Cited by 105Parkinson's Disease Mechanisms and TreatmentsDialysis and Renal Disease ManagementCerebrospinal fluid and hydrocephalus

Higher cerebrospinal fluid to plasma ratio of p-cresol sulfate and indoxyl sulfate in patients with Parkinson’s disease

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Sankowski, Bartłomiej, Księżarczyk, Karolina, Raćkowska, Emilia, Szlufik, Stanisław, Koziorowski, Dariusz, Giebułtowicz, Joanna·2020·Clinica Chimica Acta

Abstract

BACKGROUND: In Parkinson's disease (PD), impairment of brain to blood barrier and/or blood-cerebrospinal fluid (CSF) barrier is described. It can increase the level of uremic toxins in CSF. So far, role of these compounds in neurological disorders has not been completely understood. However, a link has been observed between chronic kidney disease and neurological disorders. We measured the concentrations of uremic toxins (i.e. indoxyl sulfate (IS), p-cresol sulfate (pCS), symmetric dimethylarginine (SDMA), asymmetric dimethylarginine (ADMA), and trimethylamine N-oxide (TMAO)) in CSF and plasma, and correlated them with inflammation and oxidative stress biomarkers. METHODS: Plasma and CSF samples were collected from 27 volunteers (18 with PD and 9 controls). The level of toxins was determined using liquid chromatography coupled with tandem mass spectrometry. RESULTS: In PD, for IS and pCS, CSF-plasma ratio was higher. Concentration of pCS in CSF was higher in PD compared to controls. TMAO level was also higher in plasma of that group. Patients with motor fluctuations had higher level of uremic toxins in CSF, but not in plasma. CONCLUSIONS: The level of pCS and IS in CSF of PD is higher than expected, based on their blood level. It can influence pathogenesis and progression of PD.

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Crossref · 10.1016/j.cca.2019.10.038

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  • Indoxyl sulfate is increased in Parkinson's disease patients and induces oxidative stress and inflammation in primary astrocytes and mixed glial cell cultures.

    “On the other hand, the uremic toxin indoxyl sulfate is increased in PD patients.377,429 An elevated CSF/plasma ratio of indoxyl sulfate was detected in PD patients, with notably higher concentrations observed in patients experiencing motor fluctuations compared to those without motor fluctuations.429”

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Authors
Sankowski, B., Księżarczyk, K., Raćkowska, E., Szlufik, S., Koziorowski, D., & Giebułtowicz, J.
Affiliations
Medical University of Warsaw (PL)
Corresponding author
Giebułtowicz, Joanna
Venue
Clinica Chimica Acta
Publisher
Elsevier BV
Published
2020-02
Volume
501
Pages
165-173
ISSN
0009-8981 (ISSN-L)
OpenAlex
W2984529289
Cited by
105
References
65
Citations by year
2026: 10 · 2025: 18 · 2024: 16 · 2023: 22 · 2022: 18 · 2021: 12 · 2020: 9
FWCI
6.63
Type
journal article
Language
en
Open access
Locations
  • Clinica Chimica Acta (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • European Commission
  • European Regional Development Fund
Topics
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Cerebrospinal fluid and hydrocephalus
Keywords
Parkinson's disease, cerebrospinal fluid, plasma, p-cresyl sulfate, indoxyl sulfate, uremic toxins, CSF/plasma ratio, blood-brain barrier, blood-CSF barrier, trimethylamine N-oxide, symmetric dimethylarginine, asymmetric dimethylarginine, oxidative stress, inflammation, motor fluctuations, chronic kidney disease
MeSH terms
Adult, Cresols, Female, Humans, Indican, Male, Middle Aged, Parkinson Disease, Sulfuric Acid Esters, Biomarkers

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