Evidence map›Paper›PMID 41409015›Full record

ArticleBrain and behavior2025

Association of Peripheral Blood Neutrophil-Lymphocyte Ratio With Motor and Cognitive Function in Prodromal Parkinson's Disease.

Jin-Sun Jun, Nyeonju Kang, Kyeongho Byun, Kiwon Park, Ryul Kim

Abstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Baseline peripheral inflammatory profiles predict phenoconversion in prodromal Parkinson's disease: a longitudinal cohort study.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  2. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jin-Sun JunDepartment of Neurology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.
Nyeonju KangDivision of Sport Science, Sport Science Institute & Health Promotion Center, Incheon National University, Incheon, Republic of Korea.
Kyeongho ByunDivision of Sport Science, Sport Science Institute & Health Promotion Center, Incheon National University, Incheon, Republic of Korea.
Kiwon ParkDepartment of Biomedical and Robotics Engineering, Incheon National University, Incheon, Republic of Korea.
Ryul KimDepartment of Neurology, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Republic of Korea.

Funding

National Research Foundation (NRF) grant funded by the Korea government (MSIT) 2021R1C1C1011822National Research Foundation (NRF) grant funded by the Korea government (MSIT) RS-2021-NR061646National Research Foundation (NRF) grant funded by the Korea government (MSIT) RS-2023-00208906
6 · The paper itself

Abstract

introductionNeutrophil and lymphocyte levels and their ratio, the neutrophil-lymphocyte ratio (NLR), in the peripheral blood provide accessible indices of systemic inflammatory activity. In this study, we evaluated whether these blood markers are linked to motor symptoms and cognitive performance during the prodromal stage of Parkinson's disease (PD).

methodsWe analyzed data from the prodromal cohort of the Parkinson's Progression Markers Initiative, which included 1,269 individuals with prodromal PD features (isolated REM sleep behavior disorder [RBD]: n = 116, isolated hyposmia: n = 570, combined: n = 583) and 284 healthy controls. Motor impairment was measured using the Movement Disorder Society Unified Parkinson's Disease Rating Scale Part 3, while cognition was assessed through a broad neuropsychological test battery.

resultsCompared with controls, participants with prodromal PD had lower lymphocyte counts (p < 0.001) and higher NLR values (p = 0.008), whereas neutrophil counts did not differ between the groups (p = 0.749). No significant differences were observed across prodromal phenotypes for these markers. Correlation analysis demonstrated that NLR, but not neutrophil or lymphocyte counts alone, was associated with more severe motor impairment after false discovery rate correction (Q = 0.011). This relationship was evident in participants with both RBD and hyposmia and those with hyposmia only. However, the interaction between phenotype and NLR on motor severity was not significant. There were no significant associations of neutrophil or lymphocyte profiles with cognitive performance.

conclusionOur findings indicate that higher NLR, largely reflecting reduced lymphocyte levels, is already present in the prodromal phase of PD and relates to the severity of motor symptoms. Prospective longitudinal studies are needed to clarify whether NLR has predictive value for progression to overt PD.

Indexed as

CognitionLymphocytesNeutrophilsParkinson DiseaseAgedBiomarkersCognitive DysfunctionDisease ProgressionFemaleHumansMaleMiddle AgedNeuropsychological TestsOlfaction DisordersProdromal SymptomsREM Sleep Behavior DisorderBiomarkersneutrophil‐lymphocyte ratioParkinson's diseaseprodromalREM sleep behavior disorder

Identifiers

PMID41409015
PMCPMC12712348

What Socratic holds

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.