Cerebrospinal Fluid α-Synuclein Species in Cognitive and Movements Disorders

<div><p>Total CSF α-synuclein (t-α-syn), phosphorylated α-syn (pS129-α-syn) and α-syn oligomers (o-α-syn) have been studied as candidate biomarkers for synucleinopathies, with suboptimal specificity and sensitivity in the differentiation from healthy controls. Studies of α-syn species in...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Vasilios C. Constantinides (18595828) (author)
مؤلفون آخرون: Nour K. Majbour (8809316) (author), George P. Paraskevas (18595831) (author), Ilham Abdi (18394764) (author), Bared Safieh-Garabedian (3554684) (author), Leonidas Stefanis (264252) (author), Omar M. El-Agnaf (3172641) (author), Elisabeth Kapaki (489534) (author)
منشور في: 2021
الموضوعات:
الوسوم: إضافة وسم
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الوصف
الملخص:<div><p>Total CSF α-synuclein (t-α-syn), phosphorylated α-syn (pS129-α-syn) and α-syn oligomers (o-α-syn) have been studied as candidate biomarkers for synucleinopathies, with suboptimal specificity and sensitivity in the differentiation from healthy controls. Studies of α-syn species in patients with other underlying pathologies are lacking. The aim of this study was to investigate possible alterations in CSF α-syn species in a cohort of patients with diverse underlying pathologies. A total of 135 patients were included, comprising Parkinson’s disease (PD; n = 13), multiple system atrophy (MSA; n = 9), progressive supranuclear palsy (PSP; n = 13), corticobasal degeneration (CBD; n = 9), Alzheimer’s disease (AD; n = 51), frontotemporal degeneration (FTD; n = 26) and vascular dementia patients (VD; n = 14). PD patients exhibited higher pS129-α-syn/α-syn ratios compared to FTD (p = 0.045), after exclusion of samples with CSF blood contamination. When comparing movement disorders (i.e., MSA vs. PD vs. PSP vs. CBD), MSA patients had lower α-syn levels compared to CBD (p = 0.024). Patients with a synucleinopathy (PD and MSA) exhibited lower t-α-syn levels (p = 0.002; cut-off value: ≤865 pg/mL; sensitivity: 95%, specificity: 69%) and higher pS129-/t-α-syn ratios (p = 0.020; cut-off value: ≥0.122; sensitivity: 71%, specificity: 77%) compared to patients with tauopathies (PSP and CBD). There are no significant α-syn species alterations in non-synucleinopathies.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Brain Sciences<br> License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/brainsci11010119" target="_blank">https://dx.doi.org/10.3390/brainsci11010119</a></p>