Adjust Text Size:change font sizechange font sizechange font sizechange font sizechange font sizechange font size

Featured Research

Can we predict who is at risk of facing cognitive issues in PD and address them earlier? These are the questions being pursued by Dr. Goldman of the PDF Research Center at Rush University Medical Center.

Learn More

PDF Grant Programs

Are you interested in furthering Parkinson's science? View PDF's open grant programs.

Learn More

Plasma exosomal ?-synuclein is likely CNS-derived and increased in Parkinson's disease.

PDF's targeted PubMed search provides you with access to journal articles from the last 90 days that may be pertinent to Parkinson's disease research. 

Not what you're looking for? Do you need informational publications about Parkinson's targeted for people living with Parkinson's, caregivers and family members?  Please browse PDF's educational materials and programs - which are all available electronically or in print.  Order for yourself, a loved one or in bulk for your patients or support group.

Acta Neuropathol 2014 Jul;

Authors: Min Shi, Changqin Liu, Travis J Cook, Kristin M Bullock, Yanchun Zhao, Carmen Ginghina, Yanfei Li, Patrick Aro, Romel Dator, Chunmei He, Michael J Hipp, Cyrus P Zabetian, Elaine R Peskind, Shu-Ching Hu, Joseph F Quinn, Douglas R Galasko, William A Banks, Jing Zhang

Extracellular ?-synuclein is important in the pathogenesis of Parkinson's disease (PD) and also as a potential biomarker when tested in the cerebrospinal fluid (CSF). The performance of blood plasma or serum ?-synuclein as a biomarker has been found to be inconsistent and generally ineffective, largely due to the contribution of peripherally derived ?-synuclein. In this study, we discovered, via an intracerebroventricular injection of radiolabeled ?-synuclein into mouse brain, that CSF ?-synuclein was readily transported to blood, with a small portion being contained in exosomes that are relatively specific to the central nervous system (CNS). Consequently, we developed a technique to evaluate the levels of ?-synuclein in these exosomes in individual plasma samples. When applied to a large cohort of clinical samples (267 PD, 215 controls), we found that in contrast to CSF ?-synuclein concentrations, which are consistently reported to be lower in PD patients compared to controls, the levels of plasma exosomal ?-synuclein were substantially higher in PD patients, suggesting an increased efflux of the protein to the peripheral blood of these patients. Furthermore, although no association was observed between plasma exosomal and CSF ?-synuclein, a significant correlation between plasma exosomal ?-synuclein and disease severity (r†=†0.176, p†=†0.004) was observed, and the diagnostic sensitivity and specificity achieved by plasma exosomal ?-synuclein were comparable to those determined by CSF ?-synuclein. Further studies are clearly needed to elucidate the mechanism involved in the transport of CNS ?-synuclein to the periphery, which may lead to a more convenient and robust assessment of PD clinically.

PMID: 24997849 [PubMed - as supplied by publisher]

See More

Back to PubMed Articles