{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T05:38:37Z","timestamp":1774417117392,"version":"3.50.1"},"reference-count":48,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,5,13]],"date-time":"2015-05-13T00:00:00Z","timestamp":1431475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Spain's Ministry of Health","award":["CP09\/00102"],"award-info":[{"award-number":["CP09\/00102"]}]},{"name":"Spain's Ministry of Health","award":["PI12\/1702"],"award-info":[{"award-number":["PI12\/1702"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neuropathology Appl Neurobio"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>As cystatin <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">CysC<\/jats:styled-content>) is involved in some forms of neurodegeneration, we investigated the possible relationship between <jats:styled-content style=\"fixed-case\">CysC<\/jats:styled-content> and multiple system atrophy (<jats:styled-content style=\"fixed-case\">MSA<\/jats:styled-content>), including its parkinsonian (<jats:styled-content style=\"fixed-case\">MSAp<\/jats:styled-content>) and cerebellar (<jats:styled-content style=\"fixed-case\">MSAc<\/jats:styled-content>) phenotypes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cystatin <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> gene (<jats:styled-content style=\"fixed-case\">CST<\/jats:styled-content>3) haplotypes were determined by <jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content> followed by <jats:styled-content style=\"fixed-case\">KspI<\/jats:styled-content> digestion in 50 <jats:styled-content style=\"fixed-case\">MSA<\/jats:styled-content> patients and 108 controls. <jats:styled-content style=\"fixed-case\">CST<\/jats:styled-content>3 and cathepsins <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>1 <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content> levels were studied in frozen <jats:italic>post\u2010mortem<\/jats:italic> caudate nucleus and cerebellar samples of eight <jats:styled-content style=\"fixed-case\">MSAp<\/jats:styled-content>, four <jats:styled-content style=\"fixed-case\">MSAc<\/jats:styled-content> and 18 control brains and analysed by the \u0394\u0394<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>t method. <jats:styled-content style=\"fixed-case\">CysC<\/jats:styled-content> immunohistochemistry was performed on three <jats:styled-content style=\"fixed-case\">MSAp<\/jats:styled-content>, three <jats:styled-content style=\"fixed-case\">MSAc<\/jats:styled-content> and three control cerebella. Additionally, determination of <jats:styled-content style=\"fixed-case\">CST<\/jats:styled-content>3 and cathepsins <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>1 <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content> levels and immunohistochemistry for <jats:styled-content style=\"fixed-case\">CysC<\/jats:styled-content> were carried out in cerebella from three patients with paraneoplastic cerebellar degeneration, three with spinocerebellar ataxia (type 3, <jats:styled-content style=\"fixed-case\">SCA<\/jats:styled-content>3) and three with cerebellar ischaemia (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the set of blood samples, the <jats:styled-content style=\"fixed-case\">CST<\/jats:styled-content>3 <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\u2010haplotype was associated with <jats:styled-content style=\"fixed-case\">MSAp<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 4.86, confidence interval 1.84\u201313.3). High <jats:styled-content style=\"fixed-case\">CST<\/jats:styled-content>3 <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content> levels were found in <jats:styled-content style=\"fixed-case\">MSAp<\/jats:styled-content> caudate nuclei [expression change: 3.08 (2.98\u20133.18)] and <jats:styled-content style=\"fixed-case\">MSAc<\/jats:styled-content> cerebella [expression change: 2.44 (2.14\u20132.88)]. <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>n the latter there was <jats:styled-content style=\"fixed-case\">CysC<\/jats:styled-content> over\u2010expression in <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>urkinje cells, <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ergmann glia and dentate nucleus neurones. No cathepsin increase was detected in <jats:styled-content style=\"fixed-case\">MSA<\/jats:styled-content> cerebella. High <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content> levels of <jats:styled-content style=\"fixed-case\">CST<\/jats:styled-content>3 and cathepsins <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>1 were observed in <jats:styled-content style=\"fixed-case\">SCA<\/jats:styled-content>3 and <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> brains.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">CysC<\/jats:styled-content> changes are differentially present in the parkinsonian and cerebellar forms of <jats:styled-content style=\"fixed-case\">MSA<\/jats:styled-content> and may play an important role in the pathogenesis of this neurodegenerative condition.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nan.12134","type":"journal-article","created":{"date-parts":[[2014,3,10]],"date-time":"2014-03-10T05:34:37Z","timestamp":1394429677000},"page":"507-519","source":"Crossref","is-referenced-by-count":6,"title":["Cystatin <scp>C<\/scp> is differentially involved in multiple system atrophy phenotypes"],"prefix":"10.1111","volume":"41","author":[{"given":"Aintzane","family":"Urbizu","sequence":"first","affiliation":[{"name":"Servicio de Anatom\u00eda Patol\u00f3gica Instituto de Investigaci\u00f3n en Ciencias de la Salud Germans Trias i Pujol Hospital Universitario Germans Trias i Pujol  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Canet\u2010Pons","sequence":"additional","affiliation":[{"name":"Servicio de Anatom\u00eda Patol\u00f3gica Instituto de Investigaci\u00f3n en Ciencias de la Salud Germans Trias i Pujol Hospital Universitario Germans Trias i Pujol  Barcelona 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