Cerebrospinal Fluid Biomarkers in Multiple System Atrophy Relative to Parkinson’s Disease: A Meta-Analysis

Objective. To investigate the differences of candidate cerebrospinal fluid (CSF) biomarkers associated with multiple system atrophy (MSA) and Parkinson’s disease (PD). Method. Here, a systematic review and meta-analysis were conducted on studies related to CSF biomarkers associated with MSA and PD o...

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Main Authors: Dan Xie, Ling Feng, Hongyan Huang, Quanzhen Zhao, Pingping Ning, Qiuyan Shen, Haitao Lu, Fang Xu, Yanming Xu
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2021/5559383
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author Dan Xie
Ling Feng
Hongyan Huang
Quanzhen Zhao
Pingping Ning
Qiuyan Shen
Haitao Lu
Fang Xu
Yanming Xu
author_facet Dan Xie
Ling Feng
Hongyan Huang
Quanzhen Zhao
Pingping Ning
Qiuyan Shen
Haitao Lu
Fang Xu
Yanming Xu
author_sort Dan Xie
collection DOAJ
description Objective. To investigate the differences of candidate cerebrospinal fluid (CSF) biomarkers associated with multiple system atrophy (MSA) and Parkinson’s disease (PD). Method. Here, a systematic review and meta-analysis were conducted on studies related to CSF biomarkers associated with MSA and PD obtained from PubMed, Web of Science, Embase, and Cochrane databases. Data were pooled where appropriate and used to calculate standardized mean differences (SMDs) with 95% confidence intervals (CI). Heterogeneity was assessed using the I2 statistic while Egger’s test was used to test for existing publication bias. Results. MSA patients had higher CSF t-tau (SMD=0.41, 95% CI: 0.10 to 0.72) and YKL-40 (SMD=0.63, 95% CI 0.12 to1.15) as well as DJ-1 (SMD=1.05, 95% CI 0.67 to 1.42) levels than PD patients, while CSF p-tau (SMD=−0.17, 95% CI, -0.31 to -0.02) and Aβ-42 (SMD=−0.33, 95% CI, -0.55 to -0.12) levels in MSA patients were lower than those in PD patients. There were no differences in CSF’s GFAP and Flt3 ligand levels in both MSA and PD patients. Conclusion. The study revealed the differences in CSF biomarker levels between MSA and PD cohorts that can be further explored to clinically distinguish MSA from PD.
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spelling doaj-art-e7ff31ec61fa4b59a86e3a0dec371ee82025-02-03T01:10:54ZengWileyBehavioural Neurology0953-41801875-85842021-01-01202110.1155/2021/55593835559383Cerebrospinal Fluid Biomarkers in Multiple System Atrophy Relative to Parkinson’s Disease: A Meta-AnalysisDan Xie0Ling Feng1Hongyan Huang2Quanzhen Zhao3Pingping Ning4Qiuyan Shen5Haitao Lu6Fang Xu7Yanming Xu8Department of Neurology, Sichuan University West China Hospital, Chengdu, 610041 Sichuan, ChinaDepartment of Neurology, Sichuan University West China Hospital, Chengdu, 610041 Sichuan, ChinaDepartment of Neurology, Sichuan University West China Hospital, Chengdu, 610041 Sichuan, ChinaDepartment of Neurology, Sichuan University West China Hospital, Chengdu, 610041 Sichuan, ChinaDepartment of Neurology, Sichuan University West China Hospital, Chengdu, 610041 Sichuan, ChinaDepartment of Neurology, Sichuan University West China Hospital, Chengdu, 610041 Sichuan, ChinaDepartment of Neurology, Sichuan University West China Hospital, Chengdu, 610041 Sichuan, ChinaDepartment of Neurology, Sichuan University West China Hospital, Chengdu, 610041 Sichuan, ChinaDepartment of Neurology, Sichuan University West China Hospital, Chengdu, 610041 Sichuan, ChinaObjective. To investigate the differences of candidate cerebrospinal fluid (CSF) biomarkers associated with multiple system atrophy (MSA) and Parkinson’s disease (PD). Method. Here, a systematic review and meta-analysis were conducted on studies related to CSF biomarkers associated with MSA and PD obtained from PubMed, Web of Science, Embase, and Cochrane databases. Data were pooled where appropriate and used to calculate standardized mean differences (SMDs) with 95% confidence intervals (CI). Heterogeneity was assessed using the I2 statistic while Egger’s test was used to test for existing publication bias. Results. MSA patients had higher CSF t-tau (SMD=0.41, 95% CI: 0.10 to 0.72) and YKL-40 (SMD=0.63, 95% CI 0.12 to1.15) as well as DJ-1 (SMD=1.05, 95% CI 0.67 to 1.42) levels than PD patients, while CSF p-tau (SMD=−0.17, 95% CI, -0.31 to -0.02) and Aβ-42 (SMD=−0.33, 95% CI, -0.55 to -0.12) levels in MSA patients were lower than those in PD patients. There were no differences in CSF’s GFAP and Flt3 ligand levels in both MSA and PD patients. Conclusion. The study revealed the differences in CSF biomarker levels between MSA and PD cohorts that can be further explored to clinically distinguish MSA from PD.http://dx.doi.org/10.1155/2021/5559383
spellingShingle Dan Xie
Ling Feng
Hongyan Huang
Quanzhen Zhao
Pingping Ning
Qiuyan Shen
Haitao Lu
Fang Xu
Yanming Xu
Cerebrospinal Fluid Biomarkers in Multiple System Atrophy Relative to Parkinson’s Disease: A Meta-Analysis
Behavioural Neurology
title Cerebrospinal Fluid Biomarkers in Multiple System Atrophy Relative to Parkinson’s Disease: A Meta-Analysis
title_full Cerebrospinal Fluid Biomarkers in Multiple System Atrophy Relative to Parkinson’s Disease: A Meta-Analysis
title_fullStr Cerebrospinal Fluid Biomarkers in Multiple System Atrophy Relative to Parkinson’s Disease: A Meta-Analysis
title_full_unstemmed Cerebrospinal Fluid Biomarkers in Multiple System Atrophy Relative to Parkinson’s Disease: A Meta-Analysis
title_short Cerebrospinal Fluid Biomarkers in Multiple System Atrophy Relative to Parkinson’s Disease: A Meta-Analysis
title_sort cerebrospinal fluid biomarkers in multiple system atrophy relative to parkinson s disease a meta analysis
url http://dx.doi.org/10.1155/2021/5559383
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