Objective
To profile the amine/phenol submetabolome to determine potential metabolite biomarkers associated with Parkinson’s disease (PD) and PD with incipient dementia.
Methods
At baseline of a 3-wave (18-month intervals) longitudinal study, serum samples were collected from 42 healthy controls and 43 PD patients. By wave 3 (year 3) 16 PD patients were diagnosed with dementia and were classified as PD with incipient dementia at baseline. Metabolomic profiling using dansylation isotope labeling liquid chromatography mass spectrometry was conducted to compare controls with full PD group, PD with no dementia and PD with incipient dementia.
Results
Metabolomic analyses detected 719 common metabolites in 80% of the samples. Some were significantly altered in pairwise comparison of different groups (fold-change of >1.2 or <0.83 with q<0.05). We discriminated PD and controls by using a 5-metabolite panel, vanillic acid, 3-hydroxykynurenine, isoleucyl-alanine, 5-acetylamino-6-amino-3-methyluracil and theophylline. The Receiver Operating Characteristic curve produced an Area-Under-the-Curve value of 0.955 with 87.5% sensitivity and 93.0% specificity. In comparing PD with no dementia with PD with incipient dementia we used an 8-metabolite panel, His-Asn-Asp-Ser, 3, 4-dihydroxyphenylacetone, desaminotyrosine, hydroxy-isoleucine, alanyl-alanine, putrescine [-2H], purine [+O] and its riboside. This produced an Area-Under-the-Curve value of 0.862 with 80.0% sensitivity and 77.0% specificity.
Conclusions
The significantly altered metabolites can be used to differentiate (1) PD patients from healthy controls with high accuracy and (2) the stable PD with no dementia group from those with incipient dementia. Following further validation in larger cohorts, these metabolites could be used for both discrimination and establishing prognosis in PD.