BRIEF RESEARCH REPORT article

Front. Immunol.

Sec. Inflammation

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1571074

This article is part of the Research TopicEmerging Insights into Immunological Mechanisms in Neurodegenerative, Neurogenetic, and Neurometabolic DiseasesView all 4 articles

Peripheral Monocyte Transcriptional Signatures of Inflammation and Oxidative Stress in Parkinson's Disease

Provisionally accepted
Aaron  D. ThomeAaron D. Thome1,2Jinghong  WangJinghong Wang1,2Farah  AtassiFarah Atassi1Jason  R. ThonhoffJason R. Thonhoff1,2Alireza  FaridarAlireza Faridar1,2WEIHUA  ZHAOWEIHUA ZHAO1,2David  R. BeersDavid R. Beers1,2Eugene  LaiEugene Lai1,2Stanley  Hersh AppelStanley Hersh Appel1,2*
  • 1Houston Methodist Neurological Institute, Houston, Texas, United States
  • 2Houston Methodist Research Institute, Houston, United States

The final, formatted version of the article will be published soon.

Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized by dopaminergic neuron loss in the substantia nigra, which is accompanied by immune dysfunction and chronic inflammation. Peripheral monocytes, key players in systemic inflammation, cross the blood-brain barrier and alter PD etiology and progression. To define the role of peripheral monocytes, cross-sectional studies of RNA transcripts isolated from PD monocytes were compared with age- and sex-matched control monocytes. After stratification by Hoehn & Yahr (H&Y) stage, inflammatory transcripts IL-6, IL-1β, ARG1, CD163, and CCR2 were upregulated in PD monocytes and increased with disease burden. Furthermore, PPARGC1A (PGC-1α), GPX4, NFE2L2 (NRF2), and SIRT3 decreased with increasing disease burden, while only SIRT1 expression increased, reflecting oxidative stress and mitochondrial dysregulation. Overall, the PD monocyte transcripts correlated with PD disease burden as monitored by H&Y, UPDRS total, UPDRS Part 3, ADL, and disease duration. This study demonstrated that dysregulation of inflammation and oxidative stress pathways contributed to disease progression in PD. Monocytes may serve as biomarkers for tracking clinical symptoms and could be leveraged as targets for therapeutic intervention.

Keywords: Parkinson's disease, Monocytes, Inflammation, Neuroinflammation, Oxidative Stress, peripheral biomarkers, neurodegeneration, neuroimmunology

Received: 04 Feb 2025; Accepted: 02 Jul 2025.

Copyright: © 2025 Thome, Wang, Atassi, Thonhoff, Faridar, ZHAO, Beers, Lai and Appel. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Stanley Hersh Appel, Houston Methodist Research Institute, Houston, United States

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