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The aim of this study is to determine whether a significant reduction in the total level of alpha-synuclein and significant increase in the oligomeric form of alpha-synuclein and therefore the ratio oligomeric:total alpha-synuclein occurs in patients with Parkinson disease compared to patients with drug-induced parkinsonian syndrome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| idiopathic Parkinson disease |
| ||
| iatrogenic parkinsonian syndrome |
| ||
| healthy volunteers |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Level of alpha-synuclein | Diagnostic Test | Test of levels of total and ratio total:oligomeric in saliva |
|
| Measure | Description | Time Frame |
|---|---|---|
| Compare saliva level of oligomeric alpha-synuclein between two groups of patients wth classical parkinsonian: patients with idiopathic Parkinson disease and patients with a acquired parkinsonian syndrome from anti-dopamine treatment. | Day 0 |
| Measure | Description | Time Frame |
|---|---|---|
| Perform the first estimation of discriminatory capacity of saliva levels of oligomeric alpha-synuclein for diagnostic differentiation between idiopathic Parkinson disease and anti-dopamine induced acquired parkinsonian syndrome. | Day 0 | |
| Compare levels of total alpha-synuclein and the ratio of oligomeric alpha-synuclein:total alpha-synuclein between the two groups |
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Inclusion Criteria
The patient must have given their free and informed consent and signed the consent form
The patient must be insured or the beneficiary of an insurance policy
The patient is less than 55 years old
For patients with acquired parkinsonian syndrome (UKPDSBB criteria) currently at HOEHN and YAHR stage ≤3:
Exclusion Criteria:
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Subjects will be recruited from three centres:
Patients hospitalized in the Quissac psychiatric unit Patients followed in the CHU Nimes neurological department for idiopathic Parkinson Patients followed in the CHU Montpellier neurological department
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| Name | Affiliation | Role |
|---|---|---|
| Giovanni Castelnovo, MD | CHU Nimes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HĂ´pital Gui de Chauliac | Montpellier | 34000 | France | |||
| HĂ´pital St Eloi |
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Saliva
| Day 0 |
| Perform the first estimation of discriminatory capacity of saliva levels of total oligomeric alpha-synuclein and the ratio of oligomeric alpha-synuclein:total alpha-synuclein for diagnostic differentiation between two groups | Day 0 |
| Creation of a biobank with remaining samples | saliva samples | Day 0 |
| UPDRS II-III-IV score | Day 0 |
| UDysRs score | Day 0 |
| character of parkinsonian syndrome | symmetrical or asymmetrical | Day 0 |
| akathisia | Day 0 |
| questionnaire on non-motor symptoms in Parkinson disease | PD-NMS | Day 0 |
| neuro-psychological evaluation | BREF+MOCO score | Day 0 |
| GDS score | Day 0 |
| interogation to determine extent of motor and non-motor clinical markers to differentiate the two groups | Day 0 |
| Montpellier |
| 34000 |
| France |
| CHU Nimes | Nîmes | 30029 | France |
| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D020734 | Parkinsonian Disorders |
| ID | Term |
|---|---|
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
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