帕金森病患者外周血单核细胞中的自噬特征
Autophagic signatures in peripheral blood mononuclear cells from Parkinson's disease patients.
作者信息
Lee Myung Shin, Kim Jae Whan, Park Don Gueu, Heo Hansol, Kim Juyeong, Yoon Jung Han, Chang Jaerak
机构信息
Department of Biomedical Sciences, Ajou University School of Medicine, Suwon, Republic of Korea.
Department of Neurology, Ajou University School of Medicine, Suwon, Republic of Korea.
出版信息
Mol Cells. 2025 Feb;48(2):100173. doi: 10.1016/j.mocell.2024.100173. Epub 2024 Dec 25.
Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by motor impairments and the accumulation of misfolded α-synuclein. Dysregulation of the autophagy-lysosomal pathway (ALP), responsible for degrading misfolded proteins, has been implicated in PD pathogenesis. However, current diagnostic approaches rely heavily on motor symptoms, which occur due to substantial neurodegeneration, limiting early detection and intervention. This study investigated the potential of ALP-associated proteins in peripheral blood mononuclear cells (PBMCs) as diagnostic biomarkers for early-stage PD. Quantitative analysis revealed a significant reduction in optineurin levels in PBMCs from PD patients, and the expression levels of various ALP-associated proteins were tightly correlated, suggesting a coordinated dysregulation of the pathway. Correlation analyses revealed associations between ALP-associated features and clinical characteristics, such as age of onset and motor impairment. Furthermore, the study identified multiple positive correlations among ALP-associated proteins and functional readouts, highlighting the interconnectivity within the pathway. Notably, a PBMC biomarker model incorporating lysosomal-associated membrane protein 1 and optineurin exhibited high diagnostic accuracy (86%) in distinguishing PD patients from controls. These findings highlight the potential of ALP-associated protein signatures in PBMCs as novel diagnostic biomarkers for early detection and intervention in PD, offering insights into the systemic manifestations of the disease.
帕金森病(PD)是一种进行性神经退行性疾病,其特征为运动障碍和错误折叠的α-突触核蛋白的积累。负责降解错误折叠蛋白的自噬-溶酶体途径(ALP)失调与PD发病机制有关。然而,目前的诊断方法严重依赖运动症状,而运动症状是由于大量神经退行性变引起的,这限制了早期检测和干预。本研究调查了外周血单核细胞(PBMC)中与ALP相关的蛋白作为早期PD诊断生物标志物的潜力。定量分析显示,PD患者PBMC中视紫质水平显著降低,并且各种与ALP相关的蛋白的表达水平紧密相关,表明该途径存在协同失调。相关性分析揭示了与ALP相关的特征与临床特征之间的关联,如发病年龄和运动障碍。此外,该研究还确定了与ALP相关的蛋白和功能读数之间的多个正相关,突出了该途径内的相互联系。值得注意的是,一个包含溶酶体相关膜蛋白1和视紫质的PBMC生物标志物模型在区分PD患者和对照组方面表现出较高的诊断准确性(86%)。这些发现突出了PBMC中与ALP相关的蛋白特征作为PD早期检测和干预的新型诊断生物标志物的潜力,为该疾病的全身表现提供了见解。