PMID- 28102045 OWN - NLM STAT- MEDLINE DCOM- 20180103 LR - 20181202 IS - 1468-1331 (Electronic) IS - 1351-5101 (Linking) VI - 24 IP - 2 DP - 2017 Feb TI - Inflammatory profile discriminates clinical subtypes in LRRK2-associated Parkinson's disease. PG - 427-e6 LID - 10.1111/ene.13223 [doi] AB - BACKGROUND AND PURPOSE: The presentation of Parkinson's disease patients with mutations in the LRRK2 gene (PD(LRRK)(2) ) is highly variable, suggesting a strong influence of modifying factors. In this context, inflammation is a potential candidate inducing clinical subtypes. METHODS: An extensive battery of peripheral inflammatory markers was measured in human serum in a multicentre cohort of 142 PD(LRRK)(2) patients from the MJFF LRRK2 Consortium, stratified by three different subtypes as recently proposed for idiopathic Parkinson's disease: diffuse/malignant, intermediate and mainly pure motor. RESULTS: Patients classified as diffuse/malignant presented with the highest levels of the pro-inflammatory proteins interleukin 8 (IL-8), monocyte chemotactic protein 1 (MCP-1) and macrophage inflammatory protein 1-beta (MIP-1-beta) paralleled by high levels of the neurotrophic protein brain-derived neurotrophic factor (BDNF). It was also possible to distinguish the clinical subtypes based on their inflammatory profile by using discriminant and area under the receiver operating characteristic curve analysis. CONCLUSIONS: Inflammation seems to be associated with the presence of a specific clinical subtype in PD(LRRK)(2) that is characterized by a broad and more severely affected spectrum of motor and non-motor symptoms. The pro-inflammatory metabolites IL-8, MCP-1 and MIP-1-beta as well as BDNF are interesting candidates to be included in biomarker panels that aim to differentiate subtypes in PD(LRRK)(2) and predict progression. CI - (c) 2017 EAN. FAU - Brockmann, K AU - Brockmann K AD - Department of Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University of Tubingen, Tubingen, Germany. AD - German Center for Neurodegenerative Diseases (DZNE), Tubingen, Germany. FAU - Schulte, C AU - Schulte C AD - Department of Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University of Tubingen, Tubingen, Germany. AD - German Center for Neurodegenerative Diseases (DZNE), Tubingen, Germany. FAU - Schneiderhan-Marra, N AU - Schneiderhan-Marra N AD - Natural and Medical Sciences Institute at the University of Tubingen (NMI), Reutlingen, Germany. FAU - Apel, A AU - Apel A AD - Department of Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University of Tubingen, Tubingen, Germany. FAU - Pont-Sunyer, C AU - Pont-Sunyer C AD - Parkinson's Disease and Movement Disorders Unit, Neurology Service, Hospital Clinic de Barcelona, Universitat de Barcelona, Institut d'Investigacions Biomediques August Pi I Sunyer (IDIBAPS), Centro de Investigacion Biomedica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Barcelona, Spain. FAU - Vilas, D AU - Vilas D AD - Parkinson's Disease and Movement Disorders Unit, Neurology Service, Hospital Clinic de Barcelona, Universitat de Barcelona, Institut d'Investigacions Biomediques August Pi I Sunyer (IDIBAPS), Centro de Investigacion Biomedica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Barcelona, Spain. FAU - Ruiz-Martinez, J AU - Ruiz-Martinez J AD - Hospital Universitario Donostia, Biodonostia Institut, San Sebastian, Guipuzcoa, Spain. FAU - Langkamp, M AU - Langkamp M AD - Mediagnost GmbH, Reutlingen, Germany. FAU - Corvol, J-C AU - Corvol JC AD - Departement de Genetique et Cytogenetique, Hopital de la Pitie Salpetriere, Sorbonne Universites, INSERM, Paris, France. FAU - Cormier, F AU - Cormier F AD - Departement de Genetique et Cytogenetique, Hopital de la Pitie Salpetriere, Sorbonne Universites, INSERM, Paris, France. FAU - Knorpp, T AU - Knorpp T AD - Natural and Medical Sciences Institute at the University of Tubingen (NMI), Reutlingen, Germany. FAU - Joos, T O AU - Joos TO AD - Natural and Medical Sciences Institute at the University of Tubingen (NMI), Reutlingen, Germany. FAU - Bernard, A AU - Bernard A AD - Department of Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University of Tubingen, Tubingen, Germany. FAU - Gasser, T AU - Gasser T AD - Department of Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University of Tubingen, Tubingen, Germany. AD - German Center for Neurodegenerative Diseases (DZNE), Tubingen, Germany. FAU - Marras, C AU - Marras C AD - Morton and Gloria Shulman Movement Disorders Centre and the Edmond J Safra Program in Parkinson's Disease, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada. FAU - Schule, B AU - Schule B AD - Parkinson Institute and Clinical Center, Sunnyvale, CA, USA. FAU - Aasly, J O AU - Aasly JO AD - Department of Neurology, St Olavs Hospital, Trondheim, Norway. FAU - Foroud, T AU - Foroud T AD - Department of Medical and Molecular Genetics, Indiana University, Bloomington, IN, USA. FAU - Marti-Masso, J F AU - Marti-Masso JF AD - Hospital Universitario Donostia, Biodonostia Institut, San Sebastian, Guipuzcoa, Spain. FAU - Brice, A AU - Brice A AD - Departement de Genetique et Cytogenetique, Hopital de la Pitie Salpetriere, Sorbonne Universites, INSERM, Paris, France. FAU - Tolosa, E AU - Tolosa E AD - Parkinson's Disease and Movement Disorders Unit, Neurology Service, Hospital Clinic de Barcelona, Universitat de Barcelona, Institut d'Investigacions Biomediques August Pi I Sunyer (IDIBAPS), Centro de Investigacion Biomedica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Barcelona, Spain. FAU - Berg, D AU - Berg D AD - Department of Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University of Tubingen, Tubingen, Germany. AD - German Center for Neurodegenerative Diseases (DZNE), Tubingen, Germany. FAU - Maetzler, W AU - Maetzler W AD - Department of Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University of Tubingen, Tubingen, Germany. AD - German Center for Neurodegenerative Diseases (DZNE), Tubingen, Germany. LA - eng PT - Journal Article PT - Multicenter Study PL - England TA - Eur J Neurol JT - European journal of neurology JID - 9506311 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (CCL2 protein, human) RN - 0 (CCL4 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CCL4) RN - 0 (Cytokines) RN - 7171WSG8A2 (BDNF protein, human) RN - EC 2.7.11.1 (LRRK2 protein, human) RN - EC 2.7.11.1 (Leucine-Rich Repeat Serine-Threonine Protein Kinase-2) SB - IM MH - Adult MH - Age of Onset MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/blood MH - Chemokine CCL2/blood MH - Chemokine CCL4/blood MH - Cohort Studies MH - Cytokines/blood MH - Disease Progression MH - Female MH - Humans MH - Inflammation/*etiology/genetics/pathology MH - Leucine-Rich Repeat Serine-Threonine Protein Kinase-2/*genetics MH - Male MH - Middle Aged MH - Mutation MH - Parkinson Disease/*genetics/*pathology OTO - NOTNLM OT - LRRK2 OT - Parkinson OT - inflammation OT - phenotype EDAT- 2017/01/20 06:00 MHDA- 2018/01/04 06:00 CRDT- 2017/01/20 06:00 PHST- 2016/09/13 00:00 [received] PHST- 2016/11/07 00:00 [accepted] PHST- 2017/01/20 06:00 [entrez] PHST- 2017/01/20 06:00 [pubmed] PHST- 2018/01/04 06:00 [medline] AID - 10.1111/ene.13223 [doi] PST - ppublish SO - Eur J Neurol. 2017 Feb;24(2):427-e6. doi: 10.1111/ene.13223.