Schirinzi Tommaso, Zenuni Henri, Grillo Piergiorgio, Bovenzi Roberta, Guerrera Gisella, Gargano Francesca, Pieri Massimo, Bernardini Sergio, Biagio Mercuri Nicola, Battistini Luca, Sancesario Giulia Maria
Unit of Neurology, Department of Systems Medicine, University of Roma Tor Vergata, Rome, Italy.
European Centre for Brain Research, IRCCS Fondazione Santa Lucia, Rome, Italy.
Front Neurol. 2022 Feb 25;13:748599. doi: 10.3389/fneur.2022.748599. eCollection 2022.
Relevance of blood-based biomarkers is increasing into the neurodegenerative diseases field, but data on Parkinson's disease (PD) remain still scarce. In this study, we used the SiMoA technique to measure serum content of total tau protein and amyloid-β peptides (Aβ-42, Aβ-40) in 22 PD patients and ten control subjects. Serum levels of each biomarker were correlated with the respective CSF levels in both the groups; in PD patients, also the correlations between serum biomarkers and main clinical parameters were tested (motor, non-motor, cognitive scores and levodopa equivalent daily dose). Serum biomarkers did not exhibit quantitative differences between patients and controls; however, only PD patients had inter-fluids (serum-CSF) associations in tau and amyloid-β-42 levels. Moreover, serum content of tau protein was inversely correlated with cognitive performances (MoCA score). These findings, albeit preliminary, indicate that brain-derived peptides may change in parallel in both peripheral blood and CSF of PD patients, eventually even in association with some clinical features. Further studies are now needed to validate the use of blood-based biomarkers in PD.
血液生物标志物在神经退行性疾病领域的相关性日益增加,但帕金森病(PD)的数据仍然稀少。在本研究中,我们使用单分子阵列(SiMoA)技术测量了22例PD患者和10名对照受试者血清中总tau蛋白和淀粉样β肽(Aβ-42、Aβ-40)的含量。两组中每种生物标志物的血清水平均与各自的脑脊液水平相关;在PD患者中,还测试了血清生物标志物与主要临床参数(运动、非运动、认知评分和左旋多巴等效日剂量)之间的相关性。患者和对照之间血清生物标志物未表现出定量差异;然而,只有PD患者在tau和淀粉样β-42水平上存在体液间(血清-脑脊液)关联。此外,tau蛋白的血清含量与认知表现(蒙特利尔认知评估量表[MoCA]评分)呈负相关。这些发现尽管是初步的,但表明脑源性肽在PD患者的外周血和脑脊液中可能会同时发生变化,甚至最终可能与某些临床特征相关。现在需要进一步的研究来验证血液生物标志物在PD中的应用。