Peripheral immune profile and neutrophil-to-lymphocyte ratio in progressive supranuclear palsy: Case-control study and meta-analysis

Background and purpose Peripheral inflammation is probably involved in the pathogenesis of progressive supranuclear palsy (PSP) and it may be a common feature with Parkinson's disease (PD). The peripheral immune profile in PSP remains unclear, as well as whether the inflammatory pathways differ...

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Autores: Muñoz-Delgado, Laura, Luque-Ambrosiani, Antonio, Benítez Zamora, Belén, Macías García, Daniel, Jesús Maestre, Silvia, Adarmes-Gómez, Astrid, Ojeda-Lepe, Elena, Carrillo, Fátima, Mir, Pablo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/387164
Acceso en línea:http://hdl.handle.net/10261/387164
https://api.elsevier.com/content/abstract/scopus_id/85201538105
Access Level:acceso abierto
Palabra clave:Inflammation
Neutrophil
Neutrophil‐to‐lymphocyte ratio
Progressive supranuclear palsy
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network_name_str España
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dc.title.none.fl_str_mv Peripheral immune profile and neutrophil-to-lymphocyte ratio in progressive supranuclear palsy: Case-control study and meta-analysis
title Peripheral immune profile and neutrophil-to-lymphocyte ratio in progressive supranuclear palsy: Case-control study and meta-analysis
spellingShingle Peripheral immune profile and neutrophil-to-lymphocyte ratio in progressive supranuclear palsy: Case-control study and meta-analysis
Muñoz-Delgado, Laura
Inflammation
Neutrophil
Neutrophil‐to‐lymphocyte ratio
Progressive supranuclear palsy
title_short Peripheral immune profile and neutrophil-to-lymphocyte ratio in progressive supranuclear palsy: Case-control study and meta-analysis
title_full Peripheral immune profile and neutrophil-to-lymphocyte ratio in progressive supranuclear palsy: Case-control study and meta-analysis
title_fullStr Peripheral immune profile and neutrophil-to-lymphocyte ratio in progressive supranuclear palsy: Case-control study and meta-analysis
title_full_unstemmed Peripheral immune profile and neutrophil-to-lymphocyte ratio in progressive supranuclear palsy: Case-control study and meta-analysis
title_sort Peripheral immune profile and neutrophil-to-lymphocyte ratio in progressive supranuclear palsy: Case-control study and meta-analysis
dc.creator.none.fl_str_mv Muñoz-Delgado, Laura
Luque-Ambrosiani, Antonio
Benítez Zamora, Belén
Macías García, Daniel
Jesús Maestre, Silvia
Adarmes-Gómez, Astrid
Ojeda-Lepe, Elena
Carrillo, Fátima
Mir, Pablo
author Muñoz-Delgado, Laura
author_facet Muñoz-Delgado, Laura
Luque-Ambrosiani, Antonio
Benítez Zamora, Belén
Macías García, Daniel
Jesús Maestre, Silvia
Adarmes-Gómez, Astrid
Ojeda-Lepe, Elena
Carrillo, Fátima
Mir, Pablo
author_role author
author2 Luque-Ambrosiani, Antonio
Benítez Zamora, Belén
Macías García, Daniel
Jesús Maestre, Silvia
Adarmes-Gómez, Astrid
Ojeda-Lepe, Elena
Carrillo, Fátima
Mir, Pablo
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Junta de Andalucía
Agencia Estatal de Investigación (España)
Ministerio de Ciencia, Innovación y Universidades (España)
Instituto de Salud Carlos III
European Commission
Muñoz-Delgado, Laura [0000-0002-8818-1824]
Macías García, Daniel [0000-0002-4822-1529]
Mir, Pablo [0000-0003-1656-302X]
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
dc.subject.none.fl_str_mv Inflammation
Neutrophil
Neutrophil‐to‐lymphocyte ratio
Progressive supranuclear palsy
topic Inflammation
Neutrophil
Neutrophil‐to‐lymphocyte ratio
Progressive supranuclear palsy
description Background and purpose Peripheral inflammation is probably involved in the pathogenesis of progressive supranuclear palsy (PSP) and it may be a common feature with Parkinson's disease (PD). The peripheral immune profile in PSP remains unclear, as well as whether the inflammatory pathways differ from those in PD. The neutrophil-to-lymphocyte ratio (NLR) has been proven to be a well-established biomarker of systemic inflammation. This study aimed to evaluate the peripheral immune profile in PSP compared with PD. Methods A cross-sectional study was conducted including patients with PSP and PD and healthy controls (HCs). Leukocyte subpopulations and the NLR were measured in peripheral blood. Multivariate linear regression and post hoc tests were applied. Electronic databases were searched in November 2023 to perform meta-analyses to clarify the peripheral immune profile in PSP. Results Our cohort included 121 patients with PSP, 127 patients with PD and 266 HCs. The NLR was higher in PSP and PD compared with HCs. PSP had a higher neutrophil count compared with HCs. Whilst a lower lymphocyte count was found in PD compared with HCs, the lymphocyte count did not differ between PSP and HCs. The meta-analyses supported this immune profile. Conclusions PSP and PD show an increased peripheral inflammation and a higher NLR compared with HCs. Different pathogenic inflammatory mechanisms are probably involved in PSP and PD, since in PSP this altered peripheral immune profile is mainly driven by neutrophils. Understanding the neutrophils' role in PSP may allow for the development of targeted therapies.
publishDate 2024
dc.date.none.fl_str_mv 2024
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
Publisher's version
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/387164
https://api.elsevier.com/content/abstract/scopus_id/85201538105
url http://hdl.handle.net/10261/387164
https://api.elsevier.com/content/abstract/scopus_id/85201538105
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv #PLACEHOLDER_PARENT_METADATA_VALUE#
info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/RTC2019-007150-1
https://doi.org/10.1111/ene.16451

dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv John Wiley & Sons
publisher.none.fl_str_mv John Wiley & Sons
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
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spelling Peripheral immune profile and neutrophil-to-lymphocyte ratio in progressive supranuclear palsy: Case-control study and meta-analysisMuñoz-Delgado, LauraLuque-Ambrosiani, AntonioBenítez Zamora, BelénMacías García, DanielJesús Maestre, SilviaAdarmes-Gómez, AstridOjeda-Lepe, ElenaCarrillo, FátimaMir, PabloInflammationNeutrophilNeutrophil‐to‐lymphocyte ratioProgressive supranuclear palsyBackground and purpose Peripheral inflammation is probably involved in the pathogenesis of progressive supranuclear palsy (PSP) and it may be a common feature with Parkinson's disease (PD). The peripheral immune profile in PSP remains unclear, as well as whether the inflammatory pathways differ from those in PD. The neutrophil-to-lymphocyte ratio (NLR) has been proven to be a well-established biomarker of systemic inflammation. This study aimed to evaluate the peripheral immune profile in PSP compared with PD. Methods A cross-sectional study was conducted including patients with PSP and PD and healthy controls (HCs). Leukocyte subpopulations and the NLR were measured in peripheral blood. Multivariate linear regression and post hoc tests were applied. Electronic databases were searched in November 2023 to perform meta-analyses to clarify the peripheral immune profile in PSP. Results Our cohort included 121 patients with PSP, 127 patients with PD and 266 HCs. The NLR was higher in PSP and PD compared with HCs. PSP had a higher neutrophil count compared with HCs. Whilst a lower lymphocyte count was found in PD compared with HCs, the lymphocyte count did not differ between PSP and HCs. The meta-analyses supported this immune profile. Conclusions PSP and PD show an increased peripheral inflammation and a higher NLR compared with HCs. Different pathogenic inflammatory mechanisms are probably involved in PSP and PD, since in PSP this altered peripheral immune profile is mainly driven by neutrophils. Understanding the neutrophils' role in PSP may allow for the development of targeted therapies.This work was supported by the Consejería de Salud y Consumo de la Junta de Andalucía (NEU-0005-2022), the Spanish Ministry of Science and Innovation (RTC2019-007150-1), the Instituto de Salud Carlos III-Fondo Europeo de Desarrollo Regional (ISCIII-FEDER) (PI16/01575, PI18/01898, PI19/01576, PI20/00613, PI21/01875, PI22/01704, PI23/00512), the Consejería de Economía, Innovación, Ciencia y Empleo de la Junta de Andalucía (CVI-02526, CTS-7685), the Consejería de Salud y Bienestar Social de la Junta de Andalucía (PI-0471-2013, PE-0210-2018, PI-0459-2018, PE-0186-2019), the Consejería de Transformación Económica, Industria, Conocimiento y Universidades de la Junta de Andalucía (PY20_00896). Several authors of this publication are members of the European Reference Network for Rare Neurological Diseases—Project ID No. 739510 and L.M.D. and P.M. are members of the COST Action IMMUPARKNET (CA21117). L. Muñoz-Delgado was supported by the ‘Río Hortega’ programme (CM21/00051) from the Instituto de Salud Carlos III, and has received support for attending meetings and/or travel or honorarium for lecturing from Abbvie, Merz and Italfarmaco. A. Luque-Ambrosiani and B. Benítez-Zamora report no disclosures. D. Macías-Garcia was supported by the ‘Juan Rodés’ programme (JR22/00073) from the Instituto de Salud Carlos III, and has received support for attending meetings and/or travel or honorarium for lecturing from Palex, Abbvie and Italfarmaco. S. Jesús has received support for attending meetings and/or travel or honorarium for lecturing from Abbott, Abbvie, Bial, Italfarmaco, Merz and Zambon. AD Adarmes-Gómez has received support for attending meetings and/or travel or honorarium for lecturing from Abbvie, Bial, Italfarmaco, Merz, UCB and Zambon. F. Carrillo has received support for attending meetings and/or travel or honorarium for lecturing from Abbvie and Medtronic. E. Ojeda-Lepe was supported by the ‘Río Hortega’ programme (CM23/00288) from the Instituto de Salud Carlos III (ISCIII-FEDER), and has received support for attending meetings and/or travel or honorarium for lecturing from Abbvie, Bial, Esteve, Merz and Zambon. P. Mir has received support for attending meetings and/or travel or honorarium for lecturing from Abbott, Allergan, Abbvie, Bial, Britannia, Italfarmaco, Merz, UCB, Teva and Zambon.Peer reviewedJohn Wiley & SonsJunta de AndalucíaAgencia Estatal de Investigación (España)Ministerio de Ciencia, Innovación y Universidades (España)Instituto de Salud Carlos IIIEuropean CommissionMuñoz-Delgado, Laura [0000-0002-8818-1824]Macías García, Daniel [0000-0002-4822-1529]Mir, Pablo [0000-0003-1656-302X]Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202520252024info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10261/387164https://api.elsevier.com/content/abstract/scopus_id/85201538105reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Inglés#PLACEHOLDER_PARENT_METADATA_VALUE#info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/RTC2019-007150-1https://doi.org/10.1111/ene.16451Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/3871642026-05-22T06:33:51Z
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