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帕金森病患者血清胰岛素样生长因子-1水平与非运动症状之间的关联

Association between serum IGF‑1 levels and non-motor symptoms in Parkinson's disease.

作者信息

Gu Lihua, Zhang Pengcheng, Zuo Wenchao, Shu Hao, Wang Pan

机构信息

Department of Neurology, Tianjin Huanhu Hospital, No. 6 Jizhao Road, Tianjin, 300222, China.

Institute of Environment and Operational Medicine, Academy of Military Medical Sciences, Academy of Military Sciences, Tianjin, 300041, China.

出版信息

Neurol Sci. 2025 Mar;46(3):1201-1206. doi: 10.1007/s10072-024-07835-8. Epub 2024 Oct 29.

DOI:10.1007/s10072-024-07835-8
PMID:39467934
Abstract

AIMS

We aimed to measure serum insulin-like growth factor 1 (IGF-1) levels in Parkinson's disease (PD) patients and assess their correlation with non-motor symptoms (NMS).

BACKGROUND

Emerging evidence suggests that abnormal levels of IGF-1 play a crucial role in the development of PD.

OBJECTIVE

Further systematic research is needed to explore the potential roles of abnormal IGF-1 levels in NMS of PD.

METHODS

The study enrolled a total of 129 PD patients and 130 healthy controls (HCs). Within the PD cohort, 74 patients were classified as being in the early stage, while 55 were in the moderate stage.

RESULTS

This study found no significant difference in serum IGF-1 levels between PD patients and HC. Further analysis revealed no significant difference in IGF-1 levels between early-stage PD and those in the moderate stages. Linear regression analysis indicated a significant association between serum IGF-1 levels and Nonmotor Symptom Scale (NMSS) scores in PD patients. Linear regression analysis revealed significant correlations between serum IGF-1 levels and general cognitive function, information processing speed, and executive function in PD patients. Furthermore, lower serum IGF-1 levels were associated with fatigue in PD patients.

CONCLUSIONS

In summary, our study suggests a potential association between serum IGF-1 levels and specific NMS in patients with PD. These findings highlight the importance of long-term follow-up studies to determine whether serum biomarkers can serve as valuable tools for early detection of NMS in PD.

摘要

目的

我们旨在测量帕金森病(PD)患者的血清胰岛素样生长因子1(IGF-1)水平,并评估其与非运动症状(NMS)的相关性。

背景

新出现的证据表明,IGF-1水平异常在PD的发展中起关键作用。

目的

需要进一步的系统研究来探索IGF-1水平异常在PD非运动症状中的潜在作用。

方法

该研究共纳入129例PD患者和130例健康对照(HC)。在PD队列中,74例患者被分类为早期,55例为中期。

结果

本研究发现PD患者和HC之间的血清IGF-1水平无显著差异。进一步分析显示,早期PD患者和中期患者的IGF-1水平无显著差异。线性回归分析表明,PD患者血清IGF-1水平与非运动症状量表(NMSS)评分之间存在显著关联。线性回归分析显示,PD患者血清IGF-1水平与一般认知功能、信息处理速度和执行功能之间存在显著相关性。此外,较低的血清IGF-1水平与PD患者的疲劳有关。

结论

总之,我们的研究表明PD患者血清IGF-1水平与特定的非运动症状之间存在潜在关联。这些发现凸显了长期随访研究的重要性,以确定血清生物标志物是否可作为早期检测PD非运动症状的有价值工具。

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本文引用的文献

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Correlation between serum IGF-1 and EGF levels and neuropsychiatric and cognitive in Parkinson's disease patients.帕金森病患者血清 IGF-1 和 EGF 水平与神经精神和认知的相关性。
Neurol Sci. 2023 Mar;44(3):881-887. doi: 10.1007/s10072-022-06490-1. Epub 2022 Nov 16.
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Serum IGF-1 is associated with cognitive functions in early, drug-naïve Parkinson's disease.血清胰岛素样生长因子-1与早期未用药帕金森病的认知功能相关。
PLoS One. 2017 Oct 24;12(10):e0186508. doi: 10.1371/journal.pone.0186508. eCollection 2017.
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Parkinson's: a syndrome rather than a disease?
帕金森病:一种综合征而非一种疾病?
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Insulin-Like Growth Factor 1 (IGF-1) in Parkinson's Disease: Potential as Trait-, Progression- and Prediction Marker and Confounding Factors.胰岛素样生长因子 1(IGF-1)在帕金森病中的作用:作为特征、进展和预测标志物的潜力及混杂因素。
PLoS One. 2016 Mar 11;11(3):e0150552. doi: 10.1371/journal.pone.0150552. eCollection 2016.
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Serum Insulin-Like Growth Factor-1 in Patients with De Novo, Drug Naïve Parkinson's Disease: A Meta-Analysis.初发、未用药帕金森病患者血清胰岛素样生长因子-1的荟萃分析
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Insulin-like growth factor-1 and progression of motor symptoms in early, drug-naïve Parkinson's disease.胰岛素样生长因子-1 与早期、未经药物治疗的帕金森病运动症状进展的关系。
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