Increased plasma DOPA decarboxylase levels in Lewy body disorders are driven by dopaminergic treatment

Abstract DOPA Decarboxylase (DDC) has been proposed as a cerebrospinal fluid (CSF) biomarker with increased concentrations in Lewy body disorders (LBDs) and highest levels in patients receiving dopaminergic treatment. Here we evaluate plasma DDC, measured by proximity extension assay, and the effect...

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Main Authors: Katharina Bolsewig, Eline A. J. Willemse, Pascual Sánchez-Juan, Alberto Rábano, Minerva Martínez, James D. Doecke, Giovanni Bellomo, Lisa Vermunt, Daniel Alcolea, Steffen Halbgebauer, Sjors in ‘t Veld, Niklas Mattsson-Carlgren, Katerina Veverova, Christopher J. Fowler, Lynn Boonkamp, Marleen Koel-Simmelink, Zulaiga Hussainali, Daimy N. Ruiters, Lorenzo Gaetani, Andrea Toja, Juan Fortea, Yolande Pijnenburg, Afina W. Lemstra, Wiesje M. van der Flier, Jakub Hort, Markus Otto, Oskar Hansson, Lucilla Parnetti, Colin L. Masters, Alberto Lleó, Charlotte E. Teunissen, Marta Del Campo Milán
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-56293-z
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author Katharina Bolsewig
Eline A. J. Willemse
Pascual Sánchez-Juan
Alberto Rábano
Minerva Martínez
James D. Doecke
Giovanni Bellomo
Lisa Vermunt
Daniel Alcolea
Steffen Halbgebauer
Sjors in ‘t Veld
Niklas Mattsson-Carlgren
Katerina Veverova
Christopher J. Fowler
Lynn Boonkamp
Marleen Koel-Simmelink
Zulaiga Hussainali
Daimy N. Ruiters
Lorenzo Gaetani
Andrea Toja
Juan Fortea
Yolande Pijnenburg
Afina W. Lemstra
Wiesje M. van der Flier
Jakub Hort
Markus Otto
Oskar Hansson
Lucilla Parnetti
Colin L. Masters
Alberto Lleó
Charlotte E. Teunissen
Marta Del Campo Milán
author_facet Katharina Bolsewig
Eline A. J. Willemse
Pascual Sánchez-Juan
Alberto Rábano
Minerva Martínez
James D. Doecke
Giovanni Bellomo
Lisa Vermunt
Daniel Alcolea
Steffen Halbgebauer
Sjors in ‘t Veld
Niklas Mattsson-Carlgren
Katerina Veverova
Christopher J. Fowler
Lynn Boonkamp
Marleen Koel-Simmelink
Zulaiga Hussainali
Daimy N. Ruiters
Lorenzo Gaetani
Andrea Toja
Juan Fortea
Yolande Pijnenburg
Afina W. Lemstra
Wiesje M. van der Flier
Jakub Hort
Markus Otto
Oskar Hansson
Lucilla Parnetti
Colin L. Masters
Alberto Lleó
Charlotte E. Teunissen
Marta Del Campo Milán
author_sort Katharina Bolsewig
collection DOAJ
description Abstract DOPA Decarboxylase (DDC) has been proposed as a cerebrospinal fluid (CSF) biomarker with increased concentrations in Lewy body disorders (LBDs) and highest levels in patients receiving dopaminergic treatment. Here we evaluate plasma DDC, measured by proximity extension assay, and the effect of dopaminergic treatment in three independent LBD (with a focus on dementia with Lewy bodies (DLB) and Parkinson’s disease (PD)) cohorts: an autopsy-confirmed cohort (n = 71), a large multicenter, cross-dementia cohort (n = 1498) and a longitudinal cohort with detailed treatment information (n = 66, median follow-up time[IQR] = 4[4, 4] years). Plasma DDC was not altered between different LBDs and other disease groups or controls in absence of treatment. DDC levels increased over time in PD, being significantly associated to higher dosages of dopaminergic treatment. This emphasizes the need to consider treatment effect when analyzing plasma DDC, and suggests that plasma DDC, in contrast to CSF DDC, is of limited use as a diagnostic biomarker for LBD, but could be valuable for treatment monitoring.
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spelling doaj-art-b1472858793149b59718513043e28d242025-02-02T12:32:50ZengNature PortfolioNature Communications2041-17232025-01-011611910.1038/s41467-025-56293-zIncreased plasma DOPA decarboxylase levels in Lewy body disorders are driven by dopaminergic treatmentKatharina Bolsewig0Eline A. J. Willemse1Pascual Sánchez-Juan2Alberto Rábano3Minerva Martínez4James D. Doecke5Giovanni Bellomo6Lisa Vermunt7Daniel Alcolea8Steffen Halbgebauer9Sjors in ‘t Veld10Niklas Mattsson-Carlgren11Katerina Veverova12Christopher J. Fowler13Lynn Boonkamp14Marleen Koel-Simmelink15Zulaiga Hussainali16Daimy N. Ruiters17Lorenzo Gaetani18Andrea Toja19Juan Fortea20Yolande Pijnenburg21Afina W. Lemstra22Wiesje M. van der Flier23Jakub Hort24Markus Otto25Oskar Hansson26Lucilla Parnetti27Colin L. Masters28Alberto Lleó29Charlotte E. Teunissen30Marta Del Campo Milán31Neurochemistry Laboratory, Department of Laboratory Medicine, Amsterdam Neuroscience, VU University Medical Center, Amsterdam UMCNeurochemistry Laboratory, Department of Laboratory Medicine, Amsterdam Neuroscience, VU University Medical Center, Amsterdam UMCCentro de Investigación Biomédica en Red en enfermedades neurodegenerativas (CIBERNED), Instituto de Salud Carlos IIIAlzheimer’s Centre Reina Sofia-CIEN Foundation-ISCIIIAlzheimer’s Centre Reina Sofia-CIEN Foundation-ISCIIIAustralian E-Health Research Centre, CSIROSection of Neurology, Laboratory of Clinical Neurochemistry, Department of Medicine and Surgery, University of PerugiaNeurochemistry Laboratory, Department of Laboratory Medicine, Amsterdam Neuroscience, VU University Medical Center, Amsterdam UMCCentro de Investigación Biomédica en Red en enfermedades neurodegenerativas (CIBERNED), Instituto de Salud Carlos IIIDepartment of Neurology, University Hospital UlmNeurochemistry Laboratory, Department of Laboratory Medicine, Amsterdam Neuroscience, VU University Medical Center, Amsterdam UMCClinical Memory Research Unit, Lund UniversityMemory Clinic, Department of Neurology, Charles University, Second Faculty of Medicine and Motol University HospitalFlorey Institute, The University of MelbourneNeurochemistry Laboratory, Department of Laboratory Medicine, Amsterdam Neuroscience, VU University Medical Center, Amsterdam UMCNeurochemistry Laboratory, Department of Laboratory Medicine, Amsterdam Neuroscience, VU University Medical Center, Amsterdam UMCNeurochemistry Laboratory, Department of Laboratory Medicine, Amsterdam Neuroscience, VU University Medical Center, Amsterdam UMCNeurochemistry Laboratory, Department of Laboratory Medicine, Amsterdam Neuroscience, VU University Medical Center, Amsterdam UMCSection of Neurology, Laboratory of Clinical Neurochemistry, Department of Medicine and Surgery, University of PerugiaSection of Neurology, Laboratory of Clinical Neurochemistry, Department of Medicine and Surgery, University of PerugiaCentro de Investigación Biomédica en Red en enfermedades neurodegenerativas (CIBERNED), Instituto de Salud Carlos IIIAmsterdam Neuroscience, Neurodegeneration program, Amsterdam UMCAmsterdam Neuroscience, Neurodegeneration program, Amsterdam UMCAmsterdam Neuroscience, Neurodegeneration program, Amsterdam UMCMemory Clinic, Department of Neurology, Charles University, Second Faculty of Medicine and Motol University HospitalDepartment of Neurology, University Hospital UlmClinical Memory Research Unit, Lund UniversitySection of Neurology, Laboratory of Clinical Neurochemistry, Department of Medicine and Surgery, University of PerugiaFlorey Institute, The University of MelbourneCentro de Investigación Biomédica en Red en enfermedades neurodegenerativas (CIBERNED), Instituto de Salud Carlos IIINeurochemistry Laboratory, Department of Laboratory Medicine, Amsterdam Neuroscience, VU University Medical Center, Amsterdam UMCNeurochemistry Laboratory, Department of Laboratory Medicine, Amsterdam Neuroscience, VU University Medical Center, Amsterdam UMCAbstract DOPA Decarboxylase (DDC) has been proposed as a cerebrospinal fluid (CSF) biomarker with increased concentrations in Lewy body disorders (LBDs) and highest levels in patients receiving dopaminergic treatment. Here we evaluate plasma DDC, measured by proximity extension assay, and the effect of dopaminergic treatment in three independent LBD (with a focus on dementia with Lewy bodies (DLB) and Parkinson’s disease (PD)) cohorts: an autopsy-confirmed cohort (n = 71), a large multicenter, cross-dementia cohort (n = 1498) and a longitudinal cohort with detailed treatment information (n = 66, median follow-up time[IQR] = 4[4, 4] years). Plasma DDC was not altered between different LBDs and other disease groups or controls in absence of treatment. DDC levels increased over time in PD, being significantly associated to higher dosages of dopaminergic treatment. This emphasizes the need to consider treatment effect when analyzing plasma DDC, and suggests that plasma DDC, in contrast to CSF DDC, is of limited use as a diagnostic biomarker for LBD, but could be valuable for treatment monitoring.https://doi.org/10.1038/s41467-025-56293-z
spellingShingle Katharina Bolsewig
Eline A. J. Willemse
Pascual Sánchez-Juan
Alberto Rábano
Minerva Martínez
James D. Doecke
Giovanni Bellomo
Lisa Vermunt
Daniel Alcolea
Steffen Halbgebauer
Sjors in ‘t Veld
Niklas Mattsson-Carlgren
Katerina Veverova
Christopher J. Fowler
Lynn Boonkamp
Marleen Koel-Simmelink
Zulaiga Hussainali
Daimy N. Ruiters
Lorenzo Gaetani
Andrea Toja
Juan Fortea
Yolande Pijnenburg
Afina W. Lemstra
Wiesje M. van der Flier
Jakub Hort
Markus Otto
Oskar Hansson
Lucilla Parnetti
Colin L. Masters
Alberto Lleó
Charlotte E. Teunissen
Marta Del Campo Milán
Increased plasma DOPA decarboxylase levels in Lewy body disorders are driven by dopaminergic treatment
Nature Communications
title Increased plasma DOPA decarboxylase levels in Lewy body disorders are driven by dopaminergic treatment
title_full Increased plasma DOPA decarboxylase levels in Lewy body disorders are driven by dopaminergic treatment
title_fullStr Increased plasma DOPA decarboxylase levels in Lewy body disorders are driven by dopaminergic treatment
title_full_unstemmed Increased plasma DOPA decarboxylase levels in Lewy body disorders are driven by dopaminergic treatment
title_short Increased plasma DOPA decarboxylase levels in Lewy body disorders are driven by dopaminergic treatment
title_sort increased plasma dopa decarboxylase levels in lewy body disorders are driven by dopaminergic treatment
url https://doi.org/10.1038/s41467-025-56293-z
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