Peripheral inflammatory immune response differs among sporadic and familial Parkinson’s disease

Abstract Peripheral inflammatory immune responses are thought to play a major role in the pathogenesis of Parkinson’s disease (PD). The neutrophil-to-lymphocyte ratio (NLR), a biomarker of systemic inflammation, has been reported to be higher in patients with PD than in healthy controls (HCs). The p...

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Main Authors: Laura Muñoz-Delgado, Daniel Macías-García, María Teresa Periñán, Silvia Jesús, Astrid D. Adarmes-Gómez, Marta Bonilla Toribio, Dolores Buiza Rueda, María del Valle Jiménez-Jaraba, Belén Benítez Zamora, Rafael Díaz Belloso, Sergio García-Díaz, Miguel Martín-Bórnez, Rocío Pineda Sánchez, Fátima Carrillo, Pilar Gómez-Garre, Pablo Mir
Format: Article
Language:English
Published: Nature Portfolio 2023-01-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-023-00457-5
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author Laura Muñoz-Delgado
Daniel Macías-García
María Teresa Periñán
Silvia Jesús
Astrid D. Adarmes-Gómez
Marta Bonilla Toribio
Dolores Buiza Rueda
María del Valle Jiménez-Jaraba
Belén Benítez Zamora
Rafael Díaz Belloso
Sergio García-Díaz
Miguel Martín-Bórnez
Rocío Pineda Sánchez
Fátima Carrillo
Pilar Gómez-Garre
Pablo Mir
author_facet Laura Muñoz-Delgado
Daniel Macías-García
María Teresa Periñán
Silvia Jesús
Astrid D. Adarmes-Gómez
Marta Bonilla Toribio
Dolores Buiza Rueda
María del Valle Jiménez-Jaraba
Belén Benítez Zamora
Rafael Díaz Belloso
Sergio García-Díaz
Miguel Martín-Bórnez
Rocío Pineda Sánchez
Fátima Carrillo
Pilar Gómez-Garre
Pablo Mir
author_sort Laura Muñoz-Delgado
collection DOAJ
description Abstract Peripheral inflammatory immune responses are thought to play a major role in the pathogenesis of Parkinson’s disease (PD). The neutrophil-to-lymphocyte ratio (NLR), a biomarker of systemic inflammation, has been reported to be higher in patients with PD than in healthy controls (HCs). The present study was aimed at determining if the peripheral inflammatory immune response could be influenced by the genetic background of patients with PD. We included a discovery cohort with 222 patients with PD (132 sporadic PD, 44 LRRK2-associated PD (with p.G2019S and p.R1441G variants), and 46 GBA-associated PD), as well as 299 HCs. Demographic and clinical data were recorded. Leukocytes and their subpopulations, and the NLR were measured in peripheral blood. Multivariate lineal regression and post-hoc tests were applied to determine the differences among the groups. Subsequently, a replication study using the Parkinson’s Progression Markers Initiative cohort was performed which included 401 patients with PD (281 sPD patients, 66 LRRK2-PD patients, 54 GBA-PD patients) and a group of 174 HCs. Patients with sporadic PD and GBA-associated PD showed a significantly lower lymphocyte count, a non-significantly higher neutrophil count and a significantly higher NLR than HCs. The peripheral inflammatory immune response of patients with LRRK2-associated PD did not differ from HCs. Our study supports the involvement of a peripheral inflammatory immune response in the pathophysiology of sPD and GBA-associated PD. However, this inflammatory response was not found in LRRK2-associated PD, probably reflecting different pathogenic inflammatory mechanisms.
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spelling doaj.art-52eba1144fa34462b2f4bc237ba2e7c92023-12-03T08:20:41ZengNature Portfolionpj Parkinson's Disease2373-80572023-01-01911910.1038/s41531-023-00457-5Peripheral inflammatory immune response differs among sporadic and familial Parkinson’s diseaseLaura Muñoz-Delgado0Daniel Macías-García1María Teresa Periñán2Silvia Jesús3Astrid D. Adarmes-Gómez4Marta Bonilla Toribio5Dolores Buiza Rueda6María del Valle Jiménez-Jaraba7Belén Benítez Zamora8Rafael Díaz Belloso9Sergio García-Díaz10Miguel Martín-Bórnez11Rocío Pineda Sánchez12Fátima Carrillo13Pilar Gómez-Garre14Pablo Mir15Unidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaUnidad de Trastornos del Movimiento, Servicio de Neurología y Neurofisiología Clínica, Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de SevillaAbstract Peripheral inflammatory immune responses are thought to play a major role in the pathogenesis of Parkinson’s disease (PD). The neutrophil-to-lymphocyte ratio (NLR), a biomarker of systemic inflammation, has been reported to be higher in patients with PD than in healthy controls (HCs). The present study was aimed at determining if the peripheral inflammatory immune response could be influenced by the genetic background of patients with PD. We included a discovery cohort with 222 patients with PD (132 sporadic PD, 44 LRRK2-associated PD (with p.G2019S and p.R1441G variants), and 46 GBA-associated PD), as well as 299 HCs. Demographic and clinical data were recorded. Leukocytes and their subpopulations, and the NLR were measured in peripheral blood. Multivariate lineal regression and post-hoc tests were applied to determine the differences among the groups. Subsequently, a replication study using the Parkinson’s Progression Markers Initiative cohort was performed which included 401 patients with PD (281 sPD patients, 66 LRRK2-PD patients, 54 GBA-PD patients) and a group of 174 HCs. Patients with sporadic PD and GBA-associated PD showed a significantly lower lymphocyte count, a non-significantly higher neutrophil count and a significantly higher NLR than HCs. The peripheral inflammatory immune response of patients with LRRK2-associated PD did not differ from HCs. Our study supports the involvement of a peripheral inflammatory immune response in the pathophysiology of sPD and GBA-associated PD. However, this inflammatory response was not found in LRRK2-associated PD, probably reflecting different pathogenic inflammatory mechanisms.https://doi.org/10.1038/s41531-023-00457-5
spellingShingle Laura Muñoz-Delgado
Daniel Macías-García
María Teresa Periñán
Silvia Jesús
Astrid D. Adarmes-Gómez
Marta Bonilla Toribio
Dolores Buiza Rueda
María del Valle Jiménez-Jaraba
Belén Benítez Zamora
Rafael Díaz Belloso
Sergio García-Díaz
Miguel Martín-Bórnez
Rocío Pineda Sánchez
Fátima Carrillo
Pilar Gómez-Garre
Pablo Mir
Peripheral inflammatory immune response differs among sporadic and familial Parkinson’s disease
npj Parkinson's Disease
title Peripheral inflammatory immune response differs among sporadic and familial Parkinson’s disease
title_full Peripheral inflammatory immune response differs among sporadic and familial Parkinson’s disease
title_fullStr Peripheral inflammatory immune response differs among sporadic and familial Parkinson’s disease
title_full_unstemmed Peripheral inflammatory immune response differs among sporadic and familial Parkinson’s disease
title_short Peripheral inflammatory immune response differs among sporadic and familial Parkinson’s disease
title_sort peripheral inflammatory immune response differs among sporadic and familial parkinson s disease
url https://doi.org/10.1038/s41531-023-00457-5
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