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Neurodegenerative Disease

Plasma α-Synuclein

Blood biomarker for Parkinson's disease and related synucleinopathies

Turnaround Time2 working weeks
🧪Specimen TypeBlood
🔬Methodsingle-molecule immuno-detection
Plasma α-Synuclein

The Plasma α-Synuclein protein assay quantifies circulating α-synuclein. α-Synuclein aggregation is the pathological hallmark of Parkinson's disease, dementia with Lewy bodies, and multiple system atrophy, collectively termed synucleinopathies. Quantitative plasma α-synuclein assays complement seed amplification assays (SAA), which detect misfolded α-synuclein with high sensitivity and specificity and are increasingly used to stratify patients for synuclein-targeted therapy trials.

  1. Research-grade characterisation of synucleinopathy status in clinical cohorts.
  2. Supporting differential diagnosis of Parkinson's disease and related disorders from non-synucleinopathic parkinsonism.
  3. Risk stratification in prodromal disease, including REM-sleep behaviour disorder and hyposmia.
  4. Biomarker endpoint in clinical trials of α-synuclein-targeted therapies.
⚠ Not intended for:
  1. Establishing a stand-alone diagnosis of Parkinson's disease, dementia with Lewy bodies, or multiple system atrophy.
  2. Replacing clinical examination, imaging, or CSF and skin seed-amplification assays where indicated.
  3. Population-level screening in asymptomatic individuals without appropriate prior probability.
  4. Serving as a stand-alone diagnostic tool without clinical correlation.

α-Synuclein

Specimen Type: Blood
Preferred Collection:

4ml Whole Blood in EDTA

Transfer to 4°C for immediate storage and arrange shipment to Codex Genetics Laboratory (within 6 hours)

Available through Codex Genetics. Please contact us for collection requirements and referral guidance.

Shipping Instructions:

Samples must be collected and submitted by a licensed healthcare professional.

  • Store samples at 4°C (refrigerator) for up to 6 hours after collection.
  • Samples must be ready for pick-up by 15:00 on weekdays.
  • Pick-up service is not available on public holidays.
  • Contact Codex Genetics to arrange pick-up: Tel +852 3008 2560 / WhatsApp +852 9837 1345. Address: Unit 220, 2/F, Building 16W, HKSTP, Pak Shek Kok, NT, Hong Kong.

A positive α-synuclein SAA result is strongly consistent with a synucleinopathy (Parkinson's disease, DLB, or MSA). A negative result argues strongly against synucleinopathy and should redirect diagnostic workup. Results must be interpreted alongside clinical features by a movement disorder specialist or neurologist.

α-Synuclein is a presynaptic protein whose misfolding and aggregation underlies Parkinson's disease, dementia with Lewy bodies, and multiple system atrophy. Quantitative plasma α-synuclein assays remain an active area of investigation because total plasma levels are influenced by red-cell lysis and are not consistently altered by disease. Seed amplification assays (SAA), performed most often on CSF and increasingly on skin and blood, detect disease-associated misfolded α-synuclein with reported sensitivity of approximately 86% and specificity of 92%, and have been endorsed by the FDA and international regulators as biomarkers for clinical trial enrolment in Parkinson's disease. Interpretation of quantitative plasma α-synuclein results must account for pre-analytical factors and limited standalone diagnostic performance, and is most useful alongside clinical phenotype, imaging, and SAA testing.