Early biomarkers of phenoconversion to neurodegeneration are crucial to identify individuals at high risk. In patients with idiopathic REM sleep behavior disorder (iRBD), the strongest risk factor for neurodegeneration, CD4 T cells exhibit a peculiar transcription factor pattern. To assess transcription factor mRNA levels in CD4 T cells as predictive biomarkers of phenoconversion in iRBD patients. iRBD patients were followed prospectively. ROC curve analysis and Kaplan-Meier curves were used to assess the discrimination between converters and non-converters. CD4 T cells from converters had higher , and lower and mRNA levels. Hazard ratio was 58.3 (95% CI: 6.2-547.1) for higher , 101.2 (95% CI: 16.8-609.4) for lower and 15.7 (2.7-91.4) for lower . , and mRNA levels in CD4 T cells are promising predictive biomarkers of phenoconversion in iRBD patients.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572078 | PMC |
http://dx.doi.org/10.1080/20565623.2024.2418821 | DOI Listing |
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