Miglis, M.G.* ; Adler, C.H.* ; Antelmi, E.* ; Arnaldi, D.* ; Baldelli, L.* ; Boeve, B.F.* ; Cesari, M.* ; Dall'Antonia, I.* ; Diederich, N.J.* ; Doppler, K.* ; Dušek, P.* ; Ferri, R.* ; Gagnon, J.F.* ; Gan-Or, Z.* ; Hermann, W.* ; Hoegl, B.* ; Hu, M.T.* ; Iranzo, A.* ; Janzen, A.* ; Kuzkina, A.* ; Lee, J.* ; Leenders, K.L.* ; Lewis, S.J.G.* ; Liguori, C.* ; Liu, J.* ; Lo, C.* ; Martens, K.A.E* ; Nepozitek, J.* ; Plazzi, G.* ; Provini, F.* ; Puligheddu, M.* ; Rolinski, M.* ; Rusz, J.* ; Stefani, A.* ; Summers, R.L.S.* ; Yoo, D.* ; Zitser, J.* ; Oertel, W.H.
     
    
        
Biomarkers of conversion to α-synucleinopathy in isolated rapid-eye-movement sleep behaviour disorder.
    
    
        
    
    
        
        Lancet Neurol. 20, 671-684 (2021)
    
    
    
      
      
	
	    Patients with isolated rapid-eye-movement sleep behaviour disorder (RBD) are commonly regarded as being in the early stages of a progressive neurodegenerative disease involving alpha-synuclein pathology, such as Parkinson's disease, dementia with Lewy bodies, or multiple system atrophy. Abnormal alpha-synuclein deposition occurs early in the neurodegenerative process across the central and peripheral nervous systems and might precede the appearance of motor symptoms and cognitive decline by several decades. These findings provide the rationale to develop reliable biomarkers that can better predict conversion to clinically manifest alpha-synucleinopathies. In addition, biomarkers of disease progression will be essential to monitor treatment response once disease-modifying therapies become available, and biomarkers of disease subtype will be essential to enable prediction of which subtype of alpha-synucleinopathy patients with isolated RBD might develop.
	
	
	    
	
       
      
	
	    
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        Publication type
        Article: Journal article
    
 
    
        Document type
        Review
    
 
    
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        Keywords
        To-night Variability; Rem-sleep; Parkinsons-disease; Muscle-activity; Atonia Index; Identification; Deposits; Neurodegeneration; Association; Thresholds
    
 
    
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        Language
        english
    
 
    
        Publication Year
        2021
    
 
    
        Prepublished in Year
        
    
 
    
        HGF-reported in Year
        2021
    
 
    
    
        ISSN (print) / ISBN
        1474-4422
    
 
    
        e-ISSN
        1474-4422
    
 
    
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	    Volume: 20,  
	    Issue: 8,  
	    Pages: 671-684 
	    Article Number: ,  
	    Supplement: ,  
	
    
 
    
        
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            Publisher
            Elsevier
        
 
        
            Publishing Place
            Ste 800, 230 Park Ave, New York, Ny 10169 Usa
        
 
	
        
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        Reviewing status
        Peer reviewed
    
 
     
    
        POF-Topic(s)
        30205 - Bioengineering and Digital Health
    
 
    
        Research field(s)
        Genetics and Epidemiology
    
 
    
        PSP Element(s)
        G-503200-001
    
 
    
        Grants
        ParkinsonFonds Deutschland
Czech Health Research Council
US NIH
    
 
    
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        Erfassungsdatum
        2021-09-09