Lipoprotein-Associated Phospholipase A2 Is a Risk Factor for Patients With Parkinson's Disease

Zubo Wu; Suyuan Wu; Tao Liang; Lin Wang

doi:10.3389/fnins.2021.633022

Lipoprotein-Associated Phospholipase A2 Is a Risk Factor for Patients With Parkinson's Disease

Front Neurosci. 2021 Apr 20:15:633022. doi: 10.3389/fnins.2021.633022. eCollection 2021.

Authors

Zubo Wu¹, Suyuan Wu², Tao Liang², Lin Wang²

Affiliations

¹ Department of Pediatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
² Department of Clinical Laboratory, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Abstract

Objective: To explore the association between lipoprotein-related phospholipase A2 (Lp-PLA2) and the risk of Parkinson's disease (PD).

Methods: A case-control study involving 58 hospitalized PD patients and 60 healthy controls was carried out. Serum Lp-PLA2 level was detected. According to the disease course and severity, PD patients were subdivided to analyze the clinical value of Lp-PLA2. Relationship between Lp-PLA2 and PD risk was analyzed by logistic regression. Diagnostic value of Lp-PLA2 in PD patients was investigated using receiver's operator characteristic curves.

Results: Lp-PLA2 level was significantly higher in the PD patients compared with the controls, and was significantly and positively correlated with the Hoehn-Yahr (H&Y) stage. The serum Lp-PLA2 level and H&Y stage of PD patients with a longer disease course were significantly higher than those with a shorter disease course. PD patients with milder conditions had significantly lower serum Lp-PLA2 levels than patients with severe conditions. Multivariable logistic regression analysis indicated higher Lp-PLA2 level was an independent risk factor of PD patients. Moreover, the area under the curve for Lp-PLA2 was 0.703, which was between those of homocysteine and serum amylase A.

Conclusion: To our knowledge, this is the first study to show that increased level of Lp-PLA2 is associated with the risk of PD. Lp-PLA2 may be used for early detection of PD, and provides an effective intervention target for clinical treatment of PD.

Keywords: Lp-PLA2; Parkinson’s disease; neurodegenerative diseases; neuroinflammation; risk factor.