Variation in the sialylation pattern of transferrin was studied in ser
um and cerebrospinal fluid (CSF) of 90 patients with Parkinson's disea
se (PD), dementing and non-dementing, de novo and treated, and was com
pared with the variation observed in a group of 21 age-matched healthy
controls. In serum and CSF of PD patients the proportional contributi
on of the different sialo-transferrins was independent of sex or demen
tia. However, a significant shift was found towards the more sialylate
d fractions for serum transferrin in both de novo and treated PD patie
nts. This shift was not observed for CSF transferrin. The contribution
of the tau-transferrin fraction, reduced in de novo PD patients, retu
rns on treatment to the level observed for healthy controls. These obs
ervations may be important, as the degree of sialylation of transferri
n in serum and CSF plays a role in the homeostasis of iron, and sugges
t that alterations in transferrin sialylation may play a role in the p
athophysiology of PD.