TY  - JOUR
A1  - Kuzkina, Anastasia
A1  - Bargar, Connor
A1  - Schmitt, Daniela
A1  - Rößle, Jonas
A1  - Wang, Wen
A1  - Schubert, Anna-Lena
A1  - Tatsuoka, Curtis
A1  - Gunzler, Steven A.
A1  - Zou, Wen-Quan
A1  - Volkmann, Jens
A1  - Sommer, Claudia
A1  - Doppler, Kathrin
A1  - Chen, Shu G.
T1  - Diagnostic value of skin RT-QuIC in Parkinson's disease: a two-laboratory study
JF  - NPJ Parkinson's Disease
N2  - Skin alpha-synuclein deposition is considered a potential biomarker for Parkinson's disease (PD). Real-time quaking-induced conversion (RT-QuIC) is a novel, ultrasensitive, and efficient seeding assay that enables the detection of minute amounts of alpha-synuclein aggregates. We aimed to determine the diagnostic accuracy, reliability, and reproducibility of alpha-synuclein RT-QuIC assay of skin biopsy for diagnosing PD and to explore its correlation with clinical markers of PD in a two-center inter-laboratory comparison study. Patients with clinically diagnosed PD (n = 34), as well as control subjects (n = 30), underwent skin punch biopsy at multiple sites (neck, lower back, thigh, and lower leg). The skin biopsy samples (198 in total) were divided in half to be analyzed by RT-QuIC assay in two independent laboratories. The a-synuclein RT-QuIC assay of multiple skin biopsies supported the clinical diagnosis of PD with a diagnostic accuracy of 88.9% and showed a high degree of inter-rater agreement between the two laboratories (92.2%). Higher alpha-synuclein seeding activity in RT-QuIC was shown in patients with longer disease duration and more advanced disease stage and correlated with the presence of REM sleep behavior disorder, cognitive impairment, and constipation. The alpha-synuclein RT-QuIC assay of minimally invasive skin punch biopsy is a reliable and reproducible biomarker for Parkinson's disease. Moreover, alpha-synuclein RT-QuIC seeding activity in the skin may serve as a potential indicator of progression as it correlates with the disease stage and certain non-motor symptoms.
KW  - diagnostic markers
KW  - Parkinson's disease
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-260451
VL  - 7
IS  - 1
ER  -