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Can Plasma α-Synuclein Help Us to Differentiate Parkinson’s Disease from Essential Tremor? Cover

Can Plasma α-Synuclein Help Us to Differentiate Parkinson’s Disease from Essential Tremor?

Open Access
|May 2021

Figures & Tables

Table 1

Comparison of participant’s characteristics.

NOVO-PDPDETControlsP VALUE
N=19ON-STATE
N=35
OFF-STATE
N=33
N=19N=35
Males (%)13 (68)24 (69)22 (67)12 (63)11 (31)0.01
Age (years)*66.9 (8.8)64.5 (9.1)64.1 (9.0)70.8 (6.7)61.4 (7.3)0.002
Disease duration (years)1 (0.6; 3)10 (2; 25)10 (2; 25)7 (1; 29)--
UPDRS-III score20 (8; 41)24 (5; 49)35 (12; 70)--0.01
NMSS total score42 (24; 86)69 (12; 119)69 (12; 119)--0.08
PDCRS total score74 (58; 112)80 (43; 109)69 (12; 119)--0.91

[i] Values are expressed in medians (interquartile range) otherwise specified *= mean (Standard deviation). Parkinson’s disease (PD) (total sample = 35) measured in the ON state (ON-PD) (n = 35) and OFF state (OFF-PF), (n = 33); ET = Essential Tremor; UPDRS = Unified Parkinson’s disease Rating Scale; NMSS = Non motor symptoms severity score: PDCRS = Parkinson’s disease cognitive rating scale. Data was compared using the ANOVA test (several groups) and the Mann-Whitney U test (2 groups).

tohm-11-1-600-g1.png
Figure 1

A) Scatterplot for the plasma α-synuclein quantitation (ng/ml) for each group. B) Box-and-Whisker plot for plasma α-synuclein levels in each group. The median is represented by the vertical line, and a plus sign indicates the mean value. The notch indicates the 95% confidence intervals for the medians. Outside points are also represented. NOVO = de novo-PD; OFF = Parkinson’s disease (OFF state); ON = Parkinson’s disease (ON state); ET = Essential Tremor.

Table 2

Plasma α-synuclein quantitation (ng/ml) stratified by age and gender.

GROUPSα-SYNUCLEIN (NG/ML)
MEAN ± SD
α-SYNUCLEIN (NG/ML)
MEAN ± SD
MEN
(N)
WOMEN
(N)
p-VALUE< 66 YEARS OLD
(N)
> 66 YEARS OLD
(N)
p-VALUE
CONTROL (1)158.40 ±102.95
(11)
177.12 ±86.53
(24)
0.57174.81 ±94.85
(25)
162.32 ±84.18
(10)
0.719
ON-PD (2)112.30 ±56.63
(23)
111.08 ±40.45
(10)
0.95125.76 ±56.77
(17)
97.24 ±42.45
(16)
0.114
OFF-PD (3)128.64 ±46.37
(21)
127.26 ±29.16
(10)
0.92137.40 ±43.43
(16)
118.37 ±37.40
(15)
0.203
NOVO-PD (4)91.92 ±35.28
(13)
131.25 ±50.01
(6)
0.0690.21 ±26.38
(7)
112.58 ±49.91
(12)
0.219
ET (5)79.74 ±32.11
(12)
143.73 ±71.89
(6)
0.0854.33 ±1.95
(2)
106.92 ±56.94
(16)
(1)(5)/ (3)(4)/ (3)(5)(1)(2)/ (1)(3)<0.05*(1)(2)/ (1)(4)/ (3)(4)n.s<0.05*

[i] SD = Standard deviation. Age was stratified based on the median distribution of the total sample.*Pairwise group comparisons. n.s. = not significant.

Table 3

Clinical variables associated with Plasma α-synuclein levels.

N =136
REFERENCE GROUP = CONTROL
B COEF.IC95%p-VALUE
ON-PD–47.83(–79.33, –16.33)0.003
OFF-PD–32.02(–63.83, –0.20)0.049
NOVO-PD–53.50(–90.57, –16.42)0.005
ET–53.28(–92.84, –13.71)0.009
Gender (Men)–22.15(–45.33, 1.03)0.06
Age (>=66)–15.06(–38.26, 8.15)0.20
Cons182.50(159.17, 205.83)<0.001

[i] Adjusted R2: 15,1%.

DOI: https://doi.org/10.5334/tohm.600 | Journal eISSN: 2160-8288
Language: English
Submitted on: Jan 9, 2021
Accepted on: May 10, 2021
Published on: May 28, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Silvia M. Albillos, Olimpio Montero, Sara Calvo, Berta Solano, José María Trejo, Esther Cubo, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.