Non-motor symptoms in patients with Parkinson's disease - correlations with inflammatory cytokines in serum.

<h4>Background</h4>Parkinson's Disease (PD) is the second most common neurodegenerative disorder of the central nervous system. Motor symptoms are the focus of pharmacotherapy, yet non-motor features of the disease (e.g. fatigue, mood disturbances, sleep disturbances and symptoms of...

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Autores principales: Daniel Lindqvist, Eli Kaufman, Lena Brundin, Sara Hall, Yulia Surova, Oskar Hansson
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:ab5856f4667041cbacf1f2b0b93c6f312021-11-18T08:11:41ZNon-motor symptoms in patients with Parkinson's disease - correlations with inflammatory cytokines in serum.1932-620310.1371/journal.pone.0047387https://doaj.org/article/ab5856f4667041cbacf1f2b0b93c6f312012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23082161/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Parkinson's Disease (PD) is the second most common neurodegenerative disorder of the central nervous system. Motor symptoms are the focus of pharmacotherapy, yet non-motor features of the disease (e.g. fatigue, mood disturbances, sleep disturbances and symptoms of anxiety) are both common and disabling for the patient. The pathophysiological mechanisms behind the non-motor symptoms in PD are yet to be untangled. The main objective of this study was to investigate associations between pro-inflammatory substances and non-motor symptoms in patients with PD.<h4>Methods and materials</h4>We measured C-reactive protein, interleukin (IL)-6, soluble IL-2 receptor (sIL-2R) and tumor necrosis factor-α (TNF-α) in blood samples from PD patients (n=86) and healthy controls (n=40). Symptoms of fatigue, depression, anxiety and sleeping difficulties were assessed using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT), the Hospital Anxiety and Depression Scale (HAD), and the Scales for Outcome in PD-Sleep Scale respectively.<h4>Results</h4>IL-6 was significantly higher in PD patients than in healthy controls. Compared to healthy controls, PD patients displayed significantly higher mean scores on HAD and lower scores on FACIT, thus indicating more severe symptoms as measured with these scales. Within the PD sample, high levels of both sIL-2R and TNF-α were significantly associated with more severe symptoms assessed by means of FACIT and HAD (depression and anxiety subscales). SIL-2-R levels were able to significantly predict FACIT and HAD scores after the effects of age, gender, anti-parkinsonian medications, and severity of motor symptoms were controlled for.<h4>Discussion</h4>We suggest that non-motor symptoms in PD patients, such as fatigue and depressive symptoms, might be generated via inflammatory mechanisms. This knowledge might contribute to the development of novel treatment options in PD, specifically targeting non-motor symptoms.Daniel LindqvistEli KaufmanLena BrundinSara HallYulia SurovaOskar HanssonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 10, p e47387 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Daniel Lindqvist
Eli Kaufman
Lena Brundin
Sara Hall
Yulia Surova
Oskar Hansson
Non-motor symptoms in patients with Parkinson's disease - correlations with inflammatory cytokines in serum.
description <h4>Background</h4>Parkinson's Disease (PD) is the second most common neurodegenerative disorder of the central nervous system. Motor symptoms are the focus of pharmacotherapy, yet non-motor features of the disease (e.g. fatigue, mood disturbances, sleep disturbances and symptoms of anxiety) are both common and disabling for the patient. The pathophysiological mechanisms behind the non-motor symptoms in PD are yet to be untangled. The main objective of this study was to investigate associations between pro-inflammatory substances and non-motor symptoms in patients with PD.<h4>Methods and materials</h4>We measured C-reactive protein, interleukin (IL)-6, soluble IL-2 receptor (sIL-2R) and tumor necrosis factor-α (TNF-α) in blood samples from PD patients (n=86) and healthy controls (n=40). Symptoms of fatigue, depression, anxiety and sleeping difficulties were assessed using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT), the Hospital Anxiety and Depression Scale (HAD), and the Scales for Outcome in PD-Sleep Scale respectively.<h4>Results</h4>IL-6 was significantly higher in PD patients than in healthy controls. Compared to healthy controls, PD patients displayed significantly higher mean scores on HAD and lower scores on FACIT, thus indicating more severe symptoms as measured with these scales. Within the PD sample, high levels of both sIL-2R and TNF-α were significantly associated with more severe symptoms assessed by means of FACIT and HAD (depression and anxiety subscales). SIL-2-R levels were able to significantly predict FACIT and HAD scores after the effects of age, gender, anti-parkinsonian medications, and severity of motor symptoms were controlled for.<h4>Discussion</h4>We suggest that non-motor symptoms in PD patients, such as fatigue and depressive symptoms, might be generated via inflammatory mechanisms. This knowledge might contribute to the development of novel treatment options in PD, specifically targeting non-motor symptoms.
format article
author Daniel Lindqvist
Eli Kaufman
Lena Brundin
Sara Hall
Yulia Surova
Oskar Hansson
author_facet Daniel Lindqvist
Eli Kaufman
Lena Brundin
Sara Hall
Yulia Surova
Oskar Hansson
author_sort Daniel Lindqvist
title Non-motor symptoms in patients with Parkinson's disease - correlations with inflammatory cytokines in serum.
title_short Non-motor symptoms in patients with Parkinson's disease - correlations with inflammatory cytokines in serum.
title_full Non-motor symptoms in patients with Parkinson's disease - correlations with inflammatory cytokines in serum.
title_fullStr Non-motor symptoms in patients with Parkinson's disease - correlations with inflammatory cytokines in serum.
title_full_unstemmed Non-motor symptoms in patients with Parkinson's disease - correlations with inflammatory cytokines in serum.
title_sort non-motor symptoms in patients with parkinson's disease - correlations with inflammatory cytokines in serum.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/ab5856f4667041cbacf1f2b0b93c6f31
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