Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Quantification of Circulating Cell-Free DNA in Idiopathic Parkinson’s Disease Patients

Version 1 : Received: 28 January 2024 / Approved: 29 January 2024 / Online: 29 January 2024 (12:45:51 CET)

A peer-reviewed article of this Preprint also exists.

Wojtkowska, M.; Karczewska, N.; Pacewicz, K.; Pacak, A.; Kopeć, P.; Florczak-Wyspiańska, J.; Popławska-Domaszewicz, K.; Małkiewicz, T.; Sokół, B. Quantification of Circulating Cell-Free DNA in Idiopathic Parkinson’s Disease Patients. Int. J. Mol. Sci. 2024, 25, 2818. Wojtkowska, M.; Karczewska, N.; Pacewicz, K.; Pacak, A.; Kopeć, P.; Florczak-Wyspiańska, J.; Popławska-Domaszewicz, K.; Małkiewicz, T.; Sokół, B. Quantification of Circulating Cell-Free DNA in Idiopathic Parkinson’s Disease Patients. Int. J. Mol. Sci. 2024, 25, 2818.

Abstract

Parkinson’s disease (PD) is one of the most common neurodegenerative disorders globally, and leads to an excessive loss of dopaminergic neurons in the substantia nigra of the brain. Circulating cell-free DNA (ccf-DNA) are double-stranded DNA fragments of different sizes and origins that are released into the serum and cerebrospinal fluid (CSF) due to cell death (i.e., necrosis and apoptosis) or are actively released by viable cells via exocytosis and NETosis. Methods: Using droplet digital polymerase chain reaction (ddPCR) we comprehensively analyzed and distinguished ccfDNA and ccf mtDNA in the serum and CSF of PD and control patients. Results: The quantitative analysis of serum ccf-DNA in PD patients demonstrated significant increase of ccf mtDNA and ccfDNA compared to healthy control patients and significantly higher copy of ccf mtDNA when compared to ccfDNA. Next, the serum ccf mtDNA levels significantly increased in male PD patients compared to healthy male controls. Furthermore, CSF ccf mtDNA in PD patients increased significantly compared to ccfDNA, and ccf mtDNA decreased in PD patients compared to healthy controls. These decreases were not statistically significant, but were in agreement with previous data. In-terestingly, ccf mtDNA increased in healthy control patients in both serum and CSF as compared to ccfDNA. Limitations: the small sample size of serum and CSF were the main limitations of this study. Conclusion: To the best of our knowledge, this is the first comprehensive study on serum and CSF of PD patients using ddPCR and indicating the distribution of the copy number of ccf mtDNA, as well as ccfDNA. If validated, we suggest that ccf mtDNA has greater than ccfDNA potential to lead the development of novel treatments for PD patients.

Keywords

Parkinson`s disease; mitochondria; circulating cell free DNA (ccfDNA); mitochondrial (mtDNA); nuclear (ccfDNA); droplet digital PCR ddPCR

Subject

Biology and Life Sciences, Neuroscience and Neurology

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