Abstract

Background: Chromogranin A (CgA) and other peptides from the chromogranin–secretogranin family have been recently studied as potential biomarkers of various neurodegenerative diseases, including Parkinson’s disease (PD). Methods: We measured CgA in the cerebrospinal fluid (CSF) of 119 PD patients, 18 multiple system atrophy (MSA) patients, and 31 age-matched controls. We also correlated the values with disease duration and levodopa dose equivalent. Results: In the PD patients, CSF CgA tended to be lower than the control group (median 124.5 vs. 185.2 µg/L; p = 0.057); however, the results did not reach statistical significance. CSF CgA levels in MSA were significantly lower compared to the control group (median 104.4 vs. 185.2; p = 0.014). There was no significant difference in CSF CgA between PD and MSA patients (p = 0.372). There was no association between CSF CgA and disease duration or levodopa dose equivalent in PD or in MSA. Conclusions: We observed a tendency toward lower CSF CgA levels in both PD and MSA compared to the control group; however, the difference reached statistical significance only in MSA. Based on these results, CgA may have potential as a biomarker in PD and MSA, but further studies on larger numbers of patients are needed to draw conclusions.

Highlights

  • 65 Parkinson’s disease (PD) and 11 multiple system atrophy (MSA) patients were treated with levodopa and/or dopamine agonist; 54 PD and seven MSA patients were without dopaminergic treatment

  • In the PD group, 54 PD patients were treated for arterial hypertension; the others were without antihypertensive drugs

  • There was no statistically significant difference in the age of MSA patients compared to the control group (p = 0.301)

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Summary

Introduction

Results: In the PD patients, CSF CgA tended to be lower than the control group CSF CgA levels in MSA were significantly lower compared to the control group (median 104.4 vs 185.2; p = 0.014). Conclusions: We observed a tendency toward lower CSF CgA levels in both PD and MSA compared to the control group; the difference reached statistical significance only in MSA. Based on these results, CgA may have potential as a biomarker in PD and MSA, but further studies on larger numbers of patients are needed to draw conclusions

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