Evidence map›Paper›PMID 41050048›Full record

ReviewCureus2025

Challenges and Opportunities of Early Parkinson's Disease Biomarkers: α-Synuclein, Leucine-Rich Repeat Kinase 2 (LRRK2), DJ-1, and microRNAs.

Allie Heineman, Jillian Linck, Adi Eylon, Mayur S Parmar

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Allie HeinemanOsteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.
Jillian LinckOsteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Adi EylonNeurology, Memorial Healthcare System, Pembroke Pines, USA.
Mayur S ParmarFoundational Sciences, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by dopaminergic neuron loss, leading to motor symptoms (tremor, rigidity, bradykinesia, postural instability) and non-motor symptoms (autonomic dysfunction, cognitive dysfunction, olfactory dysfunction, mood disorders such as depression). Pathologically, PD involves Lewy bodies, aggregates of phosphorylated α-synuclein (α-Syn) driven by genetic or environmental factors. α-Syn, detectable in cerebrospinal fluid (CSF), blood, and saliva, is a promising biomarker for early diagnosis and monitoring. Other candidates, including leucine-rich repeat kinase 2 (LRRK2), DJ-1, and microRNAs (miRNAs), reflect genetic, oxidative stress, and gene regulatory changes in PD. Ideal biomarkers should be sensitive, specific, non-invasive, and track disease progression. However, PD's heterogeneity, biofluid variability (e.g., hemolysis), methodological inconsistencies, and the need for large-scale validation pose challenges. Standardization of sample collection, assays, and cohort characterization is critical for clinical application. This review evaluates α-Syn, LRRK2, DJ-1, and miRNAs, highlighting their strengths, limitations, and potential. Advanced assays targeting specific α-Syn species, LRRK2 kinase activity, oxidized DJ-1, and miRNA panels, alongside non-invasive matrices (saliva, skin, retina) and multi-biomarker approaches, offer significant opportunities for early detection and therapy monitoring, warranting further research and standardization.

Indexed as

alpha-synucleindj-1lrrk2micrornas (mirnas)parkinson-plus syndromesparkinson’s disease (pd)serum biomarker

Identifiers

PMID41050048
PMCPMC12491830

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.