Cerebrospinal fluid pro-inflammatory cytokines differentiate parkinsonian syndromes

Abstract Introduction Neuroinflammation has been established to be part of the neuropathological changes in Parkinson’s disease (PD) and atypical parkinsonism (APD). Activated microglia play a key role in neuroinflammation by release of cytokines. Evidence of the disparity, if any, in the neuroinflammatory response between PD and APD is sparse. In this study, we investigated CSF cytokine profiles in patients with PD, multiple system atrophy (MSA), or progressive supranuclear palsy (PSP). Methods On a sensitive electrochemiluminescence-based platform (Quickplex, Meso Scale Discovery®), we examined a panel of C-reactive protein (CRP) and eight selected cytokines, IFN-γ, IL-10, IL-18, IL-1β, IL-4, IL-6, TGF-β1, and TNF-α, among patients with PD (n = 46), MSA (n = 35), and PSP (n = 39) or controls (n = 31). Additionally, CSF total tau protein levels were measured as a marker of nonspecific neurodegeneration for correlation estimates. Results CRP and the pro-inflammatory cytokines TNF-α, IL-1β, and Il-6 were statistically significantly elevated in MSA and PSP patients compared to PD patients but not compared to control patients. No analytes differed statistically significantly between MSA and PSP patients. The best diagnostic discrimination, evaluated by ROC curve (AUC 0.77, p = 007, 95% CI 0.660–0.867), between PD and MSA patients was seen for a subset of analytes: CRP, TNF-α, IL-1β, and IFN-γ. Conclusion Among the investigated cytokines and CRP, we found a statistically significant increase of microglia-derived cytokines in MSA and PSP patients compared to PD patients.

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PID https://www.doi.org/10.6084/m9.figshare.c.4289837.v1
PID https://www.doi.org/10.6084/m9.figshare.c.4289837
URL http://dx.doi.org/10.6084/m9.figshare.c.4289837
URL http://dx.doi.org/10.6084/m9.figshare.c.4289837.v1
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Author C. Starhof
Author K. Winge
Author N. Heegaard
Author K. Skogstrand
Author S. Friis
Author A. Hejl
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Collected From Datacite
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Publication Date 2018-01-01
Publisher Figshare
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keyword FOS: Biological sciences
keyword FOS: Earth and related environmental sciences
keyword FOS: Clinical medicine
keyword FOS: Physical sciences
system:type other
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Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::a221ecd7b78ee34e4dd9cac8f4bf3e5e
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Last Updated 20 December 2020, 00:36 (CET)
Created 20 December 2020, 00:36 (CET)