Evidence map›Paper›PMID 24500652›Full record

ArticleNeurology2014

Submandibular gland needle biopsy for the diagnosis of Parkinson disease.

Charles H Adler, Brittany N Dugger, Michael L Hinni, David G Lott, Erika Driver-Dunckley, Jose Hidalgo, Jonette Henry-Watson, Geidy Serrano, Lucia I Sue, Thomas Nagel and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 130 citations in OpenAlex.

  1. Article
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  3. Lewy body diseases and the gut.Molecular neurodegeneration · 2025
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  4. Value of multi-parameterEJNMMI research · 2025
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  5. Early diagnosis of Parkinson's disease: biomarker study.Frontiers in aging neuroscience · 2025
    Review
  6. Review
  7. Posttranslational Modifications ofPharmacological reviews · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. ReducedJournal of neurology · 2023
    Article
  13. Review
  14. Article
  15. Fluid and Biopsy Based Biomarkers in Parkinson's Disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  16. Salivary Gland Uptake onKorean journal of radiology · 2023
    Article
  17. Review
  18. Article
  19. Observational
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Charles H AdlerFrom the Parkinson's Disease and Movement Disorders Center (C.H.A., E.D.-D., A.D.), Department of Neurology, Mayo Clinic, Scottsdale; Banner Sun Health Research Institute (B.N.D., J.H., J.H.-W., G.S., L.I.S., H.A.S., D.G.W., T.G.B.), Sun City; the Department of Otolaryngology (M.L.H., D.G.L., T.N.), Mayo Clinic, Phoenix, AZ; and the Tokyo Institute of Psychiatry (H.A.), Tokyo, Japan.
Brittany N Dugger
Michael L Hinni
David G Lott
Erika Driver-Dunckley
Jose Hidalgo
Jonette Henry-Watson
Geidy Serrano
Lucia I Sue
Thomas Nagel
Amy Duffy
Holly A Shill
Haruhiko Akiyama
Douglas G Walker
Thomas G Beach
Mayo Clinic in Florida · USMayo Clinic in Arizona · US

Funding

National Brain and Tissue Resource for Parkinson's Disease and Related DisordersU24NS072026 · NINDS · BANNER SUN HEALTH RESEARCH INSTITUTE · PI BEACH, THOMAS G · 2011 to 2015
$7.8M
NINDS NIH HHS U24 NS072026
6 · The paper itself

Abstract

objectiveThis study investigates salivary gland biopsies in living patients with Parkinson disease (PD).

methodsPatients with PD for ≥5 years underwent outpatient transcutaneous needle core biopsies (18-gauge or 16-gauge) of 1 submandibular gland. Minor salivary glands were removed via a small incision in the lower lip. Tissue was fixed in formalin and serial 6-µm paraffin sections were immunohistochemically stained for phosphorylated α-synuclein and reviewed for evidence of Lewy type α-synucleinopathy (LTS).

resultsFifteen patients with PD were biopsied: 9 female/6 male, mean age 68.7 years, mean PD duration 11.8 years. Twelve of the needle core biopsies had microscopically evident submandibular gland tissue to assess and 9/12 (75%) had LTS. Only 1/15 (6.7%) minor salivary gland biopsies were positive for LTS. Five patients had an adverse event; all were minor and transient.

conclusionsThis study demonstrates the feasibility of performing needle core biopsies of the submandibular gland in living patients with PD to assess LTS. Although this was a small study, this tissue biopsy method may be important for tissue confirmation of PD in patients being considered for invasive procedures and in research studies of other PD biomarkers.

Indexed as

AgedAged, 80 and overalpha-SynucleinBiomarkersBiopsy, NeedleFeasibility StudiesFemaleHumansMaleMiddle AgedParkinson DiseaseSubmandibular Glandalpha-SynucleinBiomarkers

Identifiers

PMID24500652
PMCPMC3959757
OpenAlexW2096801841

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.