Plasma biomarkers for monitoring brain pathophysiology in FMR1 premutation carriers

Premutation carriers have a 55-200 CGG expansion in the fragile X mental retardation 1 (FMR1) gene. Currently, 1.5 million individuals are affected in the United States, and carriers are at risk of developing the late-onset neurodegenerative disorder Fragile X-associated tremor ataxia syndrome (FXTA...

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Main Authors: Cecilia Giulivi, Eleonora Napoli, Flora Tassone, Julian Halmai, Randi Hagerman
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-08-01
Series:Frontiers in Molecular Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnmol.2016.00071/full
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author Cecilia Giulivi
Cecilia Giulivi
Eleonora Napoli
Flora Tassone
Flora Tassone
Julian Halmai
Randi Hagerman
Randi Hagerman
author_facet Cecilia Giulivi
Cecilia Giulivi
Eleonora Napoli
Flora Tassone
Flora Tassone
Julian Halmai
Randi Hagerman
Randi Hagerman
author_sort Cecilia Giulivi
collection DOAJ
description Premutation carriers have a 55-200 CGG expansion in the fragile X mental retardation 1 (FMR1) gene. Currently, 1.5 million individuals are affected in the United States, and carriers are at risk of developing the late-onset neurodegenerative disorder Fragile X-associated tremor ataxia syndrome (FXTAS). Limited efforts have been made to develop new methods for improved early patient monitoring, treatment response and disease progression. To this end, plasma metabolomic phenotyping was obtained for 23 premutation carriers and 16 age- and sex-matched controls. Three biomarkers, phenylethylamine normalized by either aconitate or isocitrate and oleamide normalized by isocitrate, exhibited excellent model performance. The lower phenylethylamine and oleamide plasma levels in carriers may indicate, respectively, incipient nigrostriatal degeneration and higher incidence of substance abuse, anxiety and sleep disturbances. Higher levels of citrate, isocitrate, aconitate and lactate may reflect deficits in both bioenergetics and neurotransmitter metabolism (Glu, GABA). This study lays important groundwork by defining the potential utility of plasma metabolic profiling to monitor brain pathophysiology in carriers before and during the progression of FXTAS, treatment efficacy and evaluation of side effects.
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spelling doaj.art-4991d42e749547f3b428efbc1d8e02b42022-12-21T21:58:26ZengFrontiers Media S.A.Frontiers in Molecular Neuroscience1662-50992016-08-01910.3389/fnmol.2016.00071216618Plasma biomarkers for monitoring brain pathophysiology in FMR1 premutation carriersCecilia Giulivi0Cecilia Giulivi1Eleonora Napoli2Flora Tassone3Flora Tassone4Julian Halmai5Randi Hagerman6Randi Hagerman7University of CaliforniaUniversity of California DavisUniversity of CaliforniaUniversity of California DavisUniversity of California DavisUniversity of CaliforniaUniversity of California DavisUniversity of California DavisPremutation carriers have a 55-200 CGG expansion in the fragile X mental retardation 1 (FMR1) gene. Currently, 1.5 million individuals are affected in the United States, and carriers are at risk of developing the late-onset neurodegenerative disorder Fragile X-associated tremor ataxia syndrome (FXTAS). Limited efforts have been made to develop new methods for improved early patient monitoring, treatment response and disease progression. To this end, plasma metabolomic phenotyping was obtained for 23 premutation carriers and 16 age- and sex-matched controls. Three biomarkers, phenylethylamine normalized by either aconitate or isocitrate and oleamide normalized by isocitrate, exhibited excellent model performance. The lower phenylethylamine and oleamide plasma levels in carriers may indicate, respectively, incipient nigrostriatal degeneration and higher incidence of substance abuse, anxiety and sleep disturbances. Higher levels of citrate, isocitrate, aconitate and lactate may reflect deficits in both bioenergetics and neurotransmitter metabolism (Glu, GABA). This study lays important groundwork by defining the potential utility of plasma metabolic profiling to monitor brain pathophysiology in carriers before and during the progression of FXTAS, treatment efficacy and evaluation of side effects.http://journal.frontiersin.org/Journal/10.3389/fnmol.2016.00071/fullFragile X SyndromeMetabolomicsneurodegenerationMitochondrial dysfunctionTrinucleotide repeat diseases
spellingShingle Cecilia Giulivi
Cecilia Giulivi
Eleonora Napoli
Flora Tassone
Flora Tassone
Julian Halmai
Randi Hagerman
Randi Hagerman
Plasma biomarkers for monitoring brain pathophysiology in FMR1 premutation carriers
Frontiers in Molecular Neuroscience
Fragile X Syndrome
Metabolomics
neurodegeneration
Mitochondrial dysfunction
Trinucleotide repeat diseases
title Plasma biomarkers for monitoring brain pathophysiology in FMR1 premutation carriers
title_full Plasma biomarkers for monitoring brain pathophysiology in FMR1 premutation carriers
title_fullStr Plasma biomarkers for monitoring brain pathophysiology in FMR1 premutation carriers
title_full_unstemmed Plasma biomarkers for monitoring brain pathophysiology in FMR1 premutation carriers
title_short Plasma biomarkers for monitoring brain pathophysiology in FMR1 premutation carriers
title_sort plasma biomarkers for monitoring brain pathophysiology in fmr1 premutation carriers
topic Fragile X Syndrome
Metabolomics
neurodegeneration
Mitochondrial dysfunction
Trinucleotide repeat diseases
url http://journal.frontiersin.org/Journal/10.3389/fnmol.2016.00071/full
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