Skip to main content
Top
Published in: Clinical Autonomic Research 6/2019

01-12-2019 | Hypotension | Editorial

Moving forward the in vivo diagnosis of the synucleinopathies

Author: Dolores Vilas

Published in: Clinical Autonomic Research | Issue 6/2019

Login to get access

Excerpt

Abnormal aggregates of alpha-synuclein (α-syn) in the nervous system are the neuropathological hallmark of the synucleinopathies. Based on autopsy studies, we know that these abnormal deposits occur not only in the central nervous system in these disorders but also in the peripheral autonomic nervous system [1, 2]. The most common synucleinopathies are Parkinson disease (PD) and dementia with Lewy bodies (DLB); much less common synucleinopathies are multiple system atrophy and pure autonomic failure (PAF). The diagnosis of these diseases is currently still based on clinical criteria. A more accurate in vivo diagnosis is of major interest since it could lead to the early detection and treatment of patients affected by these diseases. However, reliable biomarkers are still lacking. …
Literature
1.
go back to reference Beach TG, Adler CH, Sue LI et al (2010) Multi-organ distribution of phosphorylated alpha-synucleinhistopathology in subjects with Lewy body disorders. Acta Neuropathol 119(6):689–702CrossRef Beach TG, Adler CH, Sue LI et al (2010) Multi-organ distribution of phosphorylated alpha-synucleinhistopathology in subjects with Lewy body disorders. Acta Neuropathol 119(6):689–702CrossRef
2.
go back to reference Gelpi E, Navarro-Otano J, Tolosa E et al (2014) Multiple organ involvement by alpha-synuclein pathology in Lewy body disorders. Mov Disord 29(8):1010–1018CrossRef Gelpi E, Navarro-Otano J, Tolosa E et al (2014) Multiple organ involvement by alpha-synuclein pathology in Lewy body disorders. Mov Disord 29(8):1010–1018CrossRef
4.
go back to reference Wang N, Gibbons CH, Lafo J, Freeman R (2013) α-Synuclein in cutaneous autonomic nerves. Neurology. 81(18):1604–1610CrossRef Wang N, Gibbons CH, Lafo J, Freeman R (2013) α-Synuclein in cutaneous autonomic nerves. Neurology. 81(18):1604–1610CrossRef
5.
go back to reference Navarro-Otano J, Casanova-Mollà J, Morales M, Valls-Solé J, Tolosa E (2015) Cutaneous autonomic denervation in Parkinson’s disease. J Neural Transm (Vienna). 122(8):1149–1155CrossRef Navarro-Otano J, Casanova-Mollà J, Morales M, Valls-Solé J, Tolosa E (2015) Cutaneous autonomic denervation in Parkinson’s disease. J Neural Transm (Vienna). 122(8):1149–1155CrossRef
6.
go back to reference Zange L, Noack C, Hahn K, Stenzel W, Lipp A (2015) Phosphorylated α-synuclein in skin nerve fibres differentiates Parkinson’s disease from multiple system atrophy. Brain 138(Pt 8):2310–2321CrossRef Zange L, Noack C, Hahn K, Stenzel W, Lipp A (2015) Phosphorylated α-synuclein in skin nerve fibres differentiates Parkinson’s disease from multiple system atrophy. Brain 138(Pt 8):2310–2321CrossRef
7.
go back to reference Orimo S, Uchihara T, Nakamura A et al (2008) Axonal alpha-synuclein aggregates herald centripetal degeneration of cardiac sympathetic nerve in Parkinson’s disease. Brain 131(Pt 3):642–650CrossRef Orimo S, Uchihara T, Nakamura A et al (2008) Axonal alpha-synuclein aggregates herald centripetal degeneration of cardiac sympathetic nerve in Parkinson’s disease. Brain 131(Pt 3):642–650CrossRef
8.
go back to reference Donadio V, Incensi A, Del Sorbo F et al (2018) Skin nerve phosphorylated α-synuclein deposits in Parkinson disease with orthostatic hypotension. J Neuropathol Exp Neurol 77(10):942–949CrossRef Donadio V, Incensi A, Del Sorbo F et al (2018) Skin nerve phosphorylated α-synuclein deposits in Parkinson disease with orthostatic hypotension. J Neuropathol Exp Neurol 77(10):942–949CrossRef
9.
go back to reference Donadio V, Incensi A, Rizzo G et al (2017) A new potential biomarker for dementia with Lewy bodies: skin nerve α-synuclein deposits. Neurology. 89(4):318–326CrossRef Donadio V, Incensi A, Rizzo G et al (2017) A new potential biomarker for dementia with Lewy bodies: skin nerve α-synuclein deposits. Neurology. 89(4):318–326CrossRef
10.
go back to reference Antelmi E, Donadio V, Incensi A, Plazzi G, Liguori R (2017) Skin nerve phosphorylated α-synuclein deposits in idiopathic REM sleep behavior disorder. Neurology 88(22):2128–2131CrossRef Antelmi E, Donadio V, Incensi A, Plazzi G, Liguori R (2017) Skin nerve phosphorylated α-synuclein deposits in idiopathic REM sleep behavior disorder. Neurology 88(22):2128–2131CrossRef
Metadata
Title
Moving forward the in vivo diagnosis of the synucleinopathies
Author
Dolores Vilas
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Autonomic Research / Issue 6/2019
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI
https://doi.org/10.1007/s10286-019-00595-y

Other articles of this Issue 6/2019

Clinical Autonomic Research 6/2019 Go to the issue