Evidence map›Paper›PMID 41762319›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Association between α-synuclein in plasma neuron-derived exosomes and clinical symptoms in Parkinson's disease.

Hui Zhao, Qiu-Hong Ji, Zhong-Zheng Jia, Li-Hua Shen

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Hui ZhaoDepartment of Neurology, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, 226001, China.ORCID http://orcid.org/0000-0001-5037-6696
Qiu-Hong JiDepartment of Neurology, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, 226001, China.
Zhong-Zheng JiaDepartment of Medical Imaging, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, 226001, China. jzz2397@163.com.
Li-Hua ShenDepartment of Neurology, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, 226001, China. 13515209939@139.com.ORCID http://orcid.org/0009-0006-6033-3976

Funding

Jiangsu Commission of Health ZD2022040Nantong Municipal Health Commission Scientific Research Project Funding Program MSZ2025099Science and Technology Project of Nantong City MS2023045
6 · The paper itself

Abstract

purposeThe objective of this study was to investigate the association between α-synuclein (α-syn) levels in neuron-derived exosomes (NDEs) and the severity of motor and non-motor symptoms in Parkinson's disease (PD) patients, and to evaluate α-syn in plasma NDEs as a potential early diagnostic biomarker for PD.

methodsFifty-five patients with PD and thirty-three healthy controls (HCs) were enrolled in this study. Additionally, various rating scales were utilized to assess the clinical symptom severity of the PD patients. To quantify the levels of α-syn, we employed magnetic particle-based chemiluminescence immunoassays.

resultsCompared with HCs, plasma NDE α-syn levels were significantly higher (p < 0.001) in the PD group. After false discovery rate correction for multiple comparisons, plasma NDE α-syn levels remained significantly correlated with UPDRS-III, HAMA, MMSE, and SCOPA-AUT scores (all Q < 0.05). Receiver operating characteristic (ROC) curve analysis demonstrated the significance of α-syn in plasma NDEs for diagnosing early-stage PD. The area under the curve (AUC) for α-syn was found to be 0.732 (95% CI: 0.610–0.854, p < 0.01).

conclusionOur study preliminarily found that the α-syn levels in plasma NDEs were modestly correlated with the severity of motor and non-motor symptoms in PD. Additionally, measuring α-syn in plasma NDEs showed potential as an adjunctive biomarker for aiding in the early detection of PD.

Indexed as

alpha-SynucleinExosomesNeuronsParkinson DiseaseAgedBiomarkersFemaleHumansMaleMiddle AgedROC CurveSeverity of Illness Indexalpha-SynucleinBiomarkersMotorNeuron-derived exosomesNon-motorParkinson's diseaseα-synuclein

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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.