Evidence map›Paper›PMID 40328760›Full record

ArticleNPJ Parkinson's disease2025

Sex differences in peripheral and central dysregulation of the kynurenine pathway in Parkinson's disease.

Leslie C Jellen, Martha L Escobar Galvis, Qiong Sha, Christine Isaguirre, Amy Johnson, Zach Madaj, Mechelle M Lewis, Ryan D Sheldon, Lan Kong, Xuemei Huang and 1 more

Abstract read
In one paragraph

Article in NPJ Parkinson's disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Leslie C JellenDepartment of Neurology, Translational Brain Research Center, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA.
Martha L Escobar GalvisOffice of the Cores, Van Andel Institute, Grand Rapids, MI, USA.
Qiong ShaDepartment of Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA.
Christine IsaguirreMass Spectrometry Core, Van Andel Institute, Grand Rapids, MI, USA.
Amy JohnsonMass Spectrometry Core, Van Andel Institute, Grand Rapids, MI, USA.
Zach MadajBioinformatics and Biostatistics Core, Van Andel Institute, Grand Rapids, MI, USA.
Mechelle M LewisDepartment of Neurology, Translational Brain Research Center, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA.
Ryan D SheldonMass Spectrometry Core, Van Andel Institute, Grand Rapids, MI, USA.
Lan KongPublic Health Sciences, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA.
Xuemei HuangDepartment of Neurology, Translational Brain Research Center, Penn State University-Milton S. Hershey Medical Center, Hershey, PA, USA. ewx8np@uvahealth.org.
Lena BrundinDepartment of Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA. lena.brundin@vai.org.

Funding

Michael J. Fox Foundation for Parkinson's Research MJFF-010296
6 · The paper itself

Abstract

We previously demonstrated that kynurenine pathway (KP) dysregulation associates with Parkinson's disease (PD) and its symptoms. Here, we profiled 16 KP-related markers in a second, independent cohort; plasma: n = 202 (116 PD ("OFF"), 86 controls); CSF: n = 183 (108, 75). Consistent with previous findings, we detected significantly higher concentrations of neurotoxic 3-hydroxykynurenine in plasma and lower concentrations of neuroprotective kynurenic acid along with higher neurotoxic quinolinic acid/kynurenic acid ratios in CSF of PD patients. Additionally, 10 markers showed sex-based differences, with more pronounced dysregulation in females. These 10 markers loaded to a single principal component linked to higher UPDRS I and II scores. Together, this suggests a composite signature of KP dysregulation in PD that is associated with worse symptoms and more prevalent in women. This work shows that KP dysregulation in peripheral and central compartments is linked to symptom severity in PD and warrants further systematic studies unraveling sex-dependent metabolic differences.

Identifiers

PMID40328760
PMCPMC12056004

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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.