Rozan Vroman, Lorenzo de Lichtervelde, Karamjit Singh Dolt, Graham Robertson, Marco Kriek, Michela Barbato, Justyna Cholewa-Waclaw, Tilo Kunath, Patrick Downey, Michele Zagnoni
{"title":"A high-fidelity microfluidic platform reveals retrograde propagation as the main mechanism of α-Synuclein spread in human neurons","authors":"Rozan Vroman, Lorenzo de Lichtervelde, Karamjit Singh Dolt, Graham Robertson, Marco Kriek, Michela Barbato, Justyna Cholewa-Waclaw, Tilo Kunath, Patrick Downey, Michele Zagnoni","doi":"10.1038/s41531-025-00936-x","DOIUrl":"https://doi.org/10.1038/s41531-025-00936-x","url":null,"abstract":"<p>α-Synuclein (αSyn) is a major component of Lewy bodies and Lewy neurites, which are a pathological hallmark of Parkinson’s disease (PD). Pathologically aggregated forms of αSyn can spread along neurites and induce the misfolding of normal αSyn. To elucidate how αSyn pathology propagates between brain areas, we developed a novel in vitro microfluidic platform to study the intracellular transport of preformed fibrils and the induction and spread of αSyn aggregates. Patient-derived midbrain dopaminergic (mDA) neurons were cultured in microfluidic devices designed to maintain unidirectional axonal connections between fluidically isolated mDA neuronal cultures for over 3 months. Using αSyn preformed fibrils to induce Lewy-like pathology, we found that anterograde spread of αSyn fibrils was slow and occurred at low levels, while retrograde spread was significantly more efficient. This is in line with observations in animal models and shows that the platform provides an innovative new tool for studying PD in vitro.</p>","PeriodicalId":19706,"journal":{"name":"NPJ Parkinson's Disease","volume":"11 1","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matilde Castelli, Mario Sousa, Illner Vojtech, Michael Single, Deborah Amstutz, Marie Elise Maradan-Gachet, Andreia D. Magalhães, Ines Debove, Jan Rusz, Pablo Martinez-Martin, Raphael Sznitman, Paul Krack, Tobias Nef
{"title":"Detecting neuropsychiatric fluctuations in Parkinson’s Disease using patients’ own words: the potential of large language models","authors":"Matilde Castelli, Mario Sousa, Illner Vojtech, Michael Single, Deborah Amstutz, Marie Elise Maradan-Gachet, Andreia D. Magalhães, Ines Debove, Jan Rusz, Pablo Martinez-Martin, Raphael Sznitman, Paul Krack, Tobias Nef","doi":"10.1038/s41531-025-00939-8","DOIUrl":"https://doi.org/10.1038/s41531-025-00939-8","url":null,"abstract":"<p>Over the past decade, neuropsychiatric fluctuations in Parkinson’s disease (PD) have been increasingly recognized for their impact on patients’ quality of life. Speech, a complex function carrying motor, emotional, and cognitive information, offers potential insights into these fluctuations. While previous studies have focused on acoustic analysis to assess motor speech disorders reliably, the potential of linguistic patterns associated with neuropsychiatric fluctuations in PD remains unexplored. This study analyzed the content of spontaneous speech from 33 PD patients in ON and OFF medication states, using machine learning and large language models (LLMs) to predict medication states and a neuropsychiatric state score. The top-performing model, the LLM Gemma-2 (9B), achieved 98% accuracy in differentiating ON and OFF states and its predicted scores were highly correlated with actual scores (Spearman’s ρ = 0.81). These methods could provide a more comprehensive assessment of PD treatment effects, allowing remote neuropsychiatric symptom monitoring via mobile devices.</p>","PeriodicalId":19706,"journal":{"name":"NPJ Parkinson's Disease","volume":"29 1","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lara M. Lange, Catalina Cerquera-Cleves, Marijn Schipper, Georgia Panagiotaropoulou, Alice Braun, Julia Kraft, Swapnil Awasthi, Nathaniel Bell, Danielle Posthuma, Stephan Ripke, Cornelis Blauwendraat, Karl Heilbron
{"title":"Prioritizing Parkinson’s disease risk genes in genome-wide association loci","authors":"Lara M. Lange, Catalina Cerquera-Cleves, Marijn Schipper, Georgia Panagiotaropoulou, Alice Braun, Julia Kraft, Swapnil Awasthi, Nathaniel Bell, Danielle Posthuma, Stephan Ripke, Cornelis Blauwendraat, Karl Heilbron","doi":"10.1038/s41531-025-00933-0","DOIUrl":"https://doi.org/10.1038/s41531-025-00933-0","url":null,"abstract":"<p>Many drug targets in ongoing Parkinson’s disease (PD) clinical trials have strong genetic links. While genome-wide association studies (GWAS) nominate regions associated with disease, pinpointing causal genes is challenging. Our aim was to prioritize additional druggable genes underlying PD GWAS signals. The polygenic priority score (PoPS) integrates genome-wide information from MAGMA gene-level associations and over 57,000 gene-level features. We applied PoPS to East Asian and European PD GWAS data and prioritized genes based on PoPS, distance to the GWAS signal, and non-synonymous credible set variants. We prioritized 46 genes, including well-established PD genes (<i>SNCA</i>, <i>LRRK2</i>, <i>GBA1</i>, <i>TMEM175</i>, <i>VPS13C</i>), genes with strong literature evidence supporting a mechanistic link to PD (<i>RIT2, BAG3</i>, <i>SCARB2, FYN, DYRK1A, NOD2, CTSB, SV2C, ITPKB</i>), and genes relatively unexplored in PD. Many hold potential for drug repurposing or development. We prioritized high-confidence genes with strong links to PD pathogenesis that may represent our next-best candidates for developing disease-modifying therapeutics.</p>","PeriodicalId":19706,"journal":{"name":"NPJ Parkinson's Disease","volume":"29 1","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143841262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chao Hou, Wei Zhang, Hong-Bing Li, Shuo Li, Fang Nie, Xue-Mei Wang, Wen He
{"title":"Spatial variations and precise location of substantia nigra hyperechogenicity in Parkinson’s disease using TCS-MR fusion imaging","authors":"Chao Hou, Wei Zhang, Hong-Bing Li, Shuo Li, Fang Nie, Xue-Mei Wang, Wen He","doi":"10.1038/s41531-025-00910-7","DOIUrl":"https://doi.org/10.1038/s41531-025-00910-7","url":null,"abstract":"<p>Substantia nigra hyperechogenicity (SNH) assessed by transcranial sonography (TCS) is a neuroimaging biomarker of Parkinson’s disease (PD), but its actual location and spatial changes are poorly understood. We aimed to evaluate the location and spatial progression of SNH in PD utilizing TCS-MR fusion imaging. This prospective study enrolled eighty-four PD patients and sixty-two controls. The plane with the largest area of red nucleus, the plane with the largest area of SNH, and the plane where the red nucleus is just out of view were selected and segmented, respectively, and echogenicity indices were calculated. SNH could present in SN, dorsal band of SN, red nucleus, and ventral tegmental area, and had two orientations. In the left midbrain, the anterior-posterior orientation had longer disease duration, larger SNH area, and higher Hoehn-Yahr stage than medial-lateral orientation. The anterior-posterior orientation and accumulation in various nuclei of SNH may serve as promising neuroimaging markers for PD progression.</p>","PeriodicalId":19706,"journal":{"name":"NPJ Parkinson's Disease","volume":"26 1","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143841271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Marecek, V. Rottova, J. Nepozitek, T. Krajca, R. Krupicka, J. Keller, D. Zogala, J. Trnka, K. Sonka, E. Ruzicka, P. Dusek
{"title":"Exploring glymphatic system alterations in iRBD and Parkinson’s disease using automated DTI-ALPS analysis","authors":"S. Marecek, V. Rottova, J. Nepozitek, T. Krajca, R. Krupicka, J. Keller, D. Zogala, J. Trnka, K. Sonka, E. Ruzicka, P. Dusek","doi":"10.1038/s41531-025-00921-4","DOIUrl":"https://doi.org/10.1038/s41531-025-00921-4","url":null,"abstract":"<p>Diffusion tensor image analysis along the perivascular space (DTI-ALPS) is a potential non-invasive marker of glymphatic function that typically relies on manual region of interest (ROI) placement. This study compared ALPS indices in treatment-naïve, de novo diagnosed patients with Parkinson’s disease (PD), patients with isolated REM behavior disorder (iRBD), and healthy controls using both manual and automatic approaches to the ROI selection used in ALPS-index calculation. ALPS indices were analyzed bilaterally and correlated with clinical severity (MDS-UPDRS) and nigrostriatal denervation (DAT-SPECT). ANCOVA revealed significant inter-group differences using both manual (<i>p</i> = 0.018) and automatic (<i>p</i> = 0.002) ROI selection methods. The automatic ROI selection approach showed significantly lower ALPS indices in PD compared to controls (<i>p</i> = 0.001) and iRBD (<i>p</i> = 0.009). ALPS indices correlated with symptom severity and nigrostriatal denervation. These findings underscore the reliability of the automatic ROI placement approach for ALPS index calculation and may indicate early glymphatic alterations in Parkinson’s disease.</p>","PeriodicalId":19706,"journal":{"name":"NPJ Parkinson's Disease","volume":"108 1","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Morgane Darricau, Valentine Kulifaj, Marie-Laure Arotcarena, Qin Li, Taxiarchis Katsinelos, William A. McEwan, Maria Xilouri, Benjamin Dehay, Erwan Bezard, Vincent Planche
{"title":"Additive effect of distant Lewy bodies and tau seeds injections on nigral degeneration in macaques","authors":"Morgane Darricau, Valentine Kulifaj, Marie-Laure Arotcarena, Qin Li, Taxiarchis Katsinelos, William A. McEwan, Maria Xilouri, Benjamin Dehay, Erwan Bezard, Vincent Planche","doi":"10.1038/s41531-025-00938-9","DOIUrl":"https://doi.org/10.1038/s41531-025-00938-9","url":null,"abstract":"<p>The influence of Lewy body (LB) and tau co-pathologies is increasingly acknowledged as putatively affecting neurodegeneration and clinical phenotypes. Here, we injected rhesus macaques with LB fractions or/and tau seeds derived from patients brains into distinct brain areas connected to the mesencephalon. Compared to control macaques, we observed increased mesencephalic staining of pathological α-synuclein and tau, as well as nigrostriatal dopaminergic neuronal loss, with a cumulative effect of co-pathology.</p>","PeriodicalId":19706,"journal":{"name":"NPJ Parkinson's Disease","volume":"60 1","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Linking Parkinson’s disease and melanoma: the impact of copper-driven cuproptosis and related mechanisms","authors":"Quan Wang, Yinghui Duan, Yu Xu, Hao Li, Yi Yang","doi":"10.1038/s41531-025-00928-x","DOIUrl":"https://doi.org/10.1038/s41531-025-00928-x","url":null,"abstract":"<p>Patients with Parkinson’s disease (PD) exhibit an increased risk of melanoma, implying shared yet incompletely understood molecular mechanisms. This study aimed to delineate these common and distinct pathways by analyzing gene expression profiles from the Gene Expression Omnibus. A total of 90 differentially expressed genes (DEGs) were commonly regulated, while 173 DEGs exhibited divergent regulation between PD and melanoma. Protein-protein interaction analysis identified SNCA as a central node within a 21-protein network. LASSO regression revealed 13 hub genes (e.g., CCNB1, CCNH, CORO1C, and GSN) with high diagnostic accuracy (AUC >0.93) across both conditions. Gene set enrichment analysis implicated copper-induced cell death (cuproptosis) in PD neurons and melanoma cells, linking this process to hub genes. RT-qPCR confirmed increased SNCA expression during cuproptosis. Additional analyses identified macrophage involvement and WNT-β-catenin signaling as relevant. These findings suggest cuproptosis as a potential therapeutic target in PD and melanoma.</p>","PeriodicalId":19706,"journal":{"name":"NPJ Parkinson's Disease","volume":"38 1","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xiaohui Qiu, Ran Zhang, Yi Cheng, Chengde Jin, Yushi Zhang, Ziqi Zhang
{"title":"Oral health implications in Parkinson’s disease","authors":"Xiaohui Qiu, Ran Zhang, Yi Cheng, Chengde Jin, Yushi Zhang, Ziqi Zhang","doi":"10.1038/s41531-025-00927-y","DOIUrl":"https://doi.org/10.1038/s41531-025-00927-y","url":null,"abstract":"<p>To assist patients in maintaining oral health in patients with Parkinson’s disease (PD), this review aims to search the literature on aspects related to oral health in PD patients. In contrast to other research, we included the involvement of microbes in PD patients’ poor oral health. Finally, we conclude that, in comparison to healthy individuals, PD patients have poorer oral health and a higher incidence of oral ailments.</p>","PeriodicalId":19706,"journal":{"name":"NPJ Parkinson's Disease","volume":"34 1","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily E. Joyce, Weiyao Yin, Marie Löf, Karin Wirdefeldt, Sven Sandin, Fang Fang
{"title":"Mediterranean dietary pattern and risk of neurodegenerative diseases in a cohort of Swedish women","authors":"Emily E. Joyce, Weiyao Yin, Marie Löf, Karin Wirdefeldt, Sven Sandin, Fang Fang","doi":"10.1038/s41531-025-00932-1","DOIUrl":"https://doi.org/10.1038/s41531-025-00932-1","url":null,"abstract":"<p>Mediterranean dietary patterns (MDP) may be neuroprotective. Using a large population-based cohort of 42,582 Swedish women, this study examined the association between MDP adherence and the risk of Parkinson’s disease (PD), Alzheimer’s disease (AD), and amyotrophic lateral sclerosis (ALS). During 1991–1992, women in the Women’s Lifestyle and Health Study reported dietary intake, and MDP adherence was calculated. Incident neurodegenerative diseases were identified using the Swedish National Patient Register through 2022. Women who reported high MDP adherence had a lower risk of PD (HR: 0.69, 95% CI: 0.49–0.95), primarily over age 60 (HR: 0.68, 95% CI: 0.47–0.97). A moderate-high MDP adherence was associated with a lower risk of ALS before age 60 (HR: 0.44, 95% CI: 0.19–0.99), but not overall. We observed no association between MDP adherence and AD. Our findings suggest higher adherence to a MDP may be protective against PD above age 60, and ALS before age 60.</p>","PeriodicalId":19706,"journal":{"name":"NPJ Parkinson's Disease","volume":"39 1","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. López-Aguirre, T. Balzano, M.H.G. Monje, N. Esteban-García, R. Martínez-Fernández, N.L. Del Rey, M. Ciorraga, A. Sánchez-Ferro, I. Trigo-Damas, J. Blesa, J. A. Obeso, J. A. Pineda-Pardo
{"title":"Nigrostriatal iron accumulation in the progression of Parkinson’s disease","authors":"M. López-Aguirre, T. Balzano, M.H.G. Monje, N. Esteban-García, R. Martínez-Fernández, N.L. Del Rey, M. Ciorraga, A. Sánchez-Ferro, I. Trigo-Damas, J. Blesa, J. A. Obeso, J. A. Pineda-Pardo","doi":"10.1038/s41531-025-00911-6","DOIUrl":"https://doi.org/10.1038/s41531-025-00911-6","url":null,"abstract":"<p>Iron deposition in the nigrostriatal system plays a pivotal role in Parkinson’s disease (PD) onset and progression. This study explored the time course of nigrostriatal iron accumulation in 54 PD patients at early to moderately advanced stages and 20 age-matched healthy controls. Using multi-echo T2*-MRI and R2* relaxometry, iron content was assessed in the substantia nigra pars compacta (SNpc) and striatum. In vivo findings were contrasted with histological analyses in a progressive 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced parkinsonism model involving six non-human primates (NHPs) and two controls using Perls’ Prussian blue staining. Complementarily, dopaminergic degeneration was quantified by 6-[<sup>18</sup>F]-fluoro-L-dopa PET in humans and TH immunohistochemistry in NHPs. Results showed progressive iron accumulation in the SNpc correlating with striatal dopaminergic denervation and neuronal loss. Striatal iron followed a V-shaped progression, decreasing initially and increasing later. Iron in the SNpc may serve as a marker of neurodegeneration in PD, while decreased striatal iron may indicate pathological susceptibility to dopaminergic loss.</p>","PeriodicalId":19706,"journal":{"name":"NPJ Parkinson's Disease","volume":"108 1","pages":""},"PeriodicalIF":8.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}