Cited by 209Parkinson's Disease Mechanisms and TreatmentsDementia and Cognitive Impairment ResearchNeurological disorders and treatments

Cerebrospinal fluid biomarkers in Parkinson disease

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Parnetti, Lucilla, Castrioto, Anna, Chiasserini, Davide, Persichetti, Emanuele, Tambasco, Nicola, El-Agnaf, Omar, Calabresi, Paolo·2013·Nature Reviews Neurology

Abstract

Clinical diagnosis of Parkinson disease (PD) is difficult in early stages of disease, with high risk of misdiagnosis. The long preclinical phase of PD provides the possibility for early therapeutic intervention once disease-modifying therapies have been developed, but lack of biomarkers for early diagnosis and monitoring of disease progression represents a major obstacle to achievement of this goal. Accordingly, research efforts aimed at identification of novel biomarkers have been increasing in the past 5 years. Cerebrospinal fluid (CSF) is an accessible source of brain-derived proteins, which mirror molecular changes that take place in the CNS. In this Review, we discuss evidence from numerous studies that have focused on identification of candidate CSF biomarkers for PD. Notably, molecular pathways related to α-synuclein, tau and β-amyloid peptides have received considerable attention. CSF levels of the protein DJ-1 are also of interest, although further investigation of this candidate marker is required. These studies support the usefulness of a combination of various CSF biomarkers of PD to increase diagnostic accuracy during early phases of the disease, and to differentiate PD from other neurodegenerative disorders.

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Crossref · 10.1038/nrneurol.2013.10

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Authors
Parnetti, L., Castrioto, A., Chiasserini, D., Persichetti, E., Tambasco, N., El-Agnaf, O., & Calabresi, P.
Affiliations
  • University of Perugia (IT)
  • Cancer Center Amsterdam (NL)
Corresponding author
Parnetti, Lucilla
Venue
Nature Reviews Neurology
Published
2013-02-19
Volume
9
Issue
3
Pages
131-140
ISSN
  • 1759-4758 (ISSN-L)
  • 1759-4766
OpenAlex
W2148575698
Cited by
209
References
127
Citations by year
2026: 3 · 2025: 16 · 2024: 11 · 2023: 13 · 2022: 12 · 2021: 15 · 2020: 18 · 2019: 12 · 2018: 15 · 2017: 15 · 2016: 21 · 2015: 23 · 2014: 25 · 2013: 10
FWCI
3.43
Type
journal article
Language
en
Open access
Locations
  • Nature Reviews Neurology (publishedVersion)
  • PubMed (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • VU Research Portal (submittedVersion)
  • Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Neurology › Neurological disorders and treatments
Keywords
Parkinson's disease, cerebrospinal fluid biomarkers, alpha-synuclein, amyloid-beta, tau protein, DJ-1, early diagnosis, disease-modifying therapy, combined biomarker detection
MeSH terms
Protein Deglycase DJ-1, Humans, Intermediate Filament Proteins, Parkinson Disease, Biomarkers, Oncogene Proteins, Amyloid beta-Peptides, Disease Progression, Intracellular Signaling Peptides and Proteins

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