Measurement of Thirteen Biological Markers in CSF of Patients with Alzheimer’s Disease and Other Dementias

Cerebrospinal fluid (CSF) biological markers may be of valuable help in the diagnosis of dementia. The aim of the present study was to evaluate CSF levels of 13 potential biomarkers in patients with Alzheimer’s disease (AD), frontotemporal lobe dementia, alcohol dementia, major depression and contro...

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Veröffentlicht in:Dementia and geriatric cognitive disorders 2006-01, Vol.21 (1), p.9-15
Hauptverfasser: Blasko, Imrich, Lederer, Wolfgang, Oberbauer, Harald, Walch, Thomas, Kemmler, Georg, Hinterhuber, Hartmann, Marksteiner, Josef, Humpel, Christian
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container_issue 1
container_start_page 9
container_title Dementia and geriatric cognitive disorders
container_volume 21
creator Blasko, Imrich
Lederer, Wolfgang
Oberbauer, Harald
Walch, Thomas
Kemmler, Georg
Hinterhuber, Hartmann
Marksteiner, Josef
Humpel, Christian
description Cerebrospinal fluid (CSF) biological markers may be of valuable help in the diagnosis of dementia. The aim of the present study was to evaluate CSF levels of 13 potential biomarkers in patients with Alzheimer’s disease (AD), frontotemporal lobe dementia, alcohol dementia, major depression and control patients without any neuropsychiatric disease. The study was performed using β-amyloid 1–42 (Aβ42), total tau and phosphorylated tau-181 (P-tau181) as core markers. The ratio P-tau181/Aβ42 could significantly distinguish AD patients from all other diagnostic subgroups. CSF levels of 5 growth factors (HGF, GDNF, VEGF, BDNF, FGF-2) and 3 cytokines/chemokines (TNF-α, TGF-β 1 , MIP-1α) did not significantly differentiate between the studied groups. However, depending on the degree of neurodegeneration (as expressed by the ratio P-tau181/Aβ42), patients with AD displayed significantly increased CSF levels of nerve growth factor (NGF) as compared to healthy controls. CSF levels of monocyte chemoattractant protein 1 (MCP-1) were found to be significantly increased with age in all groups but did not distinguish AD patients from healthy controls. The results confirmed the suitability of the ratio P-tau181/Aβ42 for the diagnosis of AD, while CSF levels of NGF and MCP-1 are less specific and reliable for AD. It is suggested that the increase in NGF depends on the extent of neurodegeneration of the AD type and the increase in MCP-1 on age.
doi_str_mv 10.1159/000089137
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The aim of the present study was to evaluate CSF levels of 13 potential biomarkers in patients with Alzheimer’s disease (AD), frontotemporal lobe dementia, alcohol dementia, major depression and control patients without any neuropsychiatric disease. The study was performed using β-amyloid 1–42 (Aβ42), total tau and phosphorylated tau-181 (P-tau181) as core markers. The ratio P-tau181/Aβ42 could significantly distinguish AD patients from all other diagnostic subgroups. CSF levels of 5 growth factors (HGF, GDNF, VEGF, BDNF, FGF-2) and 3 cytokines/chemokines (TNF-α, TGF-β 1 , MIP-1α) did not significantly differentiate between the studied groups. However, depending on the degree of neurodegeneration (as expressed by the ratio P-tau181/Aβ42), patients with AD displayed significantly increased CSF levels of nerve growth factor (NGF) as compared to healthy controls. CSF levels of monocyte chemoattractant protein 1 (MCP-1) were found to be significantly increased with age in all groups but did not distinguish AD patients from healthy controls. The results confirmed the suitability of the ratio P-tau181/Aβ42 for the diagnosis of AD, while CSF levels of NGF and MCP-1 are less specific and reliable for AD. It is suggested that the increase in NGF depends on the extent of neurodegeneration of the AD type and the increase in MCP-1 on age.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>16244482</pmid><doi>10.1159/000089137</doi><tpages>7</tpages></addata></record>
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subjects Aged
Alcohol Amnestic Disorder - cerebrospinal fluid
Alcohol Amnestic Disorder - diagnosis
Alzheimer Disease - cerebrospinal fluid
Alzheimer Disease - diagnosis
Amyloid beta-Peptides - cerebrospinal fluid
Biological and medical sciences
Biomarkers - cerebrospinal fluid
Blood and lymphatic vessels
Cardiology. Vascular system
Chemokines - cerebrospinal fluid
Cytokines - cerebrospinal fluid
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Dementia - cerebrospinal fluid
Dementia - diagnosis
Depressive Disorder, Major - cerebrospinal fluid
Depressive Disorder, Major - diagnosis
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Growth Substances - cerebrospinal fluid
Human viral diseases
Humans
Infectious diseases
Medical sciences
Neurology
Original Research Article
Peptide Fragments - cerebrospinal fluid
Phosphorylation
Predictive Value of Tests
Reference Values
tau Proteins - cerebrospinal fluid
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Measurement of Thirteen Biological Markers in CSF of Patients with Alzheimer’s Disease and Other Dementias
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