Elevated Serum Ceruloplasmin Levels Are Associated with Higher Impulsivity in People with Parkinson’s Disease

Background. Heightened impulsivity has been reported in a subset of people with Parkinson’s disease (PwP) and is considered a risk factor for the development of impulse control disorders (ICDs). However, at present, there are no recognised biochemical markers of heightened impulsivity. Objectives. T...

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Main Authors: Megan C. Bakeberg, Maddeson Riley, Michelle Byrnes, Alexa Jefferson, Souyma Ghosh, Malcom K. Horne, Sarah McGregor, Rick Stell, Sue Walters, Tess Evans, Katherine Roberts, Frank L. Mastaglia, Ryan S. Anderton
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2020/8296203
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author Megan C. Bakeberg
Maddeson Riley
Michelle Byrnes
Alexa Jefferson
Souyma Ghosh
Malcom K. Horne
Sarah McGregor
Rick Stell
Sue Walters
Tess Evans
Katherine Roberts
Frank L. Mastaglia
Ryan S. Anderton
author_facet Megan C. Bakeberg
Maddeson Riley
Michelle Byrnes
Alexa Jefferson
Souyma Ghosh
Malcom K. Horne
Sarah McGregor
Rick Stell
Sue Walters
Tess Evans
Katherine Roberts
Frank L. Mastaglia
Ryan S. Anderton
author_sort Megan C. Bakeberg
collection DOAJ
description Background. Heightened impulsivity has been reported in a subset of people with Parkinson’s disease (PwP) and is considered a risk factor for the development of impulse control disorders (ICDs). However, at present, there are no recognised biochemical markers of heightened impulsivity. Objectives. To determine if ceruloplasmin, a serum marker involved in the regulation of iron and copper homeostasis, is associated with trait impulsivity in PwP. Methods. The study measured serum ceruloplasmin and impulsivity using the Barratt Impulsiveness Scale (BIS-11) in an Australian cohort of 214 PwP. Multivariate general linear models (GLMs) were used to identify whether higher serum ceruloplasmin levels (>75th percentile) were significantly predictive of BIS-11 scores. Results. Serum ceruloplasmin was higher in females with PD (p<0.001) and associated with MDS-UPDRS III, Hoehn and Yahr, and ACE-R scores (p<0.05). When correcting for covariates, higher serum ceruloplasmin concentrations were associated with the 2nd order nonplanning impulsivity and with the 1st order self-control and cognitive complexity impulsivity domains. Conclusions. Higher serum ceruloplasmin levels are independently associated with heightened nonplanning impulsivity in PwP. Thus, serum ceruloplasmin levels may have clinical utility as a marker for heightened impulsivity in PD.
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spelling doaj-art-84401d526c0f48cc86982d2a7cecdaa62025-02-03T06:46:30ZengWileyParkinson's Disease2090-80832042-00802020-01-01202010.1155/2020/82962038296203Elevated Serum Ceruloplasmin Levels Are Associated with Higher Impulsivity in People with Parkinson’s DiseaseMegan C. Bakeberg0Maddeson Riley1Michelle Byrnes2Alexa Jefferson3Souyma Ghosh4Malcom K. Horne5Sarah McGregor6Rick Stell7Sue Walters8Tess Evans9Katherine Roberts10Frank L. Mastaglia11Ryan S. Anderton12Perron Institute for Neurological and Translational Science, Nedlands, Western Australia, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, AustraliaFlorey Institute for Neuroscience and Mental Health, University of Melbourne, Parkville, Victoria 3010, AustraliaFlorey Institute for Neuroscience and Mental Health, University of Melbourne, Parkville, Victoria 3010, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, AustraliaInstitute for Health Research, University of Notre Dame Australia, Fremantle, Western Australia, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, AustraliaPerron Institute for Neurological and Translational Science, Nedlands, Western Australia, AustraliaBackground. Heightened impulsivity has been reported in a subset of people with Parkinson’s disease (PwP) and is considered a risk factor for the development of impulse control disorders (ICDs). However, at present, there are no recognised biochemical markers of heightened impulsivity. Objectives. To determine if ceruloplasmin, a serum marker involved in the regulation of iron and copper homeostasis, is associated with trait impulsivity in PwP. Methods. The study measured serum ceruloplasmin and impulsivity using the Barratt Impulsiveness Scale (BIS-11) in an Australian cohort of 214 PwP. Multivariate general linear models (GLMs) were used to identify whether higher serum ceruloplasmin levels (>75th percentile) were significantly predictive of BIS-11 scores. Results. Serum ceruloplasmin was higher in females with PD (p<0.001) and associated with MDS-UPDRS III, Hoehn and Yahr, and ACE-R scores (p<0.05). When correcting for covariates, higher serum ceruloplasmin concentrations were associated with the 2nd order nonplanning impulsivity and with the 1st order self-control and cognitive complexity impulsivity domains. Conclusions. Higher serum ceruloplasmin levels are independently associated with heightened nonplanning impulsivity in PwP. Thus, serum ceruloplasmin levels may have clinical utility as a marker for heightened impulsivity in PD.http://dx.doi.org/10.1155/2020/8296203
spellingShingle Megan C. Bakeberg
Maddeson Riley
Michelle Byrnes
Alexa Jefferson
Souyma Ghosh
Malcom K. Horne
Sarah McGregor
Rick Stell
Sue Walters
Tess Evans
Katherine Roberts
Frank L. Mastaglia
Ryan S. Anderton
Elevated Serum Ceruloplasmin Levels Are Associated with Higher Impulsivity in People with Parkinson’s Disease
Parkinson's Disease
title Elevated Serum Ceruloplasmin Levels Are Associated with Higher Impulsivity in People with Parkinson’s Disease
title_full Elevated Serum Ceruloplasmin Levels Are Associated with Higher Impulsivity in People with Parkinson’s Disease
title_fullStr Elevated Serum Ceruloplasmin Levels Are Associated with Higher Impulsivity in People with Parkinson’s Disease
title_full_unstemmed Elevated Serum Ceruloplasmin Levels Are Associated with Higher Impulsivity in People with Parkinson’s Disease
title_short Elevated Serum Ceruloplasmin Levels Are Associated with Higher Impulsivity in People with Parkinson’s Disease
title_sort elevated serum ceruloplasmin levels are associated with higher impulsivity in people with parkinson s disease
url http://dx.doi.org/10.1155/2020/8296203
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