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Plasma Metabolite Markers of Parkinson's Disease and Atypical Parkinsonism

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单位: [1]Umea Univ, Dept Integrat Med Biol, SE-90187 Umea, Sweden [2]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Div Cardiol,Dept Internal Med, Wuhan 430030, Peoples R China [3]Umea Univ, Dept Med Biosci, SE-90185 Umea, Sweden [4]Umea Univ, Dept Clin Sci, Neurosci, SE-90185 Umea, Sweden
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关键词: Parkinson's disease multiple system atrophy progressive supranuclear palsy nuclear magnetic resonance mass spectrometry metabolomics atypical Parkinsonism plasma biomarker

摘要:
Differentiating between Parkinson's disease (PD) and the atypical Parkinsonian disorders of multiple system atrophy (MSA) and progressive supranuclear palsy (PSP) is difficult clinically due to overlapping symptomatology, especially at early disease stages. Consequently, there is a need to identify metabolic markers for these diseases and to develop them into viable biomarkers. In the present investigation, solution nuclear magnetic resonance and mass spectrometry metabolomics were used to quantitatively characterize the plasma metabolomes (a total of 167 metabolites) of a cohort of 94 individuals comprising 34 PD, 12 MSA, and 17 PSP patients, as well as 31 control subjects. The distinct and statistically significant differences observed in the metabolite concentrations of the different disease and control groups enabled the identification of potential plasma metabolite markers of each disorder and enabled the differentiation between the disorders. These group-specific differences further implicate disturbances in specific metabolic pathways. The two metabolites, formic acid and succinate, were altered similarly in all three disease groups when compared to the control group, where a reduced level of formic acid suggested an effect on pyruvate metabolism, methane metabolism, and/or the kynurenine pathway, and an increased succinate level suggested an effect on the citric acid cycle and mitochondrial dysfunction.

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出版当年[2020]版:
大类 | 2 区 生物
小类 | 3 区 生化与分子生物学
最新[2025]版:
大类 | 3 区 生物学
小类 | 3 区 生化与分子生物学
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出版当年[2019]版:
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY
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Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY

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第一作者单位: [1]Umea Univ, Dept Integrat Med Biol, SE-90187 Umea, Sweden
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