribution of α-synuclein in multiple tissues and biofluids in Parkinson disease.

Neurology. 2020-8-3

[10]
Cerebrospinal Fluid Biomarkers in Parkinson's Disease: A Critical Overview of the Literature and Meta-Analyses.

Brain Sci. 2020-7-20

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