Oculomotor dysfunction in idiopathic and LRRK2-parkinson's disease and at-risk individuals

Background: Video-oculography constitutes a highly-sensitive method of characterizing ocular movements, which could detect subtle premotor changes and contribute to the early diagnosis of Parkinson's disease (PD). Objective: To investigate potential oculomotor differences between idiopathic PD...

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Autores: Lage Martínez, Carmen, Sánchez-Rodríguez, Antonio, Rivera-Sánchez, María, Sierra Peña, María, González Aramburu, Isabel, Madera Fernández, Jorge, Delgado Alvarado, Manuel, López García, Sara, Martínez Dubarbie, Francisco, Fernández Matarrubia, Marta, Martínez-Amador, Néstor, Martínez Rodríguez, Mª Isabel, Calvo-Córdoba, Alberto, Rodríguez Rodríguez, Eloy Manuel, García-Cena, Cecilia, Sánchez-Juan, Pascual|||0000-0002-6081-8037, Infante Ceberio, Jon|||0000-0003-4025-4606
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/33547
Acceso en línea:https://hdl.handle.net/10902/33547
Access Level:acceso abierto
Palabra clave:Parkinson's disease
LRRK2
Oculomotor
Early diagnosis
Premotor
Microsaccade
Antisaccade
Eye-tracking
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spelling Oculomotor dysfunction in idiopathic and LRRK2-parkinson's disease and at-risk individualsLage Martínez, CarmenSánchez-Rodríguez, AntonioRivera-Sánchez, MaríaSierra Peña, MaríaGonzález Aramburu, IsabelMadera Fernández, JorgeDelgado Alvarado, ManuelLópez García, SaraMartínez Dubarbie, FranciscoFernández Matarrubia, MartaMartínez-Amador, NéstorMartínez Rodríguez, Mª IsabelCalvo-Córdoba, AlbertoRodríguez Rodríguez, Eloy ManuelGarcía-Cena, CeciliaSánchez-Juan, Pascual|||0000-0002-6081-8037Infante Ceberio, Jon|||0000-0003-4025-4606Parkinson's diseaseLRRK2OculomotorEarly diagnosisPremotorMicrosaccadeAntisaccadeEye-trackingBackground: Video-oculography constitutes a highly-sensitive method of characterizing ocular movements, which could detect subtle premotor changes and contribute to the early diagnosis of Parkinson's disease (PD). Objective: To investigate potential oculomotor differences between idiopathic PD (iPD) and PD associated with the G2019S variant of LRRK2 (L2PD), as well as to evaluate oculomotor function in asymptomatic carriers of the G2019S variant of LRRK2. Methods: The study enrolled 129 subjects: 30 PD (16 iPD, 14 L2PD), 23 asymptomatic carriers, 13 non-carrier relatives of L2PD patients, and 63 unrelated HCs. The video-oculographic evaluation included fixation, prosaccade, antisaccade, and memory saccade tests. Results: We did not find significant differences between iPD and L2PD. Compared to controls, PD patients displayed widespread oculomotor deficits including larger microsaccades, hypometric vertical prosaccades, increased latencies in all tests, and lower percentages of successful antisaccades and memory saccades. Non-carrier relatives showed oculomotor changes with parkinsonian features, such as fixation instability and hypometric vertical saccades. Asymptomatic carriers shared multiple similarities with PD, including signs of unstable fixation and hypometric vertical prosaccades; however, they were able to reach percentages of successful antisaccade and memory saccades similar to controls, although at the expense of longer latencies. Classification accuracy of significant oculomotor parameters to differentiate asymptomatic carriers from HCs ranged from 0.68 to 0.74, with BCEA, a marker of global fixation instability, being the parameter with the greatest classification accuracy. Conclusions: iPD and LRRK2-G2019S PD patients do not seem to display a differential oculomotor profile. Several oculomotor changes in asymptomatic carriers of LRRK2 mutations could be considered premotor biomarkers.IOS PressUniversidad de Cantabria20242024-01-01journal articlehttp://purl.org/coar/resource_type/c_6501NAhttp://purl.org/coar/version/c_be7fb7dd8ff6fe43info:eu-repo/semantics/articlehttps://hdl.handle.net/10902/33547Journal of Parkinson's Disease, 2024, 14, 797-808reponame:UCrea Repositorio Abierto de la Universidad de Cantabriainstname:Universidad de Cantabria (UC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:repositorio.unican.es:10902/335472026-06-02T12:39:31Z
dc.title.none.fl_str_mv Oculomotor dysfunction in idiopathic and LRRK2-parkinson's disease and at-risk individuals
title Oculomotor dysfunction in idiopathic and LRRK2-parkinson's disease and at-risk individuals
spellingShingle Oculomotor dysfunction in idiopathic and LRRK2-parkinson's disease and at-risk individuals
Lage Martínez, Carmen
Parkinson's disease
LRRK2
Oculomotor
Early diagnosis
Premotor
Microsaccade
Antisaccade
Eye-tracking
title_short Oculomotor dysfunction in idiopathic and LRRK2-parkinson's disease and at-risk individuals
title_full Oculomotor dysfunction in idiopathic and LRRK2-parkinson's disease and at-risk individuals
title_fullStr Oculomotor dysfunction in idiopathic and LRRK2-parkinson's disease and at-risk individuals
title_full_unstemmed Oculomotor dysfunction in idiopathic and LRRK2-parkinson's disease and at-risk individuals
title_sort Oculomotor dysfunction in idiopathic and LRRK2-parkinson's disease and at-risk individuals
dc.creator.none.fl_str_mv Lage Martínez, Carmen
Sánchez-Rodríguez, Antonio
Rivera-Sánchez, María
Sierra Peña, María
González Aramburu, Isabel
Madera Fernández, Jorge
Delgado Alvarado, Manuel
López García, Sara
Martínez Dubarbie, Francisco
Fernández Matarrubia, Marta
Martínez-Amador, Néstor
Martínez Rodríguez, Mª Isabel
Calvo-Córdoba, Alberto
Rodríguez Rodríguez, Eloy Manuel
García-Cena, Cecilia
Sánchez-Juan, Pascual|||0000-0002-6081-8037
Infante Ceberio, Jon|||0000-0003-4025-4606
author Lage Martínez, Carmen
author_facet Lage Martínez, Carmen
Sánchez-Rodríguez, Antonio
Rivera-Sánchez, María
Sierra Peña, María
González Aramburu, Isabel
Madera Fernández, Jorge
Delgado Alvarado, Manuel
López García, Sara
Martínez Dubarbie, Francisco
Fernández Matarrubia, Marta
Martínez-Amador, Néstor
Martínez Rodríguez, Mª Isabel
Calvo-Córdoba, Alberto
Rodríguez Rodríguez, Eloy Manuel
García-Cena, Cecilia
Sánchez-Juan, Pascual|||0000-0002-6081-8037
Infante Ceberio, Jon|||0000-0003-4025-4606
author_role author
author2 Sánchez-Rodríguez, Antonio
Rivera-Sánchez, María
Sierra Peña, María
González Aramburu, Isabel
Madera Fernández, Jorge
Delgado Alvarado, Manuel
López García, Sara
Martínez Dubarbie, Francisco
Fernández Matarrubia, Marta
Martínez-Amador, Néstor
Martínez Rodríguez, Mª Isabel
Calvo-Córdoba, Alberto
Rodríguez Rodríguez, Eloy Manuel
García-Cena, Cecilia
Sánchez-Juan, Pascual|||0000-0002-6081-8037
Infante Ceberio, Jon|||0000-0003-4025-4606
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad de Cantabria
dc.subject.none.fl_str_mv Parkinson's disease
LRRK2
Oculomotor
Early diagnosis
Premotor
Microsaccade
Antisaccade
Eye-tracking
topic Parkinson's disease
LRRK2
Oculomotor
Early diagnosis
Premotor
Microsaccade
Antisaccade
Eye-tracking
description Background: Video-oculography constitutes a highly-sensitive method of characterizing ocular movements, which could detect subtle premotor changes and contribute to the early diagnosis of Parkinson's disease (PD). Objective: To investigate potential oculomotor differences between idiopathic PD (iPD) and PD associated with the G2019S variant of LRRK2 (L2PD), as well as to evaluate oculomotor function in asymptomatic carriers of the G2019S variant of LRRK2. Methods: The study enrolled 129 subjects: 30 PD (16 iPD, 14 L2PD), 23 asymptomatic carriers, 13 non-carrier relatives of L2PD patients, and 63 unrelated HCs. The video-oculographic evaluation included fixation, prosaccade, antisaccade, and memory saccade tests. Results: We did not find significant differences between iPD and L2PD. Compared to controls, PD patients displayed widespread oculomotor deficits including larger microsaccades, hypometric vertical prosaccades, increased latencies in all tests, and lower percentages of successful antisaccades and memory saccades. Non-carrier relatives showed oculomotor changes with parkinsonian features, such as fixation instability and hypometric vertical saccades. Asymptomatic carriers shared multiple similarities with PD, including signs of unstable fixation and hypometric vertical prosaccades; however, they were able to reach percentages of successful antisaccade and memory saccades similar to controls, although at the expense of longer latencies. Classification accuracy of significant oculomotor parameters to differentiate asymptomatic carriers from HCs ranged from 0.68 to 0.74, with BCEA, a marker of global fixation instability, being the parameter with the greatest classification accuracy. Conclusions: iPD and LRRK2-G2019S PD patients do not seem to display a differential oculomotor profile. Several oculomotor changes in asymptomatic carriers of LRRK2 mutations could be considered premotor biomarkers.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
NA
http://purl.org/coar/version/c_be7fb7dd8ff6fe43
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10902/33547
url https://hdl.handle.net/10902/33547
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv IOS Press
publisher.none.fl_str_mv IOS Press
dc.source.none.fl_str_mv Journal of Parkinson's Disease, 2024, 14, 797-808
reponame:UCrea Repositorio Abierto de la Universidad de Cantabria
instname:Universidad de Cantabria (UC)
instname_str Universidad de Cantabria (UC)
reponame_str UCrea Repositorio Abierto de la Universidad de Cantabria
collection UCrea Repositorio Abierto de la Universidad de Cantabria
repository.name.fl_str_mv
repository.mail.fl_str_mv
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