Marked increase of ?-amyloid(1?42) and amyloid precursor protein in ventricular cerebrospinal fluid after severe traumatic brain injury

Severe traumatic brain injury (TBI) may result in widespread damage to axons, termed diffuse axonal injury. Alzheimer's disease (AD) is characterised by synaptic and axonal degeneration together with senile plaques (SP). SP are mainly composed of aggregated [beta]-amyloid (A[beta]), which are p...

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Veröffentlicht in:Journal of neurology 2004-07, Vol.251 (7), p.870
Hauptverfasser: Olsson, Annika, Csajbok, Ludvig, st, Martin, H glund, Kina, Nyl n, Karin, Rosengren, Lars, Nellg rd, Bengt, Blennow, Kaj
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container_issue 7
container_start_page 870
container_title Journal of neurology
container_volume 251
creator Olsson, Annika
Csajbok, Ludvig
st, Martin
H glund, Kina
Nyl n, Karin
Rosengren, Lars
Nellg rd, Bengt
Blennow, Kaj
description Severe traumatic brain injury (TBI) may result in widespread damage to axons, termed diffuse axonal injury. Alzheimer's disease (AD) is characterised by synaptic and axonal degeneration together with senile plaques (SP). SP are mainly composed of aggregated [beta]-amyloid (A[beta]), which are peptides derived from the amyloid precursor protein (APP). Apart from TBI in itself being considered a risk factor for AD, severe head injury seems to initiate a cascade of molecular events that are also associated with AD. We have therefore analysed the 42 amino acid forms of A[beta] (A[beta]
doi_str_mv 10.1007/s00415-004-0451-y
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Alzheimer's disease (AD) is characterised by synaptic and axonal degeneration together with senile plaques (SP). SP are mainly composed of aggregated [beta]-amyloid (A[beta]), which are peptides derived from the amyloid precursor protein (APP). Apart from TBI in itself being considered a risk factor for AD, severe head injury seems to initiate a cascade of molecular events that are also associated with AD. We have therefore analysed the 42 amino acid forms of A[beta] (A[beta]<(1-42)<) and two soluble forms of APP ([alpha]-sAPP and ßsAPP) in ventricular cerebrospinal fluid (VCSF) and A[beta]<(1-42)< in plasma from 28 patients in a serial samples 0-11 days after TBI. The levels of [alpha]-sAPP, ß-sAPP and A[beta]<(1-42)< were determined using ELISA assays. After TBI, there was a significant stepwise increase in VCSF-A[beta]<(1-42)< up to 1173 % from day 0-1 to day 5-6 and in VCSF-[beta]-sAPP up to 2033 % increase from day 0-1 to day 7-11. There was also a slight but significant increase of VCSF-[beta]-sAPP from day 0-1 to day 5-6 and day 7-11. By contrast, the plasma- A[beta]<(1-42)< level is unchanged after injury. The marked increase in VCSFA[beta]<( 1-42)< implies that increased A[beta] expression may occur as a secondary phenomenon after TBI with axonal damage. The unchanged level of plasma-A[beta]<(1-42)< in contrast to the marked increase in VCSF-A[beta]<(1-42)< after severe TBI, supports the suggestion that plasma A[beta]<(1-42)< does not reflect A[beta] metabolism in the central nervous system (CNS).]]></description><identifier>ISSN: 0340-5354</identifier><identifier>EISSN: 1432-1459</identifier><identifier>DOI: 10.1007/s00415-004-0451-y</identifier><language>eng</language><publisher>Heidelberg: Springer Nature B.V</publisher><subject>Alzheimer's disease ; Cerebrospinal fluid ; Glasgow Coma Scale ; Head injuries ; Intracranial pressure ; Metabolism ; Nervous system ; Neurology ; Neurosciences ; Patients ; Peptides ; Plasma ; Proteins ; Trauma ; Traumatic brain injury</subject><ispartof>Journal of neurology, 2004-07, Vol.251 (7), p.870</ispartof><rights>Copyright Springer-Verlag 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1172-fcb009091fcc8eee4d8724a9f9b5e72d34fb8baadb12438425b760a4c06aa7e73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids></links><search><creatorcontrib>Olsson, Annika</creatorcontrib><creatorcontrib>Csajbok, Ludvig</creatorcontrib><creatorcontrib>st, Martin</creatorcontrib><creatorcontrib>H glund, Kina</creatorcontrib><creatorcontrib>Nyl n, Karin</creatorcontrib><creatorcontrib>Rosengren, Lars</creatorcontrib><creatorcontrib>Nellg rd, Bengt</creatorcontrib><creatorcontrib>Blennow, Kaj</creatorcontrib><title>Marked increase of ?-amyloid(1?42) and amyloid precursor protein in ventricular cerebrospinal fluid after severe traumatic brain injury</title><title>Journal of neurology</title><description><![CDATA[Severe traumatic brain injury (TBI) may result in widespread damage to axons, termed diffuse axonal injury. Alzheimer's disease (AD) is characterised by synaptic and axonal degeneration together with senile plaques (SP). SP are mainly composed of aggregated [beta]-amyloid (A[beta]), which are peptides derived from the amyloid precursor protein (APP). Apart from TBI in itself being considered a risk factor for AD, severe head injury seems to initiate a cascade of molecular events that are also associated with AD. We have therefore analysed the 42 amino acid forms of A[beta] (A[beta]<(1-42)<) and two soluble forms of APP ([alpha]-sAPP and ßsAPP) in ventricular cerebrospinal fluid (VCSF) and A[beta]<(1-42)< in plasma from 28 patients in a serial samples 0-11 days after TBI. The levels of [alpha]-sAPP, ß-sAPP and A[beta]<(1-42)< were determined using ELISA assays. After TBI, there was a significant stepwise increase in VCSF-A[beta]<(1-42)< up to 1173 % from day 0-1 to day 5-6 and in VCSF-[beta]-sAPP up to 2033 % increase from day 0-1 to day 7-11. 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subjects Alzheimer's disease
Cerebrospinal fluid
Glasgow Coma Scale
Head injuries
Intracranial pressure
Metabolism
Nervous system
Neurology
Neurosciences
Patients
Peptides
Plasma
Proteins
Trauma
Traumatic brain injury
title Marked increase of ?-amyloid(1?42) and amyloid precursor protein in ventricular cerebrospinal fluid after severe traumatic brain injury
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