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Peer-Reviewed Publication
Mov Disord2025;40(7):1318-1330.July 1, 2025Journal Article

Neuronal α-Synuclein Disease Stage Progression over 5 Years.

Tanya Simuni1, Caroline Gochanour2, Anuprita R Nair2, Michael C Brumm2, Christopher Coffey2, Kathleen L Poston3, Lana M Chahine4, Daniel Weintraub5, Caroline M Tanner6, Paulina Gonzalez-Latapi1, Catherine M Kopil7, Yuge Xiao7, Sohini Chowdhury7, Tien Dam8, Gennaro Pagano9, Diane Stephenson10, Andrew Siderowf11, Billy Dunn7, Kenneth Marek12,
1Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
2Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, Iowa, USA.
3Department of Neurology, Stanford University School of Medicine, Palo Alto, California, USA.
4Department of Neurology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
5Department of Psychiatry, University of Pennsylvania and the Parkinson's Disease and Mental Illness Research, Education and Clinical Centers (PADRECC and MIRECC), Philadelphia Veterans Affairs Medical Center, Philadelphia, USA.
6Department of Neurology, Movement Disorders and Neuromodulation Center, Weill Institute for Neuroscience, University of California, San Francisco, California, USA.
7The Michael J. Fox Foundation for Parkinson's Research, New York, New York, USA.
8Neumora, Boston, Massachusetts, USA.
9F. Hoffmann-La Roche Ltd., Basel, Switzerland.
10Critical Path for Parkinson's, Critical Path Institute, Tucson, Arizona, USA.
11Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
12Institute for Neurodegenerative Disorders, New Haven, Connecticut, USA.

Abstract

BACKGROUND: Neuronal α-synuclein disease (NSD) is defined by the presence of an in vivo biomarker of neuronal alpha-synuclein (n-asyn) pathology. The NSD integrated staging system (NSD-ISS) for research describes progression across the disease continuum as stages 0 to 6. OBJECTIVE: The aim was to assess 5-year longitudinal change in NSD-ISS in early disease. METHODS: Analysis included a subset o…

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