ArticleFrontiers in neuroscience2025
Interplay of oxidative stress and Inflammasome activation and clinical indices in Parkinson's disease: insights from serum SIRT1, Nrf2, and NLRP3 levels and PDQ-39-a cross-sectional study.
Article in Frontiers in neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Canagliflozin attenuates Parkinson's disease and is associated with modulation of gut-inflammasome-brain axis in rats.Inflammopharmacology · 2026Article
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11 authors.
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Abstract
Background: Parkinson's disease (PD) is a chronic, progressive neurodegenerative disorder characterized by heightened oxidative stress and persistent neuroinflammation. The sirtuin-1 (SIRT1) and nuclear factor erythroid 2-related factor 2 (Nrf2) pathways play key roles in maintaining antioxidant defense, whereas activation of the NLRP3 inflammasome drives inflammation-mediated neuronal damage. However, their systemic alterations and interrelations in PD remain incompletely characterized. Objective: To determine and compare serum levels of SIRT1, Nrf2, and NLRP3 in patients with PD versus healthy controls and to analyze their correlations with fatigue severity and health-related quality of life indices. Methods: A case-control study was conducted on 60 participants, including 30 patients diagnosed with idiopathic PD and 30 age- and sex-matched healthy controls. Serum SIRT1, Nrf2, and NLRP3 levels were quantified using enzyme-linked immunosorbent assay (ELISA). Disease impact and fatigue were assessed using the Parkinson's Disease Questionnaire-39 (PDQ-39) and Parkinson's Fatigue Scale-16 (PFS-16), respectively. Statistical analyses included between-group comparisons, Spearman correlations, multiple linear regression, and receiver operating characteristic (ROC) curve analysis. Multiple comparison corrections were applied to ensure robustness of the findings. Results: PD patients exhibited significantly lower SIRT1 ( Conclusion: PD is associated with impaired neuroprotection (SIRT1, Nrf2) and increased inflammation (NLRP3), which are closely linked to fatigue severity and diminished quality of life. These biomarkers independently predict clinical outcomes and show potential as minimally invasive diagnostic tools. Targeting oxidative stress and inflammasome-mediated inflammation may improve both molecular and clinical outcomes, highlighting the translational potential of the SIRT1/Nrf2/NLRP3 axis for personalized management of PD.
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