Cerebrospinal fluid biomarkers in Parkinson's disease with freezing of gait: an exploratory analysis.

Cerebrospinal fluid biomarkers in Parkinson's disease with freezing of gait: an exploratory analysis.
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DOI:
10.1038/s41531-021-00247-x
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发表时间:
2021-11-29
期刊:
NPJ Parkinson's disease
影响因子:
--
通讯作者:
Factor SA
Factor SA
中科院分区:
其他
文献类型:
--
作者:
Hatcher-Martin JM;McKay JL;Pybus AF;Sommerfeld B;Howell JC;Goldstein FC;Wood L;Hu WT;Factor SA

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We explore the association between three Alzheimer’s disease-related and ten inflammation-related CSF markers and freezing of gait (FOG) in patients with Parkinson’s disease (PD). The study population includes PD patients with FOG (PD-FOG, N = 12), without FOG (PD-NoFOG, N = 19), and healthy controls (HC, N = 12). Age and PD duration are not significantly different between groups. After adjusting for covariates and multiple comparisons, the anti-inflammatory marker, fractalkine, is significantly decreased in the PD groups compared to HC (P = 0.002), and further decreased in PD-FOG compared to PD-NoFOG (P = 0.007). The Alzheimer’s disease-related protein, Aβ42, is increased in PD-FOG compared to PD-NoFOG and HC (P = 0.001). Group differences obtained in individual biomarker analyses are confirmed with multivariate discriminant partial least squares regression (P < 0.001). High levels of Aβ42 in PD-FOG patients supports an increase over time from early to advanced state. Low levels of fractalkine might suggest anti-inflammatory effect. These findings warrant replication.
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