دورية أكاديمية

Trajectories of CSF and plasma biomarkers across Alzheimer's disease continuum: Disease staging by NF-L, p-tau181, and GFAP

التفاصيل البيبلوغرافية
العنوان: Trajectories of CSF and plasma biomarkers across Alzheimer's disease continuum: Disease staging by NF-L, p-tau181, and GFAP
المؤلفون: Wojdała, Anna Lidia, Bellomo, Giovanni, Gaetani, Lorenzo, Toja, Andrea, Chipi, Elena, Shan, Dandan, Chiasserini, Davide, Parnetti, Lucilla
المساهمون: Wojdała, Anna Lidia, Bellomo, Giovanni, Gaetani, Lorenzo, Toja, Andrea, Chipi, Elena, Shan, Dandan, Chiasserini, Davide, Parnetti, Lucilla
سنة النشر: 2023
المجموعة: IRIS Università degli Studi di Perugia
مصطلحات موضوعية: Alzheimer's disease, Biomarkers, Blood, Cerebrospinal fluid, Preclinical Alzheimer's disease frontotemporal dementia, Simoa
الوصف: CSF-to-plasma transition will open new avenues for molecular phenotyping of Alzheimer's disease (AD). Here we evaluated a panel of AD biomarkers in matched CSF and plasma samples across the AD continuum, from preclinical AD to dementia. The aims were to: 1) compare diagnostic performance of the two biofluids, 2) evaluate trajectories of the biomarkers along AD progression. We analyzed CSF and plasma Aβ42/40, p-tau181, p-tau231, t-tau, NF-L, GFAP, UCHL-1 and CSF SNAP-25 in a cohort (n = 173) of preclinical AD, MCI-AD, AD dementia, frontotemporal dementia patients, and controls. We found a significant correlation between CSF and plasma levels of Aβ42/40, p-tau181, p-tau231, NF-L, and GFAP, while no CSF-plasma correlation was observed for t-tau and UCHL-1. Next to the core CSF biomarkers (Aβ42/40, p-tau181, t-tau), those providing the best discrimination between controls and preclinical AD were CSF p-tau231 and SNAP-25 and plasma Aβ42/40, p-tau231, and GFAP. Among plasma biomarkers, we found Aβ42/Aβ40, GFAP, and p-tau231 to show the largest rate of change at the CSF biomarker-defined cut-offs for amyloidosis and tauopathy. Finally, we identified GFAP, NF-L, and p-tau181 as the biomarkers most significantly associated with disease progression in both CSF and plasma. We suggest that a well-standardized and validated panel of selected plasma markers can facilitate early AD diagnosis, even at the asymptomatic disease stage. We propose that both CSF and plasma measurement of NF-L, p-tau181, and GFAP may play a significant role in disease staging and monitoring.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/37977432; firstpage:106356; journal:NEUROBIOLOGY OF DISEASE; https://hdl.handle.net/11391/1563733Test
DOI: 10.1016/j.nbd.2023.106356
الإتاحة: https://doi.org/10.1016/j.nbd.2023.106356Test
https://hdl.handle.net/11391/1563733Test
رقم الانضمام: edsbas.A9E99D90
قاعدة البيانات: BASE