ArticleMovement disorders : official journal of the Movement Disorder Society2026
Associations of Monocyte Glucocerebrosidase with Cognition and Cholinergic Innervation in GBA1 Parkinson's Disease.
Article in Movement disorders : official journal of the Movement Disorder Society, 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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Abstract
backgroundThe GBA1 gene encodes the lysosomal enzyme glucocerebrosidase (GCase). Parkinson's disease (PD) patients carrying a GBA1 variant (GBA-PD) exhibit faster cognitive decline, linked to cholinergic degeneration.
objectivesThe aim was to investigate whether GCase activity, measured in monocytes, correlates with cognitive dysfunction or regional brain cholinergic innervation in early-stage PD patients.
methodsA total of 137 PD patients underwent a complete neuropsychological assessment, blood sampling, brain magnetic resonance imaging, and
resultsMonocytes from GBA-PD (n = 42) patients exhibited significant lower GCase activity (P = 0.007) compared to those from non-GBA-PD individuals (n = 95). However, GCase activity did not correlate with cognition. Similarly, voxel-wise and volume-of-interest PET analyses did not reveal associations with monocytic GCase activity.
conclusionsMonocytic GCase activity does not appear to be a reliable biomarker for cognitive decline in early-stage PD and is not linked to regional cholinergic denervation. Peripheral measurements do not reflect central processes underlying cholinergic dysfunction. © 2026 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.
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