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In Vivo Investigation of Glucose Metabolism in Idiopathic and PRKN-Related Parkinson's Disease

Max Borsche, Andre Märtens, Philipp Hörmann, Theresa Brückmann, Katja Lohmann, Sinem Tunc, Christine Klein, Karsten Hiller, Alexander Balck*

*Korrespondierende/r Autor/-in für diese Arbeit

Abstract

Background: Alterations in mitochondrial dysfunction have been implicated in the pathogenesis of Parkinson's disease (PD). Mitochondrial energy production is linked to glucose metabolism, and diabetes is associated with PD. However, studies investigating glucose metabolism in vivo in genetically stratified PD patients and controls have yet to be performed. Objectives: The objectives of this study were to explore glucose production, gluconeogenesis, and the contribution of gluconeogenesis to glucose production in idiopathic and PRKN PD compared with healthy controls with state-of-the-art biochemical methods. Methods: We applied a dried-blood sampling/gas chromatography/mass spectrometry approach to monitor fluxes in the Cori cycle in vivo. Results: The contribution of gluconeogenesis to total glucose production is increased in idiopathic PD patients (n = 33), but not in biallelic PRKN mutation carriers (n = 5) compared with healthy controls (n = 13). Conclusions: We provide first-time in vivo evidence for alterations in glucose metabolism in idiopathic PD, in keeping with the epidemiological evidence for an association between PD and diabetes.

OriginalspracheEnglisch
ZeitschriftMovement Disorders
Jahrgang38
Ausgabenummer4
Seiten (von - bis)697-702
Seitenumfang6
ISSN0885-3185
DOIs
PublikationsstatusVeröffentlicht - 04.2023

Fördermittel

The Michael J. Fox Foundation funded this project under the Spring 2018 Mitochondrial Biomarkers for Parkinson's Disease Initiative. This project was supported by SysMedPD (European Union's Horizon 2020 research and innovation program under Grant Agreement 668738), intramural grants from the University of Lübeck, and the State of Niedersachsen (Nierders. Vorab, Verbundvorhaben: “HOMEO‐HIRN,” ZN3673). Funding agencies: M.B. reports employment with University of Lübeck and University Hospital Schleswig‐Holstein Campus Lübeck and honoraria from Ipsen Pharma. A.M. reports employment withTU Braunschweig. P.H. reports employment with TU Braunschweig at the time of the study and current employment with agap2. T.B. reports employment with SANA Klinik Lübeck. K.L. reports employment with the University of Lübeck; honoraria from Springer; and grants from the German Research Foundation (DFG), Movement Disorders Society (MDS), Damp Foundation, and The Michael J. Fox Foundation (MJFF, GP2 project). S.T. reports employment with University of Lübeck and University Hospital Schleswig‐Holstein Campus Lübeck at the time of the study and current employment at a medical practice. C.K. reports consultancies with Centogene and Lundbeck; employment with University of Lübeck and University Hospital Schleswig‐Holstein Campus Lübeck; honoraria from Desitin and Bial; royalties from Oxford University Press; and grants from the German Research Foundation (DFG), The Michael J. Fox Foundation (MJFF), and Aligning Science Across Parkinson's (ASAP). K.H. reports employment with TU Braunschweig and grants from German Research Foundation (DFG), German Federal Ministry of Education and Research (BMBF), Lower Saxony Ministry of Science and Culture (MWK), and Technical University Braunschweig. A.B. reports stock ownership in Sartorius AG, employment with University of Lübeck and University Hospital Schleswig‐Holstein Campus Lübeck, a German Research Foundation (DFG) stipend for a research stay in Leiden, the Netherlands, and intramural funds of the University of Lübeck.

TrägerTrägernummer
State of NiedersachsenZN3673
Michael J. Fox Foundation for Parkinson's Research
International Parkinson and Movement Disorder Society
Niedersächsische Ministerium für Wissenschaft und Kultur
Aligning Science Across Parkinson’s
Deutsche Forschungsgemeinschaft
Bundesministerium für Bildung und Forschung
Ministerium für Wissenschaft, Forschung und Kunst Baden-Württemberg
Horizon 2020668738
Damp Stiftung

    UN SDGs

    Dieser Output leistet einen Beitrag zu folgendem(n) Ziel(en) für nachhaltige Entwicklung

    1. SDG 3 – Gesundheit und Wohlergehen
      SDG 3 – Gesundheit und Wohlergehen

    Strategische Forschungsbereiche und Zentren

    • Forschungsschwerpunkt: Gehirn, Hormone, Verhalten - Center for Brain, Behavior and Metabolism (CBBM)
    • Querschnittsbereich: Medizinische Genetik

    DFG-Fachsystematik

    • 2.23-06 Molekulare und zelluläre Neurologie und Neuropathologie

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