Serum and cerebrospinal fluid Neutrophil gelatinase-associated lipocalin (NGAL) levels as biomarkers for the conversion from mild cognitive impairment to Alzheimer's disease dementia

Neutrophil gelatinase-associated lipocalin (NGAL) is an acute phase protein that has been reported as a potential marker for pre-dementia stages of Alzheimer's disease (AD). Longitudinal studies for its association with the conversion of mild cognitive impairment to AD is still lacking. This st...

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Veröffentlicht in:Neurobiology of aging 2021-11, Vol.107, p.1-10
Hauptverfasser: Naudé, Petrus J.W., Ramakers, Inez H.G.B., van der Flier, Wiesje M., Jiskoot, Lize C., Reesink, Fransje E., Claassen, Jurgen A.H.R., Koek, Huiberdina L., Eisel, Ulrich L.M., De Deyn, Peter P.
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container_title Neurobiology of aging
container_volume 107
creator Naudé, Petrus J.W.
Ramakers, Inez H.G.B.
van der Flier, Wiesje M.
Jiskoot, Lize C.
Reesink, Fransje E.
Claassen, Jurgen A.H.R.
Koek, Huiberdina L.
Eisel, Ulrich L.M.
De Deyn, Peter P.
description Neutrophil gelatinase-associated lipocalin (NGAL) is an acute phase protein that has been reported as a potential marker for pre-dementia stages of Alzheimer's disease (AD). Longitudinal studies for its association with the conversion of mild cognitive impairment to AD is still lacking. This study included n = 268 study participants with subjective cognitive decline (SCD) (n=82), mild cognitive impairment (MCI) (n=98) and AD dementia (n=88) at baseline and two-year follow-up clinical assessments. Serum and cerebrospinal fluid (CSF)NGAL, CSF amyloid beta1-42, total-Tau, and phospho-Tau levels were measured with ELISA analysis. CSF NGAL levels were significantly lower in MCI participants compared to people with SCD at baseline. Lower baseline CSF NGAL levels predicted MCI converters to AD dementia vs. non-converters after 2-years follow-up. A positive correlation between CSF NGAL and amyloid beta1-42 was found particularly in MCI participants at baseline. NGAL in CSF holds potential to be used as a predictive marker for the conversion of MCI to AD dementia and may reflect pathophysiological processes of prodromal AD neuropathology.
doi_str_mv 10.1016/j.neurobiolaging.2021.07.001
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subjects Aftercare
Aged
Alzheimer Disease - diagnosis
Amyloid beta
Amyloid beta-Peptides - cerebrospinal fluid
Biomarkers - blood
Biomarkers - cerebrospinal fluid
Cognitive Dysfunction - diagnosis
Converters
Disease Progression
Female
Follow-up
Humans
Lipocalin 2
Lipocalin-2 - blood
Lipocalin-2 - cerebrospinal fluid
Male
Middle Aged
Neuroinflammation
Peptide Fragments - cerebrospinal fluid
Prodromal, Biomarker
tau Proteins - cerebrospinal fluid
title Serum and cerebrospinal fluid Neutrophil gelatinase-associated lipocalin (NGAL) levels as biomarkers for the conversion from mild cognitive impairment to Alzheimer's disease dementia
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