Peripheral inflammatory cytokines and motor symptoms in persons with Parkinson's disease

Background: Many of the motor symptoms of Parkinson's disease (PD) impact quality of life and are not fully ameliorated by current pharmacological and surgical treatments. A better understanding of the pathophysiology underlying these symptoms is needed. Previous research has suggested that inf...

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Main Authors: K. Diaz, M.L. Kohut, D.W. Russell, E.L. Stegemöller
Format: Article
Language:English
Published: Elsevier 2022-05-01
Series:Brain, Behavior, & Immunity - Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666354622000321
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author K. Diaz
M.L. Kohut
D.W. Russell
E.L. Stegemöller
author_facet K. Diaz
M.L. Kohut
D.W. Russell
E.L. Stegemöller
author_sort K. Diaz
collection DOAJ
description Background: Many of the motor symptoms of Parkinson's disease (PD) impact quality of life and are not fully ameliorated by current pharmacological and surgical treatments. A better understanding of the pathophysiology underlying these symptoms is needed. Previous research has suggested that inflammation may play a significant role in PD pathophysiology and progression, but there is limited research exploring how inflammation directly relates to motor symptoms in PD. Thus, the purpose of this study was to evaluate associations between peripheral immune inflammatory markers and motor symptoms of PD, specifically, tremor, bradykinesia, and postural and gait instability. We hypothesized that peripheral inflammatory cytokines would predict the severity of motor symptoms in persons with PD, and that there will be higher levels of peripheral inflammatory cytokine markers in persons with PD when compared to age-matched healthy older adults. Methods: Twenty-six participants with PD and fourteen healthy older adults completed the study. For participants with PD, the motor section of the Unified Parkinson's Disease Rating Scale (UPDRS) was recorded and scored by two Movement Disorders Neurologists masked to the study. A blood sample was collected from both participants with PD and the healthy older adults. Through the MILLIPLEX® map High Sensitivity Human Cytokine Kit, key inflammation-related markers were analyzed (TNF-α, IFN-γ, IL-1β, IL-8, IL-2, IL-7, IL-5, IL-13, IL, 4, IL-10 IL-12p70, GM-CSF, and IL-6). Results: Results revealed significantly higher levels of IL-6 in persons with PD when compared to healthy older adults (p ​= ​0.005). Moreover, results revealed that higher levels of IL-4 (p ​= ​0.011) and lower levels of IFNγ (p ​= ​0.003) significantly predicted more severe tremor in persons with PD. No other associations between the peripheral inflammation markers and other motor symptoms were observed. Conclusions: Overall, these results are consistent with a growing body of literature that implicates inflammatory cytokines in the PD, and further suggests that inflammatory cytokines, or lack thereof, may be associated with tremor in persons with PD.
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spelling doaj.art-44f67654c7e344578509be109959c55e2022-12-21T19:06:26ZengElsevierBrain, Behavior, & Immunity - Health2666-35462022-05-0121100442Peripheral inflammatory cytokines and motor symptoms in persons with Parkinson's diseaseK. Diaz0M.L. Kohut1D.W. Russell2E.L. Stegemöller3Department of Kinesiology, Iowa State University, Ames, IA, USA; Corresponding author. Iowa State University, 534 Wallace Road, Ames, IA, 50011, USA.Department of Kinesiology, Iowa State University, Ames, IA, USADepartment of Human Development & Family Studies, Iowa State University, Ames, IA, USADepartment of Kinesiology, Iowa State University, Ames, IA, USABackground: Many of the motor symptoms of Parkinson's disease (PD) impact quality of life and are not fully ameliorated by current pharmacological and surgical treatments. A better understanding of the pathophysiology underlying these symptoms is needed. Previous research has suggested that inflammation may play a significant role in PD pathophysiology and progression, but there is limited research exploring how inflammation directly relates to motor symptoms in PD. Thus, the purpose of this study was to evaluate associations between peripheral immune inflammatory markers and motor symptoms of PD, specifically, tremor, bradykinesia, and postural and gait instability. We hypothesized that peripheral inflammatory cytokines would predict the severity of motor symptoms in persons with PD, and that there will be higher levels of peripheral inflammatory cytokine markers in persons with PD when compared to age-matched healthy older adults. Methods: Twenty-six participants with PD and fourteen healthy older adults completed the study. For participants with PD, the motor section of the Unified Parkinson's Disease Rating Scale (UPDRS) was recorded and scored by two Movement Disorders Neurologists masked to the study. A blood sample was collected from both participants with PD and the healthy older adults. Through the MILLIPLEX® map High Sensitivity Human Cytokine Kit, key inflammation-related markers were analyzed (TNF-α, IFN-γ, IL-1β, IL-8, IL-2, IL-7, IL-5, IL-13, IL, 4, IL-10 IL-12p70, GM-CSF, and IL-6). Results: Results revealed significantly higher levels of IL-6 in persons with PD when compared to healthy older adults (p ​= ​0.005). Moreover, results revealed that higher levels of IL-4 (p ​= ​0.011) and lower levels of IFNγ (p ​= ​0.003) significantly predicted more severe tremor in persons with PD. No other associations between the peripheral inflammation markers and other motor symptoms were observed. Conclusions: Overall, these results are consistent with a growing body of literature that implicates inflammatory cytokines in the PD, and further suggests that inflammatory cytokines, or lack thereof, may be associated with tremor in persons with PD.http://www.sciencedirect.com/science/article/pii/S2666354622000321Parkinson's diseasePeripheral inflammationInflammatory cytokinesMotor impairmentsMovement Disorders Society Unified Parkinson's Disease Rating Scale
spellingShingle K. Diaz
M.L. Kohut
D.W. Russell
E.L. Stegemöller
Peripheral inflammatory cytokines and motor symptoms in persons with Parkinson's disease
Brain, Behavior, & Immunity - Health
Parkinson's disease
Peripheral inflammation
Inflammatory cytokines
Motor impairments
Movement Disorders Society Unified Parkinson's Disease Rating Scale
title Peripheral inflammatory cytokines and motor symptoms in persons with Parkinson's disease
title_full Peripheral inflammatory cytokines and motor symptoms in persons with Parkinson's disease
title_fullStr Peripheral inflammatory cytokines and motor symptoms in persons with Parkinson's disease
title_full_unstemmed Peripheral inflammatory cytokines and motor symptoms in persons with Parkinson's disease
title_short Peripheral inflammatory cytokines and motor symptoms in persons with Parkinson's disease
title_sort peripheral inflammatory cytokines and motor symptoms in persons with parkinson s disease
topic Parkinson's disease
Peripheral inflammation
Inflammatory cytokines
Motor impairments
Movement Disorders Society Unified Parkinson's Disease Rating Scale
url http://www.sciencedirect.com/science/article/pii/S2666354622000321
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