The Luxembourg Parkinson’s Study: A Comprehensive Approach for Stratification and Early Diagnosis

While genetic advances have successfully defined part of the complexity in Parkinson’s disease (PD), the clinical characterization of phenotypes remains challenging. Therapeutic trials and cohort studies typically include patients with earlier disease stages and exclude comorbidities, thus ignoring a substantial part of the real-world PD population. To account for these limitations, we implemented the Luxembourg PD study as a comprehensive clinical, molecular and device-based approach including patients with typical PD and atypical parkinsonism, irrespective of their disease stage, age, comorb... Mehr ...

Verfasser: Geraldine Hipp
Michel Vaillant
Nico J. Diederich
Kirsten Roomp
Venkata P. Satagopam
Peter Banda
Estelle Sandt
Kathleen Mommaerts
Sabine K. Schmitz
Laura Longhino
Alexandra Schweicher
Anne-Marie Hanff
Béatrice Nicolai
Pierre Kolber
Dorothea Reiter
Lukas Pavelka
Sylvia Binck
Claire Pauly
Lars Geffers
Fay Betsou
Manon Gantenbein
Jochen Klucken
Thomas Gasser
Michele T. Hu
Rudi Balling
Rejko Krüger
Dokumenttyp: Artikel
Erscheinungsdatum: 2018
Reihe/Periodikum: Frontiers in Aging Neuroscience, Vol 10 (2018)
Verlag/Hrsg.: Frontiers Media S.A.
Schlagwörter: parkinsonism / cohort / longitudinal / stratification / deep phenotyping / Neurosciences. Biological psychiatry. Neuropsychiatry / RC321-571
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29104305
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doi.org/10.3389/fnagi.2018.00326

While genetic advances have successfully defined part of the complexity in Parkinson’s disease (PD), the clinical characterization of phenotypes remains challenging. Therapeutic trials and cohort studies typically include patients with earlier disease stages and exclude comorbidities, thus ignoring a substantial part of the real-world PD population. To account for these limitations, we implemented the Luxembourg PD study as a comprehensive clinical, molecular and device-based approach including patients with typical PD and atypical parkinsonism, irrespective of their disease stage, age, comorbidities, or linguistic background. To provide a large, longitudinally followed, and deeply phenotyped set of patients and controls for clinical and fundamental research on PD, we implemented an open-source digital platform that can be harmonized with international PD cohort studies. Our interests also reflect Luxembourg-specific areas of PD research, including vision, gait, and cognition. This effort is flanked by comprehensive biosampling efforts assuring high quality and sustained availability of body liquids and tissue biopsies. We provide evidence for the feasibility of such a cohort program with deep phenotyping and high quality biosampling on parkinsonism in an environment with structural specificities and alert the international research community to our willingness to collaborate with other centers. The combination of advanced clinical phenotyping approaches including device-based assessment will create a comprehensive assessment of the disease and its variants, its interaction with comorbidities and its progression. We envision the Luxembourg Parkinson’s study as an important research platform for defining early diagnosis and progression markers that translate into stratified treatment approaches.