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Renin-Angiotensin System Autoantibody Network in Parkinson's Disease Patients
Carmen M Labandeira1, Laura Camacho-Meño2, Paula Aracil-Pastor2
1Neurology Service, University Hospital of Ourense, 32005 Ourense, Spain.
Abstract:
The tissue renin-angiotensin system (RAS) is a regulator of oxidative and inflammatory homeostasis by balancing its pro-oxidative/pro-inflammatory axis (angiotensin II, AngII, and AngII type-1 receptor, AT1) and its anti-oxidative/anti-inflammatory axis (AngII/AT2 and ACE2/Ang1-7/Mas receptors). An RAS dysregulation contributes to diseases, including Parkinson's disease (PD). Immune mechanisms are involved in PD. An increase in levels of pro-oxidative/pro-inflammatory autoantibodies for AT1 (AT1-AAs) and ACE2 (ACE2-AAs) has been recently observed in PD. However, it is not known whether dysregulation of autoantibodies for AT2, MasR, and the correlations among different RAS-AAs occurs in PD. In 106 controls and 117 PD patients, we used enzyme-linked immunosorbent assays to determine correlations among serum RAS-AAs, and among RAS-AAs and pro-inflammatory cytokines and 27-hydroxycholesterol. PD patients showed an increase in MasR-AAs, and a more interconnected cluster of correlations among RAS-AAs (AT1-AA, AT2-AA, MasR-AA, ACE2-AA), changes in RAS-AA networks with sex and age, and differences in networks between RAS-AAs and major PD-related pro-inflammatory cytokines and 27-hydroxycholesterol. The association between AT1-AAs and PD remained significant even after adjustment for age and other variables. This study reveals a disease-specific network of RAS autoantibodies in PD that links immune and oxidative pathways and identifies new biomarker patterns and potential therapeutic targets.
Insights
This study reveals a distinct network of autoantibodies targeting the renin-angiotensin system (RAS) in Parkinson's disease (PD). These findings highlight new potential biomarkers and therapeutic targets by linking immune and oxidative pathways in PD.
Area of Science:
- Neuroimmunology
- Cardiovascular Biology
- Metabolic Pathways
Background:
- The tissue renin-angiotensin system (RAS) regulates homeostasis via opposing axes.
- Dysregulation of RAS contributes to diseases like Parkinson's disease (PD).
- Elevated autoantibodies against AT1 and ACE2 are observed in PD, but other RAS components are unstudied.
Purpose of the Study:
- To investigate autoantibodies against AT2 and MasR in PD.
- To explore correlations among various RAS autoantibodies (RAS-AAs).
- To examine links between RAS-AAs, cytokines, and 27-hydroxycholesterol in PD.
Main Methods:
- Enzyme-linked immunosorbent assays (ELISAs) were used.
- Serum samples from 106 controls and 117 PD patients were analyzed.
- Correlations among RAS-AAs, cytokines, and 27-hydroxycholesterol were assessed.
Main Results:
- PD patients showed increased MasR-AAs.
- A more interconnected correlation network among RAS-AAs (AT1-AA, AT2-AA, MasR-AA, ACE2-AA) was observed in PD.
- RAS-AA networks differed with sex and age, and linked to PD-related cytokines and 27-hydroxycholesterol.
- AT1-AAs remained significantly associated with PD after adjustments.
Conclusions:
- A disease-specific network of RAS autoantibodies exists in PD.
- This network connects immune and oxidative pathways.
- New biomarker patterns and potential therapeutic targets for PD are identified.
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