Complement system changes in blood in Parkinson's disease and progressive Supranuclear Palsy/Corticobasal Syndrome.

Parkinsonism Relat Disord

Translational Neuropharmacology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, Bioclinicum, J5:20, 171 64, Solna, Sweden; Center for Neurology, Academic Specialist Center, Stockholm, Solnavägen 1E, 11365, Stockholm, Sweden; Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, United Kingdom Maurice Wohl Clinical Neuroscience Institute, 125 Coldharbour Lane, SE5 9NU, London, United Kingdom.

Published: March 2023

AI Article Synopsis

  • - Parkinson's Disease (PD) can be tough to distinguish from related disorders like Progressive Supranuclear Palsy and Corticobasal Syndrome, and there's a need for better diagnostic biomarkers.
  • - A study analyzed plasma from 148 people (including those with PD, 4R-Tauopathies, and healthy controls) and found lower levels of complement proteins C1q and C3 in those with 4R-Tauopathies compared to both PD and healthy controls.
  • - While complement levels and activity didn’t show major differences between PD patients and healthy individuals, some complement proteins correlated with PD symptom severity, especially C3 with non-motor symptoms in women.

Article Abstract

Parkinson's Disease (PD) is diagnosed clinically, and early PD is often challenging to differentiate from atypical parkinsonian disorders such as the Four-repeat (4R-) Tauopathies Progressive Supranuclear Palsy and Corticobasal Syndrome. Diagnostic biomarkers are needed, and proteomic studies have suggested that the plasma complement system is altered in PD, but validation studies are lacking. In this study, plasma from 148 individuals (PD, 4R-Tauopathies, and healthy controls (HC)) were used to quantify 12 complement proteins with immunoassays, and CH50 classical pathway complement activity was quantified in sera from further 78 individuals (PD and HC). Complement factors C1q and C3 in plasma were lower in individuals with 4R-Tauopathies (ANOVA, p = 0.0041, p = 0.0057 respectively) compared to both PD and HC. None of the complement proteins were altered between PD and HC, however a few proteins correlated with clinical parameters within the PD group. Notably, levels of C3 correlated with non-motor symptoms in female patients. Classical pathway complement activity was not altered in PD serum, but did correlate with mental fatigue. In conclusion, individuals with 4R-Tauopathies showed lower plasma C1q and C3 compared PD and HC. Neither complement levels nor CH50 activity were significantly altered in PD versus HC but may associate with PD symptom severity.

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http://dx.doi.org/10.1016/j.parkreldis.2023.105313DOI Listing

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