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丘脑底核刺激治疗帕金森病患者中神经退行性变和神经可塑性血清生物标志物的意义

Significance of neurodegeneration and neuroplasticity serum biomarkers in Parkinson's disease patients treated with subthalamic stimulation.

作者信息

Sanmartino Florencia, Cano-Cano Fátima, Rashid-López Raúl, Cruz-Gómez Álvaro Javier, Lozano-Soto Elena, Macías-García Paloma, Sánchez-Fernández Francisco L, López-Sosa Fernando, Gómez-Jaramillo Laura, Riqué-Dormido Jesús, Escamilla-Sevilla Francisco, Espinosa-Rosso Raúl, González-Rosa Javier J

机构信息

Institute of Biomedical Research Cadiz (INiBICA), Cadiz, Spain.

University of Cadiz, Cadiz, Spain.

出版信息

NPJ Parkinsons Dis. 2024 Oct 24;10(1):197. doi: 10.1038/s41531-024-00808-w.

DOI:10.1038/s41531-024-00808-w
PMID:39448624
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11502829/
Abstract

The ability of serum biomarkers to predict the prognosis and response to deep-brain stimulation (DBS) therapy in Parkinson's disease (PD) patients is promising. Here, we showed that NfL differed between healthy individuals and PD patients and that changes in NfL, GFAP, and BDNF occurred only transiently after DBS surgery. Therefore, subthalamic stimulation does not promote neurodegeneration, and these biomarkers do not serve as clinical improvement endpoints in PD DBS patients.

摘要

血清生物标志物预测帕金森病(PD)患者预后及对深部脑刺激(DBS)治疗反应的能力很有前景。在此,我们表明健康个体与PD患者之间的神经丝轻链(NfL)存在差异,且NfL、胶质纤维酸性蛋白(GFAP)和脑源性神经营养因子(BDNF)仅在DBS手术后短暂出现变化。因此,丘脑底核刺激不会促进神经退行性变,并且这些生物标志物不能作为PD-DBS患者临床改善的终点指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c114/11502829/06e5f4002827/41531_2024_808_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c114/11502829/8bb02bd7d297/41531_2024_808_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c114/11502829/06e5f4002827/41531_2024_808_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c114/11502829/8bb02bd7d297/41531_2024_808_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c114/11502829/06e5f4002827/41531_2024_808_Fig2_HTML.jpg

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本文引用的文献

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Alzheimers Dement. 2023 Dec;19(12):5672-5680. doi: 10.1002/alz.13367. Epub 2023 Jul 1.
2
Levodopa Dose Equivalency in Parkinson's Disease: Updated Systematic Review and Proposals.帕金森病中的左旋多巴剂量等效:更新的系统评价和建议。
Mov Disord. 2023 Jul;38(7):1236-1252. doi: 10.1002/mds.29410. Epub 2023 May 5.
3
Quantification and prospective evaluation of serum NfL and GFAP as blood-derived biomarkers of outcome in acute ischemic stroke patients.
定量检测和前瞻性评估血清 NfL 和 GFAP 作为急性缺血性脑卒中患者预后的血液生物标志物。
J Cereb Blood Flow Metab. 2023 Sep;43(9):1601-1611. doi: 10.1177/0271678X231172520. Epub 2023 Apr 27.
4
Evaluation of plasma levels of NFL, GFAP, UCHL1 and tau as Parkinson's disease biomarkers using multiplexed single molecule counting.使用多重单分子计数评估 NFL、GFAP、UCHL1 和 tau 作为帕金森病生物标志物的血浆水平。
Sci Rep. 2023 Mar 30;13(1):5217. doi: 10.1038/s41598-023-32480-0.
5
Astrocytes and brain-derived neurotrophic factor (BDNF).星形胶质细胞和脑源性神经营养因子(BDNF)。
Neurosci Res. 2023 Dec;197:42-51. doi: 10.1016/j.neures.2023.02.001. Epub 2023 Feb 11.
6
Association of serum neurofilament light chain and glial fibrillary acidic protein levels with cognitive decline in Parkinson's disease.帕金森病患者血清神经丝轻链和胶质纤维酸性蛋白水平与认知功能下降的关系
Brain Res. 2023 Apr 15;1805:148271. doi: 10.1016/j.brainres.2023.148271. Epub 2023 Feb 7.
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