Aß1-42-containing platelet-derived extracellular vesicle is associated with cognitive decline in Parkinson's disease.

ABSTRACT

Background: Cortical amyloid deposition is a common observation in Parkinson's disease dementia (PDD) patients. Aß1-42 is linked to a more rapid progression of dementia. Platelets, which degranulate upon activation, are a primary source of Aß. It has been repeatedly reported that peripheral extracellular vesicles (EVs) can partially reach the central nervous system. Thus, we speculate that activated platelet-derived Aß1-42-containing EVs (PEV-Aß1-42) play a crucial role in the cognitive decline of PD patients. Methods: The study included 189 participants: 66 with non-dementia PD, 73 with PDD, and 50 healthy controls. All participants underwent blood collection and clinical assessments. Twenty PD patients underwent re-examination and repeated blood collection 14 months later. A nano-scale flow cytometry assay was used to detect PEVs and PEV-Aß1-42 using fluorescence-labeled CD62P and Aß1-42 antibodies. Results: Parkinson's disease dementia patients had higher PEV-Aß1-42 concentrations than healthy controls (p = 0.028). The ratio of PEV-Aß1-42 to PEV was significantly higher in PDD patients compared to those in non-dementia PD and healthy controls (p PD-ND < 0.001, p HC = 0.041). The PEV-Aß1-42/PEV ratio appears to influence the odds of developing dementia (OR = 1.76, p < 0.001). The change in the PEV-Aß1-42/PEV ratio was also correlated with cognitive decline over 14 months (r = -0.447, p < 0.05). Conclusion: The plasma PEV-Aß1-42/PEV ratio may serve as a diagnostic and prognostic biomarker for PDD patients.