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@ARTICLE{Maass:273938,
author = {Maass, Fabian and Canaslan, Sezgi and van Riesen, Christoph
and Hermann, Peter and Schmitz, Matthias and Schulte,
Claudia and Brockmann, Kathrin and Synofzik, Matthis and
Bähr, Mathias and Zerr, Inga},
title = {{M}yelin basic protein and {TREM}2 quantification in the
{CSF} of patients with {M}ultiple {S}ystem {A}trophy and
other {P}arkinsonian conditions.},
journal = {Journal of neurology},
volume = {272},
number = {1},
issn = {0367-004X},
address = {Heidelberg},
publisher = {Springer},
reportid = {DZNE-2024-01412},
pages = {52},
year = {2025},
abstract = {It is well known that myelin disruption and
neuroinflammation are early and distinct pathological
hallmarks in multiple system atrophy (MSA) as well as in
idiopathic Parkinson's disease and in other atypical
Parkinsonian syndromes. The objective of this study was to
assess the value of non-neuronal biomarker candidates that
reflect myelin disruption and neuroinflammation.Myelin basic
protein (MBP) and the soluble form of TREM2 were quantified
in a comprehensive movement disorder cohort from two
different neurological centers, comprising a total of 171
CSF samples. Commercially available ELISA systems were
employed for quantification.The results of the MBP analysis
revealed a significant increase in cerebrospinal fluid (CSF)
MBP levels in all atypical Parkinsonian conditions compared
to PD. This differentiation was more pronounced in the MSA-c
subtype compared to MSA-p. Receiver operating characteristic
(ROC) analysis revealed a significant discrimination between
PD and MSA (p = 0.032, AUC = 0.70), PD and DLB (p = 0.006,
AUC = 0.79) and PD and tauopathies (p = 0.006, AUC = 0.74).
The results of the TREM2 analysis demonstrated no
significant differences between the PD and atypical
Parkinsonian groups if not adjusted for confounders. After
adjusting for age, sex, and disease duration, the PD group
exhibited significantly higher TREM2 levels compared to the
DLB group (p = 0.002).In conclusion, MBP, but not TREM2, is
elevated in the CSF of not only MSA but in all atypical
Parkinsonian conditions compared to idiopathic Parkinson's
disease. This highlights the value of the evaluation of
myelin/oligodendrocyte-associated markers in
neurodegenerative movement disorders.},
keywords = {Humans / Multiple System Atrophy: cerebrospinal fluid /
Multiple System Atrophy: diagnosis / Female / Male / Aged /
Membrane Glycoproteins: cerebrospinal fluid / Middle Aged /
Receptors, Immunologic / Biomarkers: cerebrospinal fluid /
Myelin Basic Protein: cerebrospinal fluid / Parkinsonian
Disorders: cerebrospinal fluid / Parkinsonian Disorders:
diagnosis / Parkinson Disease: cerebrospinal fluid /
Parkinson Disease: diagnosis / Cohort Studies / Aged, 80 and
over / Biomarker (Other) / Cerebrospinal fluid (Other) /
Multiple system atrophy (Other) / Myelin basic protein
(Other) / TREM2 (Other) / TREM2 protein, human (NLM
Chemicals) / Membrane Glycoproteins (NLM Chemicals) /
Receptors, Immunologic (NLM Chemicals) / Biomarkers (NLM
Chemicals) / Myelin Basic Protein (NLM Chemicals) / MBP
protein, human (NLM Chemicals)},
cin = {AG Zerr / Clinical Dementia Research (Göttingen) / AG
Gasser / AG Fischer},
ddc = {610},
cid = {I:(DE-2719)1440011-1 / I:(DE-2719)1440015 /
I:(DE-2719)1210000 / I:(DE-2719)1410002},
pnm = {353 - Clinical and Health Care Research (POF4-353) / 352 -
Disease Mechanisms (POF4-352)},
pid = {G:(DE-HGF)POF4-353 / G:(DE-HGF)POF4-352},
typ = {PUB:(DE-HGF)16},
pmc = {pmc:PMC11638341},
pubmed = {pmid:39666067},
doi = {10.1007/s00415-024-12747-w},
url = {https://pub.dzne.de/record/273938},
}