Background:
Alzheimer’s (AD) and Parkinson’s diseases (PD) show deposits of improperly folded modified
proteins, so protein expression mechanisms are involved since early stages. Several studies evaluated epigenomics and
proteomics profiles in these patients, with promising results. In general, they focused on early, specific, and minimally
invasive biomarkers for diagnosis and prognosis of AD and PD. Objectives: This review aimed at summarizing results to
find the most reliable evidence in the field.
Method:
A PubMed search was carried out. It was limited to the last 6 years, using a combination of search terms
related to AD, PD and epigenetics or proteomics.
Results:
Among epigenomics studies, most of them focused on microRNAs (miRNAs) as candidate diagnosis biomarkers
for AD or PD from blood samples like miR-342-3p, miR-107, miR-106a-5p, miR-106b-5p, miR-195, and miR-19b. In
addition, the DNA methylation has been tested in a few works, obtaining significant differences in some genes
(NCAPH2/LMF2 COASY, SPINT1, BDNFTREM1, TREM2, NPAS2, PDE4D), which could be useful for evaluating the
disease progression as well as potential risk factors. Regarding proteomics, most of the studies were untargeted and used
plasma or serum samples. In general, they highlighted the importance of coagulation, inflammation pathways, and oxidative
stress. Among targeted studies, some proteins (phosphorylated tau, C reactive protein (CRP), interleukins, necrosis factors,
transferrin, glial fibrillary acidic protein (GFAP),and neurofilaments) showed different plasma levels in AD and PD patients
in comparison with healthy participants. Finally, a few studies have identified specific-AD and PD epigenetic and proteomic
biomarkers (ApoE and oxidized DJ-1) in comparison with other similar pathologies.
Conclusion:
In general, there is a common lack of clinical validation of these potential biomarkers, for which its use in the
clinical practice is still limited.