Laboratory of Research in Parkinson's Disease and Related Disorders, Key Laboratory of Major Chronic Diseases of Nervous System of Liaoning Province, Health Sciences Institute, China Medical University, Shenyang, China.
Aging Dis. 2024 Aug 1;15(4):1813-1830. doi: 10.14336/AD.2023.1005.
Parkinson's disease (PD) is a common neurodegenerative disease characterized pathologically by dopaminergic neuron loss and the formation of Lewy bodies, which are enriched with aggregated α-synuclein (α-syn). PD currently has no cure, but therapeutic strategies are available to alleviate symptoms. Early diagnosis can greatly improve therapeutic interventions, but the clinical diagnosis of PD remains challenging and depends mainly on clinical features and imaging tests. Efficient and specific biomarkers are crucial for the diagnosis, monitoring, and evaluation of PD. Here, we reviewed the biomarkers of PD in different tissues and biofluids, along with the current clinical biochemical detection methods. We found that the sensitivity and specificity of single biomarkers are limited, and selecting appropriate indicators for combined detection can improve the diagnostic accuracy of PD.
帕金森病(PD)是一种常见的神经退行性疾病,其病理特征为多巴胺能神经元丧失和路易小体的形成,路易小体富含聚集的α-突触核蛋白(α-syn)。目前 PD 尚无治愈方法,但有治疗策略可缓解症状。早期诊断可以极大地改善治疗干预,但 PD 的临床诊断仍然具有挑战性,主要依赖于临床特征和影像学检查。有效的特异性生物标志物对于 PD 的诊断、监测和评估至关重要。在这里,我们综述了不同组织和生物流体中 PD 的生物标志物以及当前的临床生化检测方法。我们发现,单一生物标志物的灵敏度和特异性有限,选择适当的指标进行联合检测可以提高 PD 的诊断准确性。