Assessing Plasma Levels of α-Synuclein and Neurofilament Light Chain by Different Blood Preparation Methods

The potential biomarkers of Parkinson’s disease are α-synuclein and neurofilament light chain (NFL). However, inconsistent preanalytical preparation of plasma could lead to variations in levels of these biomarkers. Different types of potassium salts of EDTA and different centrifugation temperatures...

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Autores principales: Kuo-Hsuan Chang, Kou-Chen Liu, Chao-Sung Lai, Shieh-Yueh Yang, Chiung-Mei Chen
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:2a504dff10e14421a7fd166ed04859632021-11-08T16:56:54ZAssessing Plasma Levels of α-Synuclein and Neurofilament Light Chain by Different Blood Preparation Methods1663-436510.3389/fnagi.2021.759182https://doaj.org/article/2a504dff10e14421a7fd166ed04859632021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnagi.2021.759182/fullhttps://doaj.org/toc/1663-4365The potential biomarkers of Parkinson’s disease are α-synuclein and neurofilament light chain (NFL). However, inconsistent preanalytical preparation of plasma could lead to variations in levels of these biomarkers. Different types of potassium salts of EDTA and different centrifugation temperatures during plasma preparation may affect the results of α-synuclein and NFL measurements. In this study, we prepared plasma from eight patients with Parkinson’s disease (PD) and seven healthy controls (HCs) by using di- and tri-potassium (K2- and K3-) EDTA tubes and recruited a separated cohort with 42 PD patients and 40 HCs for plasma samples prepared from whole blood by centrifugation at room temperature and 4°C, respectively, in K2-EDTA tubes. The plasma levels of α-synuclein and NFL in K2- and K3-EDTA were similar. However, the levels of α-synuclein in the plasma prepared at 4°C (101.57 ± 43.43 fg/ml) were significantly lower compared with those at room temperature (181.23 ± 196.31 fg/ml, P < 0.001). Room temperature preparation demonstrated elevated plasma levels of α-synuclein in PD patients (256.6 ± 50.2 fg/ml) compared with the HCs (102.1 ± 0.66 fg/ml, P < 0.001), whereas this increase in PD was not present by preparation at 4°C. Both plasma preparations at room temperature and 4°C demonstrated consistent results of NFL, which are increased in PD patients compared with HCs. Our findings confirmed that K2- and K3-EDTA tubes were interchangeable for analyzing plasma levels of α-synuclein and NFL. Centrifugation at 4°C during plasma preparation generates considerable reduction and variation of α-synuclein level that might hinder the detection of α-synuclein level changes in PD.Kuo-Hsuan ChangKou-Chen LiuKou-Chen LiuChao-Sung LaiChao-Sung LaiChao-Sung LaiShieh-Yueh YangChiung-Mei ChenFrontiers Media S.A.articleParkinson’s diseasebiomarkerα-synucleinneurofilament light chainethylenediaminetetraacetic acidcentrifugation temperatureNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENFrontiers in Aging Neuroscience, Vol 13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Parkinson’s disease
biomarker
α-synuclein
neurofilament light chain
ethylenediaminetetraacetic acid
centrifugation temperature
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle Parkinson’s disease
biomarker
α-synuclein
neurofilament light chain
ethylenediaminetetraacetic acid
centrifugation temperature
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Kuo-Hsuan Chang
Kou-Chen Liu
Kou-Chen Liu
Chao-Sung Lai
Chao-Sung Lai
Chao-Sung Lai
Shieh-Yueh Yang
Chiung-Mei Chen
Assessing Plasma Levels of α-Synuclein and Neurofilament Light Chain by Different Blood Preparation Methods
description The potential biomarkers of Parkinson’s disease are α-synuclein and neurofilament light chain (NFL). However, inconsistent preanalytical preparation of plasma could lead to variations in levels of these biomarkers. Different types of potassium salts of EDTA and different centrifugation temperatures during plasma preparation may affect the results of α-synuclein and NFL measurements. In this study, we prepared plasma from eight patients with Parkinson’s disease (PD) and seven healthy controls (HCs) by using di- and tri-potassium (K2- and K3-) EDTA tubes and recruited a separated cohort with 42 PD patients and 40 HCs for plasma samples prepared from whole blood by centrifugation at room temperature and 4°C, respectively, in K2-EDTA tubes. The plasma levels of α-synuclein and NFL in K2- and K3-EDTA were similar. However, the levels of α-synuclein in the plasma prepared at 4°C (101.57 ± 43.43 fg/ml) were significantly lower compared with those at room temperature (181.23 ± 196.31 fg/ml, P < 0.001). Room temperature preparation demonstrated elevated plasma levels of α-synuclein in PD patients (256.6 ± 50.2 fg/ml) compared with the HCs (102.1 ± 0.66 fg/ml, P < 0.001), whereas this increase in PD was not present by preparation at 4°C. Both plasma preparations at room temperature and 4°C demonstrated consistent results of NFL, which are increased in PD patients compared with HCs. Our findings confirmed that K2- and K3-EDTA tubes were interchangeable for analyzing plasma levels of α-synuclein and NFL. Centrifugation at 4°C during plasma preparation generates considerable reduction and variation of α-synuclein level that might hinder the detection of α-synuclein level changes in PD.
format article
author Kuo-Hsuan Chang
Kou-Chen Liu
Kou-Chen Liu
Chao-Sung Lai
Chao-Sung Lai
Chao-Sung Lai
Shieh-Yueh Yang
Chiung-Mei Chen
author_facet Kuo-Hsuan Chang
Kou-Chen Liu
Kou-Chen Liu
Chao-Sung Lai
Chao-Sung Lai
Chao-Sung Lai
Shieh-Yueh Yang
Chiung-Mei Chen
author_sort Kuo-Hsuan Chang
title Assessing Plasma Levels of α-Synuclein and Neurofilament Light Chain by Different Blood Preparation Methods
title_short Assessing Plasma Levels of α-Synuclein and Neurofilament Light Chain by Different Blood Preparation Methods
title_full Assessing Plasma Levels of α-Synuclein and Neurofilament Light Chain by Different Blood Preparation Methods
title_fullStr Assessing Plasma Levels of α-Synuclein and Neurofilament Light Chain by Different Blood Preparation Methods
title_full_unstemmed Assessing Plasma Levels of α-Synuclein and Neurofilament Light Chain by Different Blood Preparation Methods
title_sort assessing plasma levels of α-synuclein and neurofilament light chain by different blood preparation methods
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/2a504dff10e14421a7fd166ed0485963
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