title: Diagnosis of Parkinson's disease based on disease-specific autoantibody profiles in human sera.
abstract: Parkinson's disease (PD), hallmarked by a variety of motor disorders and neurological decline, is the second most common neurodegenerative disease worldwide. Currently, no diagnostic test exists to identify sufferers, and physicians must rely on a combination of subjective physical and neurological assessments to make a diagnosis. The discovery of definitive blood-borne biomarkers would be a major step towards early and reliable diagnosis. Despite attention devoted to this search, such biomarkers have remained elusive. In the present study, we used human protein microarrays to reveal serum autoantibodies that are differentially expressed among PD and control subjects. The diagnostic significance of each of these autoantibodies was evaluated, resulting in the selection of 10 autoantibody biomarkers that can effectively differentiate PD sera from control sera with a sensitivity of 93.1% and specificity of 100%. PD sera were also distinguishable from sera obtained from Alzheimer's disease, breast cancer, and multiple sclerosis patients with accuracies of 86.0%, 96.6%, and 100%, respectively. Results demonstrate that serum autoantibodies can be used as highly specific and accurate biomarkers for PD diagnosis throughout the course of the disease.
authors.affiliation: University of Medicine and Dentistry of New Jersey-Graduate School of Biomedical Sciences at the School of Osteopathic Medicine, Stratford, New Jersey, United States of America.
authors.forename: Min
authors.initials: M
authors.lastname: Han
authors.forename: Eric
authors.initials: E
authors.lastname: Nagele
authors.forename: Cassandra
authors.initials: C
authors.lastname: DeMarshall
authors.forename: Nimish
authors.initials: N
authors.lastname: Acharya
authors.forename: Robert
authors.initials: R
authors.lastname: Nagele
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000097:blood* / Q000175:diagnosis*; D001323:Autoantibodies / Q000737:chemistry*; D015415:Biomarkers / Q000378:metabolism*; D019295:Computational Biology / Q000379:methods; D018450:Disease Progression; D005260:Female; D020869:Gene Expression Profiling; D006801:Humans; D008297:Male; D008875:Middle Aged; D020411:Oligonucleotide Array Sequence Analysis; D010300:Parkinson Disease / Q000097:blood* / Q000175:diagnosis*; D040081:Protein Array Analysis; D012680:Sensitivity and Specificity; D013997:Time Factors
chemical_list: D001323:Autoantibodies; D015415:Biomarkers