Tremor Other Hyperkinet Mov (N Y). 2021 May 28;11:20. doi: 10.5334/tohm.600.
Can Plasma α-Synuclein Help Us to Differentiate Parkinson's Disease from Essential Tremor?.
Tremor and other hyperkinetic movements (New York, N.Y.)
Silvia M Albillos, Olimpio Montero, Sara Calvo, Berta Solano, José María Trejo, Esther Cubo
Affiliations
Affiliations
- Area of Biochemistry and Molecular Biology, University of Burgos, Pza. Misael Bañuelos s/n. 09001, Burgos, Spain.
- Consejo Superior de Investigaciones Científicas (CSIC). Av. Francisco Vallés, 8. 47151 - Boecillo (Valladolid), Spain.
- Research Unit of the Universitary Hospital of Burgos. Avda. de las Islas Baleares, 3. 09006, Burgos, Spain.
- Neurology Department of the Universitary Hospital Josep Trueta. Avinguda de França, S/N, 17007 Girona, Spain.
- Avda. de las Islas Baleares, 3. 09006, Burgos, Avda. de las Islas Baleares, 3. 09006, Burgos, Spain.
PMID: 34113478
PMCID: PMC8162285 DOI: 10.5334/tohm.600
Abstract
BACKGROUND: Studies have revealed controversial results regarding the diagnostic accuracy of plasma α-synuclein levels in patients with Parkinson's disease (PD). This study was aimed to analyze the diagnostic accuracy of plasma α-synuclein in PD versus healthy controls and patients with essential tremor (ET).
METHODS: In this cross-sectional study, we included de novo (n = 19) and advanced PD patients [OFF (n = 33), and On (n = 35) states], patients with ET (n = 19), and controls (n = 35). The total plasma α-synuclein levels were determined using an ELISA sandwich method. We performed adjusted multivariate regression analysis to estimate the association of α-synuclein levels with group conditions [controls, ET, and de novo, OFF and ON-PD]. We studied the diagnostic accuracy of plasma α-synuclein using the area under the curve (AUC).
RESULTS: The plasma α-synuclein levels were higher in controls compared to PD and ET (p < 0.0001), discriminating de novo PD from controls (AUC = 0.74, 95% CI 0.60-0.89), with a trend towards in advanced PD (OFF state) from ET (AUC = 0.69, 95% CI 0.53-0.84).
CONCLUSIONS: This is the first study examining and comparing plasma α-synuclein levels in ET vs. PD and controls. Preliminary findings suggest that plasma α-synuclein levels might help to discriminate de novo and advanced PD from controls and ET.
Copyright: © 2021 The Author(s).
Keywords: Essential tremor; Parkinson’s disease; alpha-synuclein; diagnosis; plasma biomarker
Conflict of interest statement
The authors have no competing interests to declare.
References
- Neurol Sci. 2019 May;40(5):929-938 - PubMed
- Neurology. 2017 Nov 7;89(19):1959-1969 - PubMed
- Best Pract Res Clin Endocrinol Metab. 2013 Oct;27(5):647-61 - PubMed
- Mov Disord. 2017 Mar;32(3):325-331 - PubMed
- J Biol Chem. 2012 Sep 28;287(40):33691-705 - PubMed
- Tremor Other Hyperkinet Mov (N Y). 2019 Jan 9;8:589 - PubMed
- Mov Disord. 2007 Oct 15;22(13):1901-11 - PubMed
- Mov Disord. 2008 Aug 15;23(11):1602-5 - PubMed
- Int J Neurosci. 2018 May;128(5):477-486 - PubMed
- PLoS One. 2012;7(12):e52312 - PubMed
- J Psychiatr Res. 1975 Nov;12(3):189-98 - PubMed
- Brain. 2007 Dec;130(Pt 12):3297-307 - PubMed
- J Clin Diagn Res. 2015 May;9(5):BC01-4 - PubMed
- Mov Disord. 2007 Dec;22(16):2314-24 - PubMed
- Eur J Neurol. 2013 Nov;20(11):1440-4 - PubMed
- Mov Disord. 2008 May 15;23(7):998-1005 - PubMed
- Parkinsonism Relat Disord. 2016 Jan;22 Suppl 1:S106-10 - PubMed
- Neurosci Lett. 2010 Aug 9;480(1):78-82 - PubMed
- Neurology. 2000;54(11 Suppl 4):S7 - PubMed
- J Neurol Neurosurg Psychiatry. 1992 Mar;55(3):181-4 - PubMed
- Neurodegener Dis. 2008;5(2):55-9 - PubMed
- J Neural Transm (Vienna). 2006 Oct;113(10):1435-9 - PubMed
- Int Rev Neurobiol. 2018;143:179-212 - PubMed
- Parkinsonism Relat Disord. 2007 Mar;13(2):67-76 - PubMed
- Acta Neurol Scand. 2009 Jan;119(1):17-21 - PubMed
Publication Types