Huzursuz bacak sendromu olan multipl sklerozlu hastalarda alfa-sinüklein düzeyleri

Amaç: Huzursuz Bacak Sendromu, multipl skleroz hastalığında yaygın olarak görülmektedir, ayrıca hastaların genel sağlığı ve yaşam kalitesi üzerinde olumsuz bir etkisi vardır. Alfa-sinüklein, Dopamin 2 reseptörünün sinyal yolağında önemli bir rol oynamaktadır. Çalışmalar, dopamin 2 reseptörü ve huzursuz bacak sendromu hastalığı arasında ilişki olduğunu göstermiştir. Bu çalışma huzursuz bacak sendromlu multipl skleroz hastalarında alfa-sinükleinin düzeyini belirlemek amacıyla yapılmıştır.

Alpha-synuclein levels in multiple sclerosis patients with restless leg syndrome

Purpose: The restless legs syndrome is more frequent and critical in Multiple Sclerosis patients, and it harms their general well-being and life quality. Alpha-synuclein is a synuclein protein that can have an impact on the pathway of signaling, affecting the Dopamin 2 receptor and its receptor trafficking. Studies have shown that the decrease in dopamine 2 receptor and Restless Legs Syndrome disease are correlated. This study is aimed to ascertain the alpha-synuclein level in multiple sclerosis patients with restless legs syndrome.Materials and Methods: We took blood samples from 40 multiple sclerosis patients and 20 healthy individuals. Half of the patient group had Multiple Sclerosis with restless leg syndrome. In the study groups, the alpha-synuclein level was determined by quantitative real-time polymerase chain reaction (qRT-PCR) and enzyme-dependent immunosorbent assay (ELISA).Results: Alpha-synuclein gene expression level was found or be significantly lower in restless leg syndrome patients with multiple sclerosis than the Alpha-synuclein gene expression level in the control group. Conclusion: Alpha-synuclein may have an impact on the pathogenesis of the restless leg syndrome of multiple sclerosis disease. Further investigations are required to determine the impact of alpha-synuclein in the pathogenesis of restless leg syndrome in multiple sclerosis disease.

___

  • 1. Carnero Contentti E, Lopez PA, Nadur D, Balbuena ME, Finkelstein AM, Tkachuk V. Impact, frequency, and severity of restless legs syndrome in patients with multiple sclerosis in Argentina. Int J MS Care. 2019;21:157-65.
  • 2. Kurt S. The comorbidity of migraine and restless legs syndrome. Curr Neurol Neurosci Rep. 2019;19:60.
  • 3. Romigi A, Vitrani G, Caccamo M, Centonze D. Restless legs syndrome related to vortioxetine: A case report. J Clin Psychopharmacol. 2019;39:514-6.
  • 4. Kidd PM. Multiple sclerosis, an autoimmune inflammatory disease: prospects for its integrative management. Altern Med Rev. 2001;6:540-66.
  • 5. Matute-Blanch C, Montalban X, Comabella M. Multiple sclerosis, and other demyelinating and autoimmune inflammatory diseases of the central nervous system. Handb Clin Neurol. 2017;146:67-84.
  • 6. Albertsdottir A, Sigurdardottir AK, Thorleifsdottir B. Prevalence of Poor Sleep Quality and Sleep Disturbances in Icelanders with Multiple Sclerosis. Laeknabladid. 2019;105:379-84.
  • 7. Cederberg KLJ, Jeng B, Sasaki JE, Braley TJ, Walters AS, Motl RW. Restless legs syndrome and healthrelated quality of life in adults with multiple sclerosis. J Sleep Res. 2019: doi: 10.1111/jsr.12880.
  • 8. Lebrato Hernandez L, Prieto Leon M, Cerda Fuentes NA, Ucles Sanchez AJ, Casado Chocan JL, Diaz Sanchez M. Restless legs syndrome in patients with multiple sclerosis: evaluation of risk factors and clinical impact. Neurologia. 2019; doi:
  • 10.1016/j.nrl.2018.12.010. 9. Giannaki CD, Aristotelous P, Stefanakis M, Hadjigeorgiou GM, Manconi M, Leonidou E et al. Restless legs syndrome in Multiple Sclerosis patients: a contributing factor for fatigue, impaired functional capacity, and diminished health-related quality of life. Neurol Res. 2018;40:586-92.
  • 10. Wang H, Wang K, Xu W, Wang C, Qiu W, Zhong X et al. Cerebrospinal fluid alpha-synuclein levels are elevated in multiple sclerosis and neuromyelitis optica patients during replase. J Neurochem. 2012;122:19-23.
  • 11. Clayton DF, George JM. Synucleins in synaptic plasticity and neurodegenerative disorders. J Neurosci Res. 1999;58:120-9.
  • 12. Roodveldt C, Labrador-Garrido A, Gonzalez-Rey E, Fernandez-Montesinos R, Caro M, Lachaud CC et al. Glial innate immunity generated by non-aggregated alpha-synuclein in mouse: differences between wildtype and Parkinson's disease-linked mutants. PLoS One. 2010;5:e13481.
  • 13. Austin SA, Floden AM, Murphy EJ, Combs CK. Alpha-synuclein expression modulates microglial activation phenotype. J Neurosci. 2006;26:10558-63.
  • 14. Shameli A, Xiao W, Zheng Y, Shyu S, Sumodi J, Meyerson HJ et al. A critical role for alpha-synuclein in development and function of T lymphocytes. Immunobiology. 2016;221:333-40.
  • 15. Xiao W, Shameli A, Harding CV, Meyerson HJ, Maitta RW. Late stages of hematopoiesis and B cell lymphopoiesis are regulated by alpha-synuclein, a key player in Parkinson's disease. Immunobiology. 2014;219:836-44.
  • 16. Papadopoulos D, Ewans L, Pham-Dinh D, Knott J, Reynolds R. Upregulation of alpha-synuclein in neurons and glia in inflammatory demyelinating disease. Mol Cell Neurosci. 2006;31:597-612.
  • 17. Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M et al. Diagnostic criteria for multiple sclerosis: 2010 revisions to the McDonald criteria. Ann Neurol. 2011;69:292-302.
  • 18. Allen RP, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisi J. Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med. 2003;4:101-19.
  • 19. Veauthier C. Sleep disorders in multiple sclerosis. Review. Curr Neurol Neurosci Rep. 2015;15:21.
  • 20. Liu G, Feng X, Lan C, Zhu Z, Ma S, Guo Y et al. Restless leg syndrome and multiple sclerosis: a casecontrol study in China. Sleep Breath. 2015;19:1355-60.
  • 21. Li Y, Munger KL, Batool-Anwar S, De Vito K, Ascherio A, Gao X. Association of multiple sclerosis with restless legs syndrome and other sleep disorders in women. Neurology. 2012;78:1500-6.
  • 22. Dehay B, Bourdenx M, Gorry P, Przedborski S, Vila M, Hunot S et al. Targeting α-synuclein for treatment of Parkinson's disease: mechanistic and therapeutic considerations. Lancet Neurol. 2015;14:855-66.
  • 23. Lu JQ, Fan Y, Mitha AP, Bell R, Metz L, Moore GR et al. Association of alpha-synuclein immunoreactivity with inflammatory activity in multiple sclerosis lesions. J Neuropathol Exp Neurol. 2009;68:179-89.
  • 24. Mejia M, Rodriguez-Leyva I, Cortes-Enriquez F, ChiAhumada E, Portales-Pérez DP, Macías-Islas MA et al. Low levels of alpha-synuclein in peripheral tissues are related to clinical relapse in relapsing-remitting multiple sclerosis: a pilot cross-sectional study. J Neurol Sci. 2019;396:87-93.
  • 25. Lahut S, Vadasz D, Depboylu C, Ries V, Krenzer M, Stiasny-Kolster K et al. The PD-associated alphasynuclein promoter Rep1 allele 2 shows diminished frequency in restless legs syndrome. Neurogenetics. 2014;15:189-92.
  • 26. Tan EK, Chandran VR, Fook-Chong S, Shen H, Yew K, Teoh ML et al. Alpha-synuclein mRNA expression in sporadic Parkinson's disease. Mov Disord. 2005;20:620-3.
  • 27. Lee PH, Lee G, Park HJ, Bang OY, Joo IS, Huh K. The plasma alpha-synuclein levels in patients with Parkinson's disease and multiple system atrophy. J Neural Transm (Vienna). 2006;113:1435-9.
  • 28. Li QX, Mok SS, Laughton KM, McLean CA, Cappai R, Masters CL et al. Plasma alpha-synuclein is decreased in subjects with Parkinson's disease. Exp Neurol. 2007;204:583-8.
  • 29. Shi M, Zabetian CP, Hancock AM, Ginghina C, Hong Z, Yearout D et al. Significance and confounders of peripheral DJ-1 and alpha-synuclein in Parkinson's disease. Neurosci Lett. 2010;480:78-82.
  • 30. Venda LL, Cragg SJ, Buchman VL, Wade-Martins R. α-Synuclein and dopamine at the crossroads of Parkinson's disease. Trends Neurosci. 2010;33:559- 68.
  • 31. Aydar G, Kurt S, Karaer Unaldi H, Erkorkmaz U. Restless legs syndrome in multiple sclerosis. Eur Neurol. 2011;65:302-6.
  • 32. Deriu M, Cossu G, Molari A, Murgia D, Mereu A, Ferrigno P et al. Restless legs syndrome in multiple sclerosis: a case-control study. Mov Disord. 2009;24:697-701.
Cukurova Medical Journal-Cover
  • ISSN: 2602-3032
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1976
  • Yayıncı: Çukurova Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Türkiye'nin doğusunda non-Hodgkin lenfoma hastalarının klinik ve patolojik özellikleri

Ali DOGAN, Narin YILDIRIM DOĞAN, Mehmet Ali ERKURT, Ömer EKİNCİ, İrfan KUKU, Emin KAYA

Asemptomatik kreatin kinaz (CK) yüksekliği: Hiper-CK-emi

Oğuz Abdullah UYAROĞLU

Karbon tetraklorür ile oluşturulan deneysel karaciğer hasarında benfotiamin’in karaciğer dokusu üzerine koruyucu etkilerinin incelenmesi

Bülent KARAKAYA, Tuncay KULOĞLU, Erhan ÖNALAN, Nalan KAYA TEKTEMUR, Emir DÖNDER

Lokal anestezi altında oral ve dental cerrahi operasyon geçiren hastaların preoperatif hemogram ve biyokimya değerleri

Bilal EGE, Abdüssamed GEYİK, Muhammed Yusuf KURT, Mahmut KOPARAL

Çocuk femur cisim kırıklarında titanyum elastik çivileme cerrahisinin uzun dönemde femur gelişimine etkisi

Gökhan Bülent SEVER

Laparoskopik endometrioma kistektomi cerrahilerinde elektrokoagülasyon veya sütür tekniği ile sağlanan hemostazın rekürrens ve gebelik sağlama oranına etkisi

Şükrü YILDIZ, Cihan KAYA, İsmail ALAY, Murat EKİN, Levent YAŞAR

Balon ya da stent yardımlı intrakranial anevrizma tedavisi stabil okluzyonunda koil paket dansitesinin rolü

Yılmaz ÖNAL, Murat VELİOĞLU

Açık kolesistektomi sonrası hastalara uygulanan bir mobilizasyon programının uyku süresi ve diğer klinik değişkenlere etkisi

Kadriye ALDEMİR ALDEMİR, Aylin AYDIN SAYILAN SAYILAN

Ovulasyon indüksiyonu ve intrauterin inseminasyon sonrası infertil kadınlarda gebelik hızlarının değerlendirilmesi

Sabri Berkem ÖKTEN, Zehra Nihal DOLGUN, Vedat UGUREL, Koray ELTER

Gebelikte yapılan fiziksel aktivitenin sağlıkla ilgili yaşam kalitesi ve depresyon-anksiyete üzerine etkisi

Duygu İlke YILDIRIM, Şule BALCI, Oğuzhan GÜNENÇ, Mehmet Ali ERYILMAZ