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Sensitivity of Detecting Alpha-Synuclein Accumulation in the Gastrointestinal Tract and Tissue Volume Examined.


ABSTRACT:

Objective

This study aimed to evaluate whether a larger tissue volume increases the sensitivity of detecting alpha-synuclein (AS) pathology in the gastrointestinal (GI) tract.

Methods

Nine patients with Parkinson's disease (PD) or idiopathic rapid eye movement sleep disorder (iRBD) who underwent GI operation and had full-depth intestinal blocks were included. All patients were selected from our previous study population. A total of 10 slides (5 serial sections from the proximal and distal blocks) per patient were analyzed.

Results

In previous studies, pathologic evaluation revealed phosphorylated AS (+) in 5/9 patients (55.6%) and in 1/5 controls (20.0%); in this extensive examination, this increased to 8/9 patients (88.9%) but remained the same in controls (20.0%). The severity and distribution of positive findings were similar between patients with iRBD and PD.

Conclusion

Examining a large tissue volume increased the sensitivity of detecting AS accumulation in the GI tract.

SUBMITTER: Shin C 

PROVIDER: S-EPMC9536904 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Publications

Sensitivity of Detecting Alpha-Synuclein Accumulation in the Gastrointestinal Tract and Tissue Volume Examined.

Shin Chaewon C   Kim Seong-Ik SI   Park Sung-Hye SH   Shin Jung Hwan JH   Lee Chan Young CY   Yang Han-Kwang HK   Lee Hyuk-Joon HJ   Kong Seong-Ho SH   Suh Yun-Suhk YS   Kim Han-Joon HJ   Jeon Beomseok B  

Journal of movement disorders 20220726 3


<h4>Objective</h4>This study aimed to evaluate whether a larger tissue volume increases the sensitivity of detecting alpha-synuclein (AS) pathology in the gastrointestinal (GI) tract.<h4>Methods</h4>Nine patients with Parkinson's disease (PD) or idiopathic rapid eye movement sleep disorder (iRBD) who underwent GI operation and had full-depth intestinal blocks were included. All patients were selected from our previous study population. A total of 10 slides (5 serial sections from the proximal an  ...[more]

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