Sphingosine‐1‐Phosphate, Motor Severity, and Progression in Parkinson's Disease (MARK‐PD)

ABSTRACT Background Treatment with sphingosine‐1‐phosphate (S1P) agonists confers neuroprotective effects in animal models of Parkinson's disease (PD). Objectives We assessed the association of serum S1P levels with motor and cognitive symptoms in patients with PD. Methods S1P concentrations we...

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Veröffentlicht in:Movement disorders 2021-09, Vol.36 (9), p.2178-2182
Hauptverfasser: Schwedhelm, Edzard, Englisch, Catrin, Niemann, Louisa, Lezius, Susanne, Lucadou, Mirjam, Marmann, Kristina, Böger, Rainer, Peine, Sven, Daum, Günter, Gerloff, Christian, Choe, Chi‐un
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container_issue 9
container_start_page 2178
container_title Movement disorders
container_volume 36
creator Schwedhelm, Edzard
Englisch, Catrin
Niemann, Louisa
Lezius, Susanne
Lucadou, Mirjam
Marmann, Kristina
Böger, Rainer
Peine, Sven
Daum, Günter
Gerloff, Christian
Choe, Chi‐un
description ABSTRACT Background Treatment with sphingosine‐1‐phosphate (S1P) agonists confers neuroprotective effects in animal models of Parkinson's disease (PD). Objectives We assessed the association of serum S1P levels with motor and cognitive symptoms in patients with PD. Methods S1P concentrations were analyzed with liquid chromatography–tandem mass spectrometry (LC–MS/MS) in serum of 196 PD patients and in 196 age‐ and sex‐matched controls. Motor (Unified Parkinson's disease rating scale III [UPDRS III], Hoehn and Yahr) and cognitive (Montreal Cognitive Assessment [MoCA]) function were assessed at baseline. Follow‐up data was available from 64 patients (median [interquartile range], 513 [381–677] days). Results S1P levels were lower in PD patients compared with controls, that is 1.75 (1.38–2.07) and 1.90 (1.59–2.18) μmol/L, respectively (P = 0.001). In PD patients, lower S1P concentrations were associated with higher UPDRS III scores and Hoehn and Yahr stage. In the follow‐up cohort, S1P concentrations below the median were associated with faster motor decline (hazard ratio: 4.78 [95% CI, 1.98, 11.50]), but not with cognitive worsening. Conclusions Our observations reveal an association of S1P with PD. © 2021 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society
doi_str_mv 10.1002/mds.28652
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Objectives We assessed the association of serum S1P levels with motor and cognitive symptoms in patients with PD. Methods S1P concentrations were analyzed with liquid chromatography–tandem mass spectrometry (LC–MS/MS) in serum of 196 PD patients and in 196 age‐ and sex‐matched controls. Motor (Unified Parkinson's disease rating scale III [UPDRS III], Hoehn and Yahr) and cognitive (Montreal Cognitive Assessment [MoCA]) function were assessed at baseline. Follow‐up data was available from 64 patients (median [interquartile range], 513 [381–677] days). Results S1P levels were lower in PD patients compared with controls, that is 1.75 (1.38–2.07) and 1.90 (1.59–2.18) μmol/L, respectively (P = 0.001). In PD patients, lower S1P concentrations were associated with higher UPDRS III scores and Hoehn and Yahr stage. In the follow‐up cohort, S1P concentrations below the median were associated with faster motor decline (hazard ratio: 4.78 [95% CI, 1.98, 11.50]), but not with cognitive worsening. Conclusions Our observations reveal an association of S1P with PD. © 2021 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society</description><identifier>ISSN: 0885-3185</identifier><identifier>EISSN: 1531-8257</identifier><identifier>DOI: 10.1002/mds.28652</identifier><identifier>PMID: 34008894</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Animal models ; biomarker ; Chromatography, Liquid ; Clinical Neurology ; Cognitive ability ; Disease Progression ; Hoehn and Yahr ; Humans ; Life Sciences &amp; Biomedicine ; Liquid chromatography ; Lysophospholipids ; Mass spectroscopy ; Mental Status and Dementia Tests ; Movement disorders ; Neurodegenerative diseases ; Neuroprotection ; Neurosciences &amp; Neurology ; Parkinson Disease - drug therapy ; Parkinson's disease ; Patients ; Science &amp; Technology ; Severity of Illness Index ; Sphingosine - analogs &amp; derivatives ; sphingosine‐1‐phosphate ; Tandem Mass Spectrometry ; UPDRS</subject><ispartof>Movement disorders, 2021-09, Vol.36 (9), p.2178-2182</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society</rights><rights>2021 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>10</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000651822600001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c4542-1349302b772566d03f230f1afa11f90e932e9f83cfd31e8ac2de4821157d30913</citedby><cites>FETCH-LOGICAL-c4542-1349302b772566d03f230f1afa11f90e932e9f83cfd31e8ac2de4821157d30913</cites><orcidid>0000-0002-9154-8439</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmds.28652$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmds.28652$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>315,782,786,1419,27933,27934,39267,45583,45584</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34008894$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schwedhelm, Edzard</creatorcontrib><creatorcontrib>Englisch, Catrin</creatorcontrib><creatorcontrib>Niemann, Louisa</creatorcontrib><creatorcontrib>Lezius, Susanne</creatorcontrib><creatorcontrib>Lucadou, Mirjam</creatorcontrib><creatorcontrib>Marmann, Kristina</creatorcontrib><creatorcontrib>Böger, Rainer</creatorcontrib><creatorcontrib>Peine, Sven</creatorcontrib><creatorcontrib>Daum, Günter</creatorcontrib><creatorcontrib>Gerloff, Christian</creatorcontrib><creatorcontrib>Choe, Chi‐un</creatorcontrib><title>Sphingosine‐1‐Phosphate, Motor Severity, and Progression in Parkinson's Disease (MARK‐PD)</title><title>Movement disorders</title><addtitle>MOVEMENT DISORD</addtitle><addtitle>Mov Disord</addtitle><description>ABSTRACT Background Treatment with sphingosine‐1‐phosphate (S1P) agonists confers neuroprotective effects in animal models of Parkinson's disease (PD). Objectives We assessed the association of serum S1P levels with motor and cognitive symptoms in patients with PD. Methods S1P concentrations were analyzed with liquid chromatography–tandem mass spectrometry (LC–MS/MS) in serum of 196 PD patients and in 196 age‐ and sex‐matched controls. Motor (Unified Parkinson's disease rating scale III [UPDRS III], Hoehn and Yahr) and cognitive (Montreal Cognitive Assessment [MoCA]) function were assessed at baseline. Follow‐up data was available from 64 patients (median [interquartile range], 513 [381–677] days). Results S1P levels were lower in PD patients compared with controls, that is 1.75 (1.38–2.07) and 1.90 (1.59–2.18) μmol/L, respectively (P = 0.001). In PD patients, lower S1P concentrations were associated with higher UPDRS III scores and Hoehn and Yahr stage. In the follow‐up cohort, S1P concentrations below the median were associated with faster motor decline (hazard ratio: 4.78 [95% CI, 1.98, 11.50]), but not with cognitive worsening. 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Biomedicine</topic><topic>Liquid chromatography</topic><topic>Lysophospholipids</topic><topic>Mass spectroscopy</topic><topic>Mental Status and Dementia Tests</topic><topic>Movement disorders</topic><topic>Neurodegenerative diseases</topic><topic>Neuroprotection</topic><topic>Neurosciences &amp; Neurology</topic><topic>Parkinson Disease - drug therapy</topic><topic>Parkinson's disease</topic><topic>Patients</topic><topic>Science &amp; Technology</topic><topic>Severity of Illness Index</topic><topic>Sphingosine - analogs &amp; derivatives</topic><topic>sphingosine‐1‐phosphate</topic><topic>Tandem Mass Spectrometry</topic><topic>UPDRS</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwedhelm, Edzard</creatorcontrib><creatorcontrib>Englisch, Catrin</creatorcontrib><creatorcontrib>Niemann, Louisa</creatorcontrib><creatorcontrib>Lezius, Susanne</creatorcontrib><creatorcontrib>Lucadou, Mirjam</creatorcontrib><creatorcontrib>Marmann, Kristina</creatorcontrib><creatorcontrib>Böger, Rainer</creatorcontrib><creatorcontrib>Peine, Sven</creatorcontrib><creatorcontrib>Daum, Günter</creatorcontrib><creatorcontrib>Gerloff, Christian</creatorcontrib><creatorcontrib>Choe, Chi‐un</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; 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Objectives We assessed the association of serum S1P levels with motor and cognitive symptoms in patients with PD. Methods S1P concentrations were analyzed with liquid chromatography–tandem mass spectrometry (LC–MS/MS) in serum of 196 PD patients and in 196 age‐ and sex‐matched controls. Motor (Unified Parkinson's disease rating scale III [UPDRS III], Hoehn and Yahr) and cognitive (Montreal Cognitive Assessment [MoCA]) function were assessed at baseline. Follow‐up data was available from 64 patients (median [interquartile range], 513 [381–677] days). Results S1P levels were lower in PD patients compared with controls, that is 1.75 (1.38–2.07) and 1.90 (1.59–2.18) μmol/L, respectively (P = 0.001). In PD patients, lower S1P concentrations were associated with higher UPDRS III scores and Hoehn and Yahr stage. In the follow‐up cohort, S1P concentrations below the median were associated with faster motor decline (hazard ratio: 4.78 [95% CI, 1.98, 11.50]), but not with cognitive worsening. Conclusions Our observations reveal an association of S1P with PD. © 2021 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>34008894</pmid><doi>10.1002/mds.28652</doi><orcidid>https://orcid.org/0000-0002-9154-8439</orcidid><oa>free_for_read</oa></addata></record>
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subjects Animal models
biomarker
Chromatography, Liquid
Clinical Neurology
Cognitive ability
Disease Progression
Hoehn and Yahr
Humans
Life Sciences & Biomedicine
Liquid chromatography
Lysophospholipids
Mass spectroscopy
Mental Status and Dementia Tests
Movement disorders
Neurodegenerative diseases
Neuroprotection
Neurosciences & Neurology
Parkinson Disease - drug therapy
Parkinson's disease
Patients
Science & Technology
Severity of Illness Index
Sphingosine - analogs & derivatives
sphingosine‐1‐phosphate
Tandem Mass Spectrometry
UPDRS
title Sphingosine‐1‐Phosphate, Motor Severity, and Progression in Parkinson's Disease (MARK‐PD)
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