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Hemoglobin-binding alpha-synuclein levels in erythrocytes are elevated in patients with multiple system atrophy

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机构: [1]Department of Neurology, Dongfang Hospital, Beijing University of Chinese Medicine, No. 6 Fangxingyuan 1st Block, Fengtai District, Beijing 100078, China China [2]Department of Neurobiology, Xuanwu Hospital of Capital Medical University, 45 Changchun Street, Xicheng District, Beijing 100053, China [3]Department of Acupuncture, General Hospital of the People’s Liberation Army, No. 28, Fuxing Road, Haidian District, Beijing 100853, China [4]Affiliated Hospital of Guilin Medical University, No. 15, Lequn Road, Guilin, Guangxi 541001, China [5]China Academy of Chinese Medical Sciences Guang’anmen Hospital, No. 5, North Line Pavilion, Xicheng District, Beijing 100053, China [6]Beijing Parkcare Technology Co Ltd, No. 18, Xihuan South Road, Beijing Economic and Technological Development Zone, Beijing 100176, China [7]Department of Neurology, Xi’an Traditional Chinese Medicine Hospital, No. 69, Fengcheng Eighth Road, Xi’an, Shaanxi 710021, China
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关键词: Multiple system atrophy a-Synuclein Hemoglobin

摘要:
Previous studies have shown that alpha-synuclein (alpha-syn) accumulation in the normal aging brain is associated with a parallel increase in hemoglobin-binding alpha-syn (Hb-alpha-syn) in the brain and peripheral erythrocytes (ERCs), indicating that Hb-alpha-syn levels in ERCs may reflect the alpha-syn changes in the brain. However, if there is any change in ERC Hb-alpha-syn levels in disease condition is unclear. In this study, Hb-alpha-syn levels in ERCs from 149 Patients with multiple system atrophy (MSA) and 149 healthy controls (HCs) were measured by enzyme linked immunosorbent assay (ELISA). The results showed that Hb-alpha-syn levels in ERCs were significantly increased in MSA patients in comparison with those in HCs (777.84 & PLUSMN; 240.82 ng/mg vs 508.84 & PLUSMN; 162.57 ng/mg, P < 0.001). Receiver operating characteristic curve (ROC) indicated that increased Hb-alpha-syn in ERCs could discriminate MSA patients from HCs, with a sensitivity of 71.8%, a specificity of 80.5%, and an area under the curve (AUC) of 0.837. The positive and negative predictive values at a cut-off value of 616.12 ng/mg were 78.7% and 74.1%, respectively. However, the increase in Hb-alpha-syn levels did not show any association with the age of onset and consultation, disease duration, and UMSARS (I-IV) score. This pilot study suggests that ERC Hb-alpha-syn is increased in MSA patients and could evaluate alpha-syn accumulation in the brain of patients.

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
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出版当年[2020]版:
Q3 NEUROSCIENCES
最新[2023]版:
Q3 NEUROSCIENCES

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第一作者机构: [1]Department of Neurology, Dongfang Hospital, Beijing University of Chinese Medicine, No. 6 Fangxingyuan 1st Block, Fengtai District, Beijing 100078, China China
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通讯机构: [1]Department of Neurology, Dongfang Hospital, Beijing University of Chinese Medicine, No. 6 Fangxingyuan 1st Block, Fengtai District, Beijing 100078, China China [2]Department of Neurobiology, Xuanwu Hospital of Capital Medical University, 45 Changchun Street, Xicheng District, Beijing 100053, China [6]Beijing Parkcare Technology Co Ltd, No. 18, Xihuan South Road, Beijing Economic and Technological Development Zone, Beijing 100176, China [*1]Xuanwu Hospital, 45 Changchun Street, Xicheng District, Beijing 100053, China [*2]Dongfang Hospital, Beijing University of Chinese Medicine, No. 6 Fangxingyuan 1st Block, Fengtai District, Beijing, 100078, China
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