Table 1 Performance of potential CSF biomarkers for PD and parkinsonism patients and controls.

From: A meta-analysis of the diagnostic utility of biomarkers in cerebrospinal fluid in Parkinson’s disease

Biomarker

Pathophysiological mechanism

PD versus HC/OND

PD versus HC

PD versus OND

PD versus MSA

PD versus PSP

PD versus DLB

PD versus CBD

Aβ42

Anti-oxidative stress; protects nerves

↓↓

↓↓

↓↓

↑↑

↑↑

NA

t-tau

Induces and promotes tubulin formation; stabilizes microtubules

↓↓

↓↓

↓↓

↓↓

NA

p-tau

Loss of neuronal dopaminergic processes

↓↓

↓↓

↓↓

NA

NFL

Important components of neuron cytoskeleton; axonal damage

NA

NA

↓↓

↓↓

NA

↓↓

t-α-syn

Nerve cell synuclein deposition

↓↓

↓↓

↓↓

↑↑

NA

p-α-syn

Nerve cell synuclein deposition

↑↑

NA

NA

NA

NA

NA

NA

o-α-syn

Nerve cell synuclein deposition

↑↑

↑↑

↑↑

NA

NA

NA

NA

DJ-1

Oxidative stress

NA

↓↓

NA

NA

NA

NA

NA

YKL-40

Neuroinflammation

NA

↓↓

NA

↓↓

NA

NA

NA

CRP

Neuroinflammation

NA

NA

↓↓

NA

NA

NA

IL-6

Neuroinflammation

NA

NA

NA

NA

NA

NA

FLT-3

Neuroimmunity

NA

NA

NA

NA

NA

NA

Cu

Othersa

NA

NA

NA

NA

NA

NA

Fe

Othersa

NA

NA

NA

NA

NA

NA

Mn

Othersa

NA

NA

NA

NA

NA

NA

Zn

Othersa

NA

↓↓

NA

NA

NA

NA

NA

Arginine

Dopamine metabolism

NA

NA

NA

NA

NA

NA

Citrulline

Dopamine metabolism

NA

NA

NA

NA

NA

NA

  1. The meta-analysis revealed that these biomarkers were altered in PD patients relative to other neurological disorders (e.g., atypical parkinsonian syndromes). Relevant references are included in the online supplementary material. P < 0.05 was regarded as significant, positive or negative; ↑↑, increased and positive; ↑, increased but negative; −, no change; ↓↓, decreased and positive; ↓, decreased but negative.
  2. PD Parkinson’s disease, PSP progressive supranuclear palsy, MSA multiple system atrophy, DLB dementia with Lewy bodies, CBD cortico-basal degeneration, HC healthy control, OND other neurodegenerative diseases, Aβ42 the 42-amino-acid form of Aβ, p-tau phosphorylated tau, t-tau total tau, NFL neurofilament light-chain protein, α-syn α-synuclein, IL-6 interleukin-6, CRP C-reactive protein, YKL-40, CHI3L1 chitinase-3-like protein 1, Cu copper, Mn manganese, Fe iron, Zn zinc.
  3. aOxidative stress, glutathione depletion, glutamate neurotoxicity, alpha-synuclein oligomerization, Lewy body formation, iron homeostasis, and neurotransmitter synthesis.