Evidence map›Paper›PMID 41853966›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2026

Diagnostic Value of Glycocalyx Shedding in Blood for Differentiating between Parkinson's Disease and Multiple System Atrophy.

Jonas Folke, Brian DellaValle, Mathias Lindh Jørgensen, Phillip Bredahl Mogensen, Casper Hempel, Jørgen Rungby, Anne-Mette Hejl, Annemette Løkkegaard, Lisette Salvesen, Sara Bech and 6 more

Abstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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

16 authors.

Jonas FolkeCentre for Neuroscience and Stereology, Department of Neurology, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Brian DellaValleCopenhagen Center for Translational Research, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
Mathias Lindh JørgensenCopenhagen Center for Translational Research, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
Phillip Bredahl MogensenGLX Analytix Aps, Copenhagen, Denmark.
Casper HempelGLX Analytix Aps, Copenhagen, Denmark.
Jørgen RungbyCopenhagen Center for Translational Research, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
Anne-Mette HejlDepartment of Neurology, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Annemette LøkkegaardDepartment of Neurology, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-7543-6031
Lisette SalvesenDepartment of Neurology, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Sara BechDepartment of Neurology, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Mette MøllerDepartment of Neurology, Aarhus University Hospital, Aarhus, Denmark.
Erik Hvid DanielsenDepartment of Neurology, Aarhus University Hospital, Aarhus, Denmark.
Morten BlaabjergDepartment of Neurology, Odense University Hospital, Odense, Denmark.
Matthias BodeDepartment of Neurology, Odense University Hospital, Odense, Denmark.
Tomasz BrudekCentre for Neuroscience and Stereology, Department of Neurology, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Susana AznarCentre for Neuroscience and Stereology, Department of Neurology, Copenhagen University Hospital, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.

Funding

Danish Independent Research Fund grant 0129-00015BLundbeck Foundation grant R400-2022-1103
6 · The paper itself

Abstract

backgroundBlood-brain barrier disruption is increasingly recognized in synucleinopathies, but the role of the endothelial glycocalyx (GLX) in Parkinson's disease (PD) and multiple system atrophy (MSA) remains unclear.

objectivesThe aim was to determine whether plasma GLX markers differ between PD, MSA, and healthy controls (HC), relate to clinical measures, and support differential diagnosis.

methodsNine GLX analytes were quantified in plasma from 38 PD, 24 MSA, and 46 HC. Group differences were tested with multilinear regression including age and sex; associations with disease duration, Hoehn and Yahr stage, and Montreal Cognitive Assessment score were examined; gradient boosting classifiers plus Shapley Additive Explanations and univariate receiver operating characteristic (ROC) analyses evaluated discriminative performance.

resultsPD showed reduced biglycan and cluster of differentiation 44 (CD44), whereas MSA showed increased chondroitin sulfate and reduced perlecan and CD44 versus comparators. Several GLX markers correlated with duration and cognition. Multianalyte GLX signatures classified groups with ROC area under curve, 0.79 to 0.88.

conclusionsIn this exploratory cohort, distinct GLX signatures reflect disease-specific neurovascular dysfunction and may aid stratification and monitoring. © 2026 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

GlycocalyxMultiple System AtrophyParkinson DiseaseAgedBiomarkersBlood-Brain BarrierDiagnosis, DifferentialFemaleHumansMaleMiddle AgedBiomarkersblood‐brain barrierdifferential diagnosisendothelial glycocalyxmultiple system atrophyneurovascular dysfunctionParkinson's diseaseplasma biomarkerssynucleinopathy

Identifiers

PMID41853966
PMCPMC13518267

What Socratic holds

Textmetadata
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Registered trials

None linked

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.