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<title>Can plasma α-Synuclein help us to differentiate parkinson’s disease from essential tremor?</title>
<creator>Albillos García, Silvia María</creator>
<creator>Montero, Olimpio</creator>
<creator>Calvo Meruelo, Sara</creator>
<creator>Solano, Berta</creator>
<creator>Trejo Gabriel y Galán, José Mª</creator>
<creator>Cubo Delgado, Esther</creator>
<subject>Parkinson’s disease</subject>
<subject>Essential tremor</subject>
<subject>alpha-synuclein</subject>
<subject>plasma biomarker</subject>
<subject>diagnosis</subject>
<description>Background: Studies have revealed controversial results regarding the diagnostic accuracy of plasma α-synuclein levels in patients with Parkinson’s disease (PD). This study was aimed to analyze the diagnostic accuracy of plasma α-synuclein in PD versus healthy controls and patients with essential tremor (ET).&#xd;
&#xd;
Methods: In this cross-sectional study, we included de novo (n = 19) and advanced PD patients [OFF (n = 33), and On (n = 35) states], patients with ET (n = 19), and controls (n = 35). The total plasma α-synuclein levels were determined using an ELISA sandwich method. We performed adjusted multivariate regression analysis to estimate the association of α-synuclein levels with group conditions [controls, ET, and de novo, OFF and ON-PD]. We studied the diagnostic accuracy of plasma α-synuclein using the area under the curve (AUC).&#xd;
&#xd;
Results: The plasma α-synuclein levels were higher in controls compared to PD and ET (p &lt; 0.0001), discriminating de novo PD from controls (AUC = 0.74, 95% CI 0.60–0.89), with a trend towards in advanced PD (OFF state) from ET (AUC = 0.69, 95% CI 0.53–0.84).&#xd;
&#xd;
Conclusions: This is the first study examining and comparing plasma α-synuclein levels in ET vs. PD and controls. Preliminary findings suggest that plasma α-synuclein levels might help to discriminate de novo and advanced PD from controls and ET.</description>
<date>2021-06-28</date>
<date>2021-06-28</date>
<date>2021-05</date>
<type>info:eu-repo/semantics/article</type>
<identifier>http://hdl.handle.net/10259/5817</identifier>
<identifier>10.5334/tohm.600</identifier>
<identifier>2160-8288</identifier>
<language>eng</language>
<relation>Tremor and Other Hyperkinetic Movements. 2021, V. 11, n. 1: 20, pp. 1–8.</relation>
<relation>https://doi.org/10.5334/tohm.600</relation>
<relation>info:eu-repo/grantAgreement/JCyL/BIO/BU06/14</relation>
<rights>http://creativecommons.org/licenses/by/4.0/</rights>
<rights>info:eu-repo/semantics/openAccess</rights>
<rights>Atribución 4.0 Internacional</rights>
<publisher>Ubiquity Press</publisher>
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