The glucocerebrosidase mutations and uric acid levels in Parkinson’s disease: A 3-years investigation of a potential biomarker”

Background: Blood uric acid level indicates an emerging biomarker in Parkinson's disease (PD). This study aimed to evaluate longitudinal uric acid levels among different kinds of glucocerebrosidase (GBA) mutations and to compare it among sporadic PD, genetic cohort Parkinson's disease (GEN...

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Main Authors: Mehrdad Mozafar, Sina Kazemian, Elahe Hoseini, Mohammad Mohammadi, Rojina Alimoghadam, Mahan Shafie, Mahsa Mayeli
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Clinical Parkinsonism & Related Disorders
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590112522000482
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author Mehrdad Mozafar
Sina Kazemian
Elahe Hoseini
Mohammad Mohammadi
Rojina Alimoghadam
Mahan Shafie
Mahsa Mayeli
author_facet Mehrdad Mozafar
Sina Kazemian
Elahe Hoseini
Mohammad Mohammadi
Rojina Alimoghadam
Mahan Shafie
Mahsa Mayeli
author_sort Mehrdad Mozafar
collection DOAJ
description Background: Blood uric acid level indicates an emerging biomarker in Parkinson's disease (PD). This study aimed to evaluate longitudinal uric acid levels among different kinds of glucocerebrosidase (GBA) mutations and to compare it among sporadic PD, genetic cohort Parkinson's disease (GENPD), genetic cohort unaffected (GENUN), and healthy control (HC) patients. Methods: We conducted a study on 654 individuals from the Parkinson's progression markers initiative (PPMI) database. Baseline characteristics, uric acid levels, movement disorder society unified Parkinson's disease rating scale III (MDS-UPDRS III), Hoehn and Yahr Parkinson stage (H&Y stage), and DaT scan specific binding ratio (SBR) data were obtained. Different GBA mutations were collected and categorized into three groups. Longitudinal measurements of uric acid and MDS-UPDRS III score were evaluated during 3-years of follow-up. Result: GENPD cohort exhibited a greater MDS-UPDRS III score, H&Y stage, and lower SBR in the right caudate, left caudate, and right putamen compared to sporadic PD. Baseline uric acid level was similar among all groups and different GBA variants. After adjustment for age, sex, and body mass index, the uric acid level was significantly lower in the GENPD group than in HC during year 2 (P-value: 0.009). No significant longitudinal differences were detected for the MDS-UPDRS III score and three groups of GBA mutations. Conclusion: This is the first study to assess uric acid levels and MDS-UPDRS III scores among different GBA mutation variants within 3 years of follow-up. We found similar clinical characteristics among different subtypes of GBA mutations.
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spelling doaj.art-ccba40911e9b450489a2b05feae32fed2023-05-14T04:29:28ZengElsevierClinical Parkinsonism & Related Disorders2590-11252023-01-018100177The glucocerebrosidase mutations and uric acid levels in Parkinson’s disease: A 3-years investigation of a potential biomarker”Mehrdad Mozafar0Sina Kazemian1Elahe Hoseini2Mohammad Mohammadi3Rojina Alimoghadam4Mahan Shafie5Mahsa Mayeli6NeuroTRACT Association, Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran; School of Medicine, Tehran University of Medical Sciences, Tehran, IranNeuroTRACT Association, Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran; Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, IranNeuroTRACT Association, Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran; Medical Imaging Department, AMT School, Isfahan Medical Sciences University, Isfahan, IranNeuroTRACT Association, Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, IranNeuroTRACT Association, Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, IranNeuroTRACT Association, Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran; School of Medicine, Tehran University of Medical Sciences, Tehran, IranNeuroTRACT Association, Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran; Iranian Center of Neurological Research, Imam Khomeini Hospital Complex, Tehran, Iran; School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Corresponding author.Background: Blood uric acid level indicates an emerging biomarker in Parkinson's disease (PD). This study aimed to evaluate longitudinal uric acid levels among different kinds of glucocerebrosidase (GBA) mutations and to compare it among sporadic PD, genetic cohort Parkinson's disease (GENPD), genetic cohort unaffected (GENUN), and healthy control (HC) patients. Methods: We conducted a study on 654 individuals from the Parkinson's progression markers initiative (PPMI) database. Baseline characteristics, uric acid levels, movement disorder society unified Parkinson's disease rating scale III (MDS-UPDRS III), Hoehn and Yahr Parkinson stage (H&Y stage), and DaT scan specific binding ratio (SBR) data were obtained. Different GBA mutations were collected and categorized into three groups. Longitudinal measurements of uric acid and MDS-UPDRS III score were evaluated during 3-years of follow-up. Result: GENPD cohort exhibited a greater MDS-UPDRS III score, H&Y stage, and lower SBR in the right caudate, left caudate, and right putamen compared to sporadic PD. Baseline uric acid level was similar among all groups and different GBA variants. After adjustment for age, sex, and body mass index, the uric acid level was significantly lower in the GENPD group than in HC during year 2 (P-value: 0.009). No significant longitudinal differences were detected for the MDS-UPDRS III score and three groups of GBA mutations. Conclusion: This is the first study to assess uric acid levels and MDS-UPDRS III scores among different GBA mutation variants within 3 years of follow-up. We found similar clinical characteristics among different subtypes of GBA mutations.http://www.sciencedirect.com/science/article/pii/S2590112522000482Glucocerebrosidase mutationsUric acid levelsDaT scan specific binding ratioParkinson’s disease
spellingShingle Mehrdad Mozafar
Sina Kazemian
Elahe Hoseini
Mohammad Mohammadi
Rojina Alimoghadam
Mahan Shafie
Mahsa Mayeli
The glucocerebrosidase mutations and uric acid levels in Parkinson’s disease: A 3-years investigation of a potential biomarker”
Clinical Parkinsonism & Related Disorders
Glucocerebrosidase mutations
Uric acid levels
DaT scan specific binding ratio
Parkinson’s disease
title The glucocerebrosidase mutations and uric acid levels in Parkinson’s disease: A 3-years investigation of a potential biomarker”
title_full The glucocerebrosidase mutations and uric acid levels in Parkinson’s disease: A 3-years investigation of a potential biomarker”
title_fullStr The glucocerebrosidase mutations and uric acid levels in Parkinson’s disease: A 3-years investigation of a potential biomarker”
title_full_unstemmed The glucocerebrosidase mutations and uric acid levels in Parkinson’s disease: A 3-years investigation of a potential biomarker”
title_short The glucocerebrosidase mutations and uric acid levels in Parkinson’s disease: A 3-years investigation of a potential biomarker”
title_sort glucocerebrosidase mutations and uric acid levels in parkinson s disease a 3 years investigation of a potential biomarker
topic Glucocerebrosidase mutations
Uric acid levels
DaT scan specific binding ratio
Parkinson’s disease
url http://www.sciencedirect.com/science/article/pii/S2590112522000482
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