PMID- 34837534 OWN - NLM STAT- MEDLINE DCOM- 20220614 LR - 20220725 IS - 1435-1463 (Electronic) IS - 0300-9564 (Linking) VI - 129 IP - 5-6 DP - 2022 Jun TI - Cognition, motor symptoms, and glycolipid metabolism in Parkinson's disease with depressive symptoms. PG - 563-573 LID - 10.1007/s00702-021-02437-6 [doi] AB - Depressive symptoms and abnormal glycolipid metabolisms are common in patients with Parkinson's disease (PD), but their relationship has not been fully reported. It is not clear whether glycolipid impairments lead to poor cognitive and motor function, and aggravate depressive symptoms. Therefore, we aimed to explore the relationships between glycolipid variables, cognition, motor and depressive symptoms in PD patients cross-sectionally. Two hundred ten PD patients were recruited. Glycolipid parameters and Uric acid (UA) were measured. Depressive symptoms, cognitive function and motor symptoms were assessed using the Hamilton Depression Rating Scale-17 (HAMD-17), the Montreal Cognitive Assessment (MOCA) and the Movement Disorder Society Unified Parkinson's Disease Rating Scale Part-III (UPDRS-III). Depressive PD patients had significantly worse motor symptoms and higher levels of fasting plasma glucose (FPG) than those in non-depressive patients (F = 24.145, P < 0.001). Further, logistic regression analysis indicated that UPDRS-III (OR = 1.039, 95% CI 1.019-1.057, P = 0.044), FPG (OR = 1.447, 95% CI 1.050-1.994, P = 0.024) were independently associated with depression. In PD patients without depression, UA (beta = - 0.068, t = - 2.913, P = 0.005) and cholesterol (CHOL) (beta = - 3.941, t = - 2.518, P = 0.014) were independent predictors of the UPDRS-III score; in addition, UPDRS-III score was negatively associated with MOCA score (beta = - 0.092, t = - 2.791, P = 0.007). FPG levels and motor symptoms were related to depressive symptoms in PD patients. Further, in non-depressive PD patients, UA and CHOL showed putative biomarkers of motor symptoms. CI - (c) 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature. FAU - Yao, Cong AU - Yao C AD - Laboratory of Biological Psychiatry, Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, 13 Liulin Road, Hexi District, 300222, Tianjin, China. FAU - Niu, Lichao AU - Niu L AD - Laboratory of Biological Psychiatry, Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, 13 Liulin Road, Hexi District, 300222, Tianjin, China. FAU - Fu, Yun AU - Fu Y AD - Department of Genetics, College of Basic Medical Sciences, Tianjin Medical University, Tianjin, 300070, China. FAU - Zhu, Xu AU - Zhu X AD - Department of Genetics, College of Basic Medical Sciences, Tianjin Medical University, Tianjin, 300070, China. AD - Department of Psychiatry and Psychology, College of Basic Medical Sciences, Tianjin Medical University, 22 Qixiangtai Roads, Heping District, Tianjin, 300070, China. FAU - Yang, Junfeng AU - Yang J AD - Department of Neurology, Tianjin Medical University General Hospital, Tianjin, 300052, China. FAU - Zhao, Peng AU - Zhao P AD - Department of Neurology, Tianjin Medical University General Hospital, Tianjin, 300052, China. FAU - Sun, Xiaoxiao AU - Sun X AD - Laboratory of Biological Psychiatry, Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, 13 Liulin Road, Hexi District, 300222, Tianjin, China. FAU - Ma, Yanyan AU - Ma Y AD - Laboratory of Biological Psychiatry, Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, 13 Liulin Road, Hexi District, 300222, Tianjin, China. FAU - Li, Shen AU - Li S AD - Laboratory of Biological Psychiatry, Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, 13 Liulin Road, Hexi District, 300222, Tianjin, China. lishen@tmu.edu.cn. AD - Department of Psychiatry and Psychology, College of Basic Medical Sciences, Tianjin Medical University, 22 Qixiangtai Roads, Heping District, Tianjin, 300070, China. lishen@tmu.edu.cn. FAU - Li, Jie AU - Li J AD - Laboratory of Biological Psychiatry, Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, 13 Liulin Road, Hexi District, 300222, Tianjin, China. jieli@tjmhc.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211127 PL - Austria TA - J Neural Transm (Vienna) JT - Journal of neural transmission (Vienna, Austria : 1996) JID - 9702341 RN - 0 (Glycolipids) RN - 268B43MJ25 (Uric Acid) SB - IM MH - Cognition MH - Depression/complications MH - Glycolipids MH - Humans MH - Mental Status and Dementia Tests MH - *Parkinson Disease MH - Uric Acid OTO - NOTNLM OT - Cognition OT - Depressive symptoms OT - Glycolipid metabolism OT - Motor symptoms OT - Parkinson's disease EDAT- 2021/11/28 06:00 MHDA- 2022/06/15 06:00 CRDT- 2021/11/27 12:05 PHST- 2021/09/30 00:00 [received] PHST- 2021/10/29 00:00 [accepted] PHST- 2021/11/28 06:00 [pubmed] PHST- 2022/06/15 06:00 [medline] PHST- 2021/11/27 12:05 [entrez] AID - 10.1007/s00702-021-02437-6 [pii] AID - 10.1007/s00702-021-02437-6 [doi] PST - ppublish SO - J Neural Transm (Vienna). 2022 Jun;129(5-6):563-573. doi: 10.1007/s00702-021-02437-6. Epub 2021 Nov 27.