Parkinson’s Disease: A Narrative of the Evolving Understanding of the Role of α-Synuclein in Screening

The present investigation aims to examine the role of α-synuclein seed amplification assays for screening Parkinson’s disease. Parkinson’s disease (PD) is a debilitating neurodegenerative disorder caused by the loss of dopaminergic neurons in the midbrain, leading to symptoms such as tremors, bradyk...

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Main Authors: Alan D. Kaye, Kassady A. Perkinson, Noah J. Spillers, Alexis J. Vega, Caylin J. Roberts, Evan M. Downs, Melissa M. Sheth, David W. McGregor, Shahab Ahmadzadeh, Jibin Mathew, Sahar Shekoohi
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Current Issues in Molecular Biology
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Online Access:https://www.mdpi.com/1467-3045/46/11/757
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author Alan D. Kaye
Kassady A. Perkinson
Noah J. Spillers
Alexis J. Vega
Caylin J. Roberts
Evan M. Downs
Melissa M. Sheth
David W. McGregor
Shahab Ahmadzadeh
Jibin Mathew
Sahar Shekoohi
author_facet Alan D. Kaye
Kassady A. Perkinson
Noah J. Spillers
Alexis J. Vega
Caylin J. Roberts
Evan M. Downs
Melissa M. Sheth
David W. McGregor
Shahab Ahmadzadeh
Jibin Mathew
Sahar Shekoohi
author_sort Alan D. Kaye
collection DOAJ
description The present investigation aims to examine the role of α-synuclein seed amplification assays for screening Parkinson’s disease. Parkinson’s disease (PD) is a debilitating neurodegenerative disorder caused by the loss of dopaminergic neurons in the midbrain, leading to symptoms such as tremors, bradykinesia, postural instability, dementia, and depression. It is classified as an α-synucleinopathy related to the role of α-synuclein aggregates in neuron degeneration. Diagnosis relies on clinical assessment without premortem diagnostic tests or imaging, often resulting in delayed detection and impaired symptom management. In this regard, our study explores a screening technique using an amplification assay to measure α-synuclein levels in cerebrospinal fluid, which could potentially identify early pathological changes and improve diagnostic accuracy and patient outcomes. While preliminary results are promising, further studies are needed to evaluate this approach’s accuracy and clinical feasibility. A review of numerous trials demonstrates that α-synuclein seeding amplification assays (SAA) are a highly reliable, sensitive, and specific diagnostic tool for PD. This assay offers a promising opportunity to improve early diagnosis and quantify severity, especially for asymptomatic individuals or those with a family history of PD, allowing for earlier intervention and more effective disease management. In summary, the emerging body of evidence supporting α-synuclein as a biomarker should allow patients with PD to be detected and treated sooner, enhancing patients’ quality of life and potentially changing the disease trajectory.
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spelling doaj-art-e2647ba951444d35be4036e8b31748cb2025-08-20T02:28:08ZengMDPI AGCurrent Issues in Molecular Biology1467-30371467-30452024-11-014611127461275510.3390/cimb46110757Parkinson’s Disease: A Narrative of the Evolving Understanding of the Role of α-Synuclein in ScreeningAlan D. Kaye0Kassady A. Perkinson1Noah J. Spillers2Alexis J. Vega3Caylin J. Roberts4Evan M. Downs5Melissa M. Sheth6David W. McGregor7Shahab Ahmadzadeh8Jibin Mathew9Sahar Shekoohi10Department of Anesthesiology, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USAEdward Via College of Osteopathic Medicine, Monroe, LA 71203, USASchool of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA 71103, USAMedical City Weatherford, 713 E Anderson St, Weatherford, TX 76086, USASchool of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA 71103, USASchool of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA 71103, USASchool of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA 71103, USADepartment of Anesthesiology, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USADepartment of Anesthesiology, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USADepartment of Anesthesiology, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USADepartment of Anesthesiology, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USAThe present investigation aims to examine the role of α-synuclein seed amplification assays for screening Parkinson’s disease. Parkinson’s disease (PD) is a debilitating neurodegenerative disorder caused by the loss of dopaminergic neurons in the midbrain, leading to symptoms such as tremors, bradykinesia, postural instability, dementia, and depression. It is classified as an α-synucleinopathy related to the role of α-synuclein aggregates in neuron degeneration. Diagnosis relies on clinical assessment without premortem diagnostic tests or imaging, often resulting in delayed detection and impaired symptom management. In this regard, our study explores a screening technique using an amplification assay to measure α-synuclein levels in cerebrospinal fluid, which could potentially identify early pathological changes and improve diagnostic accuracy and patient outcomes. While preliminary results are promising, further studies are needed to evaluate this approach’s accuracy and clinical feasibility. A review of numerous trials demonstrates that α-synuclein seeding amplification assays (SAA) are a highly reliable, sensitive, and specific diagnostic tool for PD. This assay offers a promising opportunity to improve early diagnosis and quantify severity, especially for asymptomatic individuals or those with a family history of PD, allowing for earlier intervention and more effective disease management. In summary, the emerging body of evidence supporting α-synuclein as a biomarker should allow patients with PD to be detected and treated sooner, enhancing patients’ quality of life and potentially changing the disease trajectory.https://www.mdpi.com/1467-3045/46/11/757α-synucleinParkinson’s disease screeningseedingamplification assay
spellingShingle Alan D. Kaye
Kassady A. Perkinson
Noah J. Spillers
Alexis J. Vega
Caylin J. Roberts
Evan M. Downs
Melissa M. Sheth
David W. McGregor
Shahab Ahmadzadeh
Jibin Mathew
Sahar Shekoohi
Parkinson’s Disease: A Narrative of the Evolving Understanding of the Role of α-Synuclein in Screening
Current Issues in Molecular Biology
α-synuclein
Parkinson’s disease screening
seeding
amplification assay
title Parkinson’s Disease: A Narrative of the Evolving Understanding of the Role of α-Synuclein in Screening
title_full Parkinson’s Disease: A Narrative of the Evolving Understanding of the Role of α-Synuclein in Screening
title_fullStr Parkinson’s Disease: A Narrative of the Evolving Understanding of the Role of α-Synuclein in Screening
title_full_unstemmed Parkinson’s Disease: A Narrative of the Evolving Understanding of the Role of α-Synuclein in Screening
title_short Parkinson’s Disease: A Narrative of the Evolving Understanding of the Role of α-Synuclein in Screening
title_sort parkinson s disease a narrative of the evolving understanding of the role of α synuclein in screening
topic α-synuclein
Parkinson’s disease screening
seeding
amplification assay
url https://www.mdpi.com/1467-3045/46/11/757
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