Increased blood-cerebrospinal fluid transfer of albumin in advanced Parkinson’s disease

<p>Abstract</p> <p>Background</p> <p>Alterations in blood–brain barrier permeability have been proposed to represent a relevant factor contributing to Parkinson’s disease progression. However, few studies have addressed this issue in patients at different stages of dise...

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Main Authors: Pisani Valerio, Stefani Alessandro, Pierantozzi Mariangela, Natoli Silvia, Stanzione Paolo, Franciotta Diego, Pisani Antonio
Format: Article
Language:English
Published: BMC 2012-08-01
Series:Journal of Neuroinflammation
Subjects:
Online Access:http://www.jneuroinflammation.com/content/9/1/188
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author Pisani Valerio
Stefani Alessandro
Pierantozzi Mariangela
Natoli Silvia
Stanzione Paolo
Franciotta Diego
Pisani Antonio
author_facet Pisani Valerio
Stefani Alessandro
Pierantozzi Mariangela
Natoli Silvia
Stanzione Paolo
Franciotta Diego
Pisani Antonio
author_sort Pisani Valerio
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Alterations in blood–brain barrier permeability have been proposed to represent a relevant factor contributing to Parkinson’s disease progression. However, few studies have addressed this issue in patients at different stages of disease.</p> <p>Methods</p> <p>Albumin was measured in cerebrospinal fluid and serum samples obtained from 73 non-demented subjects with idiopathic Parkinson’s disease and 47 age-matched control subjects. The albumin ratio (AR) was calculated to assess blood-cerebrospinal fluid and blood–brain barrier function. The group of patients with Parkinson’s disease included 46 subjects with Hoehn-Yahr staging between 1 and 2 and 27, with a score ranging from 2.5 to 4.</p> <p>Results</p> <p>Statistically significant differences in albumin ratio were found between patients with advanced disease, and both early-stage and unaffected groups. Conversely, early-phase patients did not differ from healthy subjects. Additionally, dopaminergic treatment seems to exert a possible effect on AR values<b>.</b></p> <p>Conclusions</p> <p>Our study demonstrates that possible dysfunction of the blood-cerebrospinal fluid barrier, blood–brain barrier, or both, characterize Parkinson’s disease progression. The associations between clinical scores, treatments and biochemical findings suggest a progressive impairment of barrier integrity during the course of the disease.</p>
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spelling doaj.art-0bde0cfc1beb4bafa35fe3a24b8c67a32022-12-22T03:27:24ZengBMCJournal of Neuroinflammation1742-20942012-08-019118810.1186/1742-2094-9-188Increased blood-cerebrospinal fluid transfer of albumin in advanced Parkinson’s diseasePisani ValerioStefani AlessandroPierantozzi MariangelaNatoli SilviaStanzione PaoloFranciotta DiegoPisani Antonio<p>Abstract</p> <p>Background</p> <p>Alterations in blood–brain barrier permeability have been proposed to represent a relevant factor contributing to Parkinson’s disease progression. However, few studies have addressed this issue in patients at different stages of disease.</p> <p>Methods</p> <p>Albumin was measured in cerebrospinal fluid and serum samples obtained from 73 non-demented subjects with idiopathic Parkinson’s disease and 47 age-matched control subjects. The albumin ratio (AR) was calculated to assess blood-cerebrospinal fluid and blood–brain barrier function. The group of patients with Parkinson’s disease included 46 subjects with Hoehn-Yahr staging between 1 and 2 and 27, with a score ranging from 2.5 to 4.</p> <p>Results</p> <p>Statistically significant differences in albumin ratio were found between patients with advanced disease, and both early-stage and unaffected groups. Conversely, early-phase patients did not differ from healthy subjects. Additionally, dopaminergic treatment seems to exert a possible effect on AR values<b>.</b></p> <p>Conclusions</p> <p>Our study demonstrates that possible dysfunction of the blood-cerebrospinal fluid barrier, blood–brain barrier, or both, characterize Parkinson’s disease progression. The associations between clinical scores, treatments and biochemical findings suggest a progressive impairment of barrier integrity during the course of the disease.</p>http://www.jneuroinflammation.com/content/9/1/188Albumin ratioBlood–brain barrierBlood-cerebrospinal fluid barrierCerebrospinal fluidParkinson’s disease
spellingShingle Pisani Valerio
Stefani Alessandro
Pierantozzi Mariangela
Natoli Silvia
Stanzione Paolo
Franciotta Diego
Pisani Antonio
Increased blood-cerebrospinal fluid transfer of albumin in advanced Parkinson’s disease
Journal of Neuroinflammation
Albumin ratio
Blood–brain barrier
Blood-cerebrospinal fluid barrier
Cerebrospinal fluid
Parkinson’s disease
title Increased blood-cerebrospinal fluid transfer of albumin in advanced Parkinson’s disease
title_full Increased blood-cerebrospinal fluid transfer of albumin in advanced Parkinson’s disease
title_fullStr Increased blood-cerebrospinal fluid transfer of albumin in advanced Parkinson’s disease
title_full_unstemmed Increased blood-cerebrospinal fluid transfer of albumin in advanced Parkinson’s disease
title_short Increased blood-cerebrospinal fluid transfer of albumin in advanced Parkinson’s disease
title_sort increased blood cerebrospinal fluid transfer of albumin in advanced parkinson s disease
topic Albumin ratio
Blood–brain barrier
Blood-cerebrospinal fluid barrier
Cerebrospinal fluid
Parkinson’s disease
url http://www.jneuroinflammation.com/content/9/1/188
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