Authors: JoongSeok Kim InSeok Park HyungEun Park SuYoung Kim Jung A Yun Chan Kwon Jung HyeYoung Sung JinKwon Lee WonKyung Kang
Publish Date: 2016/11/01
Volume: 38, Issue: 1, Pages: 171-179
Abstract
Extranigral nonmotor signs precede the first motor manifestations of Parkinson’s disease by many years in some patients The presence of αsynuclein deposition within colon tissues in patients with Parkinson’s disease can aid in identifying early neuropathological changes prior to disease onset In the present study we evaluated the roles of nonmotor symptoms and signs and imaging biomarkers of nigral neuronal changes and αsynuclein accumulation in the colon Twelve subjects undergoing colectomy for primary colon cancer were recruited for this study Immunohistochemical staining for αsynuclein in normal and phosphorylated forms was performed in normally appearing colonic tissue We evaluated 16 candidate premotor risk factors in this study cohort Among them ten subjects showed positive immunostaining with normal and phosphorylatedαsynuclein An accumulation of premotor markers in each subject was accompanied with positive normal and phosphorylatedαsynuclein immunostaining ranging from 2 to 7 markers per subject whereas the absence of Lewy bodies in the colon was associated with relative low numbers of premotor signs A principal component analysis and a cluster analysis of these premotor markers suggest that urinary symptoms were commonly clustered with deposition of peripheral phosphorylatedαsynuclein Among other premotor marker color vision abnormalities were related to nonsmoking This mathematical approach confirmed the clustering of premotor markers in preclinical stage of Parkinson’s disease This is the first report showing that αsynuclein in the colon and other premotor markers are related to each other in neurologically normal subjects
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