دورية أكاديمية

Profiling amyloid‐β peptides as biomarkers for cerebral amyloid angiopathy

التفاصيل البيبلوغرافية
العنوان: Profiling amyloid‐β peptides as biomarkers for cerebral amyloid angiopathy
المؤلفون: van den Berg, Emma, Kersten, Iris, Brinkmalm, Gunnar, Johansson, Kjell, de Kort, Anna M., Klijn, Catharina J. M., Schreuder, Floris H. B. M., Gobom, Johan, Stoops, Erik, Portelius, Erik, Gkanatsiou, Eleni, Zetterberg, Henrik, Blennow, Kaj, Kuiperij, H. Bea, Verbeek, Marcel M.
المساهمون: National Institutes of Health, ZonMw
المصدر: Journal of Neurochemistry ; ISSN 0022-3042 1471-4159
بيانات النشر: Wiley
سنة النشر: 2024
المجموعة: Wiley Online Library (Open Access Articles via Crossref)
الوصف: Brain amyloid‐β (Aβ) deposits are key pathological hallmarks of both cerebral amyloid angiopathy (CAA) and Alzheimer's disease (AD). Microvascular deposits in CAA mainly consist of the Aβ 40 peptide, whereas Aβ 42 is the predominant variant in parenchymal plaques in AD. The relevance in pathogenesis and diagnostic accuracy of various other Aβ isoforms in CAA remain understudied. We aimed to investigate the biomarker potential of various Aβ isoforms in cerebrospinal fluid (CSF) to differentiate CAA from AD pathology. We included 25 patients with probable CAA, 50 subjects with a CSF profile indicative of AD pathology (AD‐like), and 23 age‐ and sex‐matched controls. CSF levels of Aβ 1‐34 , Aβ 1‐37 , Aβ 1‐38 , Aβ 1‐39 , Aβ 1‐40 , and Aβ 1‐42 were quantified by liquid chromatography mass spectrometry. Lower CSF levels of all six Aβ peptides were observed in CAA patients compared with controls ( p = 0.0005–0.03). Except for Aβ 1‐42 ( p = 1.0), all peptides were decreased in CAA compared with AD‐like subjects ( p = 0.007–0.03). Besides Aβ 1‐42 , none of the Aβ peptides were decreased in AD‐like subjects compared with controls. All Aβ peptides combined differentiated CAA from AD‐like subjects better (area under the curve [AUC] 0.84) than individual peptide levels (AUC 0.51–0.75). Without Aβ 1‐42 in the model (since decreased Aβ 1‐42 served as AD‐like selection criterion), the AUC was 0.78 for distinguishing CAA from AD‐like subjects. CAA patients and AD‐like subjects showed distinct disease‐specific CSF Aβ profiles. Peptides shorter than Aβ 1‐42 were decreased in CAA patients, but not AD‐like subjects, which could suggest different pathological mechanisms between vascular and parenchymal Aβ accumulation. This study supports the potential use of this panel of CSF Aβ peptides to indicate presence of CAA pathology with high accuracy.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1111/jnc.16074
الإتاحة: https://doi.org/10.1111/jnc.16074Test
حقوق: http://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.EB9B52B9
قاعدة البيانات: BASE