“…Similarly, metabolic profiles of blood in idiopathic PD are also different from healthy groups, such as alpha-synuclein, tau protein, urate, and a series of amino acid metabolism ( Bolner et al, 2011 ; Luan et al, 2015 ; Saiki et al, 2017 ; Chang et al, 2018 ; Goldman et al, 2018 ). These disturbances in the metabolic pathways are related to mitochondrial dysfunctions and the concomitant changes in energy homeostasis and redox reaction, which are thought to be the final common pathways of most endogenous and exogenous factors that are involved in the etiology of PD ( Bhinderwala et al, 2019 ). Recent studies have revealed that there are metabolic differences between treated and drug-naïve PD patients ( Bogdanov et al, 2008 ; Troisi et al, 2019 ), as well as patients with and without dementia or depression ( Hatano et al, 2016 ; Dong et al, 2018 ).…”