Novel diagnostic cerebrospinal fluid biomarkers for pathologic subtypes of frontotemporal dementia identified by proteomics

Abstract Introduction Reliable cerebrospinal fluid (CSF) biomarkers enabling identification of frontotemporal dementia (FTD) and its pathologic subtypes are lacking. Methods Unbiased high-resolution mass spectrometry–based proteomics was applied on CSF of FTD patients with TAR DNA-binding protein 43...

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Veröffentlicht in:Alzheimer's & dementia : diagnosis, assessment & disease monitoring assessment & disease monitoring, 2016, Vol.2 (1), p.86-94
Hauptverfasser: Teunissen, Charlotte E, Elias, Naura, Koel-Simmelink, Marleen J.A, Durieux-Lu, Sisi, Malekzadeh, Arjan, Pham, Thang V, Piersma, Sander R, Beccari, Tommaso, Meeter, Lieke H.H, Dopper, Elise G.P, van Swieten, John C, Jimenez, Connie R, Pijnenburg, Yolande A.L
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container_start_page 86
container_title Alzheimer's & dementia : diagnosis, assessment & disease monitoring
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creator Teunissen, Charlotte E
Elias, Naura
Koel-Simmelink, Marleen J.A
Durieux-Lu, Sisi
Malekzadeh, Arjan
Pham, Thang V
Piersma, Sander R
Beccari, Tommaso
Meeter, Lieke H.H
Dopper, Elise G.P
van Swieten, John C
Jimenez, Connie R
Pijnenburg, Yolande A.L
description Abstract Introduction Reliable cerebrospinal fluid (CSF) biomarkers enabling identification of frontotemporal dementia (FTD) and its pathologic subtypes are lacking. Methods Unbiased high-resolution mass spectrometry–based proteomics was applied on CSF of FTD patients with TAR DNA-binding protein 43 (TDP-43, FTD-TDP, n = 12) or tau pathology (FTD-tau, n = 8), and individuals with subjective memory complaints (SMC, n = 10). Validation was performed by applying enzyme-linked immunosorbent assay (ELISA) or enzymatic assays, when available, in a larger cohort (FTLD-TDP, n = 21, FTLD-tau, n = 10, SMC, n = 23) and in Alzheimer's disease (n = 20), dementia with Lewy bodies (DLB, n = 20), and vascular dementia (VaD, n = 18). Results Of 1914 identified CSF proteins, 56 proteins were differentially regulated (fold change >1.2, P  
doi_str_mv 10.1016/j.dadm.2015.12.004
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Methods Unbiased high-resolution mass spectrometry–based proteomics was applied on CSF of FTD patients with TAR DNA-binding protein 43 (TDP-43, FTD-TDP, n = 12) or tau pathology (FTD-tau, n = 8), and individuals with subjective memory complaints (SMC, n = 10). Validation was performed by applying enzyme-linked immunosorbent assay (ELISA) or enzymatic assays, when available, in a larger cohort (FTLD-TDP, n = 21, FTLD-tau, n = 10, SMC, n = 23) and in Alzheimer's disease (n = 20), dementia with Lewy bodies (DLB, n = 20), and vascular dementia (VaD, n = 18). Results Of 1914 identified CSF proteins, 56 proteins were differentially regulated (fold change &gt;1.2, P  &lt; .05) between the different patient groups: either between the two pathologic subtypes (10 proteins), or between at least one of these FTD subtypes and SMC (47 proteins). We confirmed the differential expression of YKL-40 by ELISA in a partly independent cohort. Furthermore, enzyme activity of catalase was decreased in FTD subtypes compared with SMC. Further validation in a larger cohort showed that the level of YKL-40 was twofold increased in both FTD pathologic subtypes compared with SMC and that the levels in FTLD-tau were higher compared to Alzheimer's dementia (AD), DLB, and VaD patients. Clinical validation furthermore showed that the catalase enzyme activity was decreased in the FTD subtypes compared to SMC, AD and DLB. Discussion We identified promising CSF biomarkers for both FTD differential diagnosis and pathologic subtyping. YKL-40 and catalase enzyme activity should be validated further in similar pathology defined patient cohorts for their use for FTD diagnosis or treatment development.</description><identifier>ISSN: 2352-8729</identifier><identifier>EISSN: 2352-8729</identifier><identifier>DOI: 10.1016/j.dadm.2015.12.004</identifier><identifier>PMID: 27239539</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Alzheimer's disease ; Biobanks ; Biomarkers ; Cerebrospinal fluid ; CSF Biomarkers ; Dementia ; Differential diagnosis ; Enzymes ; Fatty acids ; Frontotemporal dementia ; Immunoassay ; Laboratories ; Medical diagnosis ; Memory ; Mental disorders ; Mutation ; Neurology ; Older people ; Other ; Pathology ; Patients ; Proteins ; Proteomics ; Standard deviation ; Tau ; TDP-43</subject><ispartof>Alzheimer's &amp; dementia : diagnosis, assessment &amp; disease monitoring, 2016, Vol.2 (1), p.86-94</ispartof><rights>The Authors</rights><rights>2016 The Authors</rights><rights>2016 The Authors. Published by Elsevier Inc. on behalf of the Alzheimer's Association.</rights><rights>2016. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 The Authors 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5404-78eaa51a29ee5e1f698c1af90edc08eb009b0d09fd856d0fd017470f91c998773</citedby><cites>FETCH-LOGICAL-c5404-78eaa51a29ee5e1f698c1af90edc08eb009b0d09fd856d0fd017470f91c998773</cites><orcidid>0000-0003-4277-0815 ; 0000-0002-4061-0837 ; 0000-0001-9637-6579</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4879654/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4879654/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,1418,4025,11567,27928,27929,27930,45579,45580,46057,46481,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27239539$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Teunissen, Charlotte E</creatorcontrib><creatorcontrib>Elias, Naura</creatorcontrib><creatorcontrib>Koel-Simmelink, Marleen J.A</creatorcontrib><creatorcontrib>Durieux-Lu, Sisi</creatorcontrib><creatorcontrib>Malekzadeh, Arjan</creatorcontrib><creatorcontrib>Pham, Thang V</creatorcontrib><creatorcontrib>Piersma, Sander R</creatorcontrib><creatorcontrib>Beccari, Tommaso</creatorcontrib><creatorcontrib>Meeter, Lieke H.H</creatorcontrib><creatorcontrib>Dopper, Elise G.P</creatorcontrib><creatorcontrib>van Swieten, John C</creatorcontrib><creatorcontrib>Jimenez, Connie R</creatorcontrib><creatorcontrib>Pijnenburg, Yolande A.L</creatorcontrib><title>Novel diagnostic cerebrospinal fluid biomarkers for pathologic subtypes of frontotemporal dementia identified by proteomics</title><title>Alzheimer's &amp; dementia : diagnosis, assessment &amp; disease monitoring</title><addtitle>Alzheimers Dement (Amst)</addtitle><description>Abstract Introduction Reliable cerebrospinal fluid (CSF) biomarkers enabling identification of frontotemporal dementia (FTD) and its pathologic subtypes are lacking. Methods Unbiased high-resolution mass spectrometry–based proteomics was applied on CSF of FTD patients with TAR DNA-binding protein 43 (TDP-43, FTD-TDP, n = 12) or tau pathology (FTD-tau, n = 8), and individuals with subjective memory complaints (SMC, n = 10). Validation was performed by applying enzyme-linked immunosorbent assay (ELISA) or enzymatic assays, when available, in a larger cohort (FTLD-TDP, n = 21, FTLD-tau, n = 10, SMC, n = 23) and in Alzheimer's disease (n = 20), dementia with Lewy bodies (DLB, n = 20), and vascular dementia (VaD, n = 18). Results Of 1914 identified CSF proteins, 56 proteins were differentially regulated (fold change &gt;1.2, P  &lt; .05) between the different patient groups: either between the two pathologic subtypes (10 proteins), or between at least one of these FTD subtypes and SMC (47 proteins). We confirmed the differential expression of YKL-40 by ELISA in a partly independent cohort. Furthermore, enzyme activity of catalase was decreased in FTD subtypes compared with SMC. Further validation in a larger cohort showed that the level of YKL-40 was twofold increased in both FTD pathologic subtypes compared with SMC and that the levels in FTLD-tau were higher compared to Alzheimer's dementia (AD), DLB, and VaD patients. Clinical validation furthermore showed that the catalase enzyme activity was decreased in the FTD subtypes compared to SMC, AD and DLB. Discussion We identified promising CSF biomarkers for both FTD differential diagnosis and pathologic subtyping. 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Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Alzheimer's &amp; dementia : diagnosis, assessment &amp; disease monitoring</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Teunissen, Charlotte E</au><au>Elias, Naura</au><au>Koel-Simmelink, Marleen J.A</au><au>Durieux-Lu, Sisi</au><au>Malekzadeh, Arjan</au><au>Pham, Thang V</au><au>Piersma, Sander R</au><au>Beccari, Tommaso</au><au>Meeter, Lieke H.H</au><au>Dopper, Elise G.P</au><au>van Swieten, John C</au><au>Jimenez, Connie R</au><au>Pijnenburg, Yolande A.L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel diagnostic cerebrospinal fluid biomarkers for pathologic subtypes of frontotemporal dementia identified by proteomics</atitle><jtitle>Alzheimer's &amp; dementia : diagnosis, assessment &amp; disease monitoring</jtitle><addtitle>Alzheimers Dement (Amst)</addtitle><date>2016</date><risdate>2016</risdate><volume>2</volume><issue>1</issue><spage>86</spage><epage>94</epage><pages>86-94</pages><issn>2352-8729</issn><eissn>2352-8729</eissn><abstract>Abstract Introduction Reliable cerebrospinal fluid (CSF) biomarkers enabling identification of frontotemporal dementia (FTD) and its pathologic subtypes are lacking. Methods Unbiased high-resolution mass spectrometry–based proteomics was applied on CSF of FTD patients with TAR DNA-binding protein 43 (TDP-43, FTD-TDP, n = 12) or tau pathology (FTD-tau, n = 8), and individuals with subjective memory complaints (SMC, n = 10). Validation was performed by applying enzyme-linked immunosorbent assay (ELISA) or enzymatic assays, when available, in a larger cohort (FTLD-TDP, n = 21, FTLD-tau, n = 10, SMC, n = 23) and in Alzheimer's disease (n = 20), dementia with Lewy bodies (DLB, n = 20), and vascular dementia (VaD, n = 18). Results Of 1914 identified CSF proteins, 56 proteins were differentially regulated (fold change &gt;1.2, P  &lt; .05) between the different patient groups: either between the two pathologic subtypes (10 proteins), or between at least one of these FTD subtypes and SMC (47 proteins). We confirmed the differential expression of YKL-40 by ELISA in a partly independent cohort. Furthermore, enzyme activity of catalase was decreased in FTD subtypes compared with SMC. Further validation in a larger cohort showed that the level of YKL-40 was twofold increased in both FTD pathologic subtypes compared with SMC and that the levels in FTLD-tau were higher compared to Alzheimer's dementia (AD), DLB, and VaD patients. Clinical validation furthermore showed that the catalase enzyme activity was decreased in the FTD subtypes compared to SMC, AD and DLB. Discussion We identified promising CSF biomarkers for both FTD differential diagnosis and pathologic subtyping. YKL-40 and catalase enzyme activity should be validated further in similar pathology defined patient cohorts for their use for FTD diagnosis or treatment development.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27239539</pmid><doi>10.1016/j.dadm.2015.12.004</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-4277-0815</orcidid><orcidid>https://orcid.org/0000-0002-4061-0837</orcidid><orcidid>https://orcid.org/0000-0001-9637-6579</orcidid><oa>free_for_read</oa></addata></record>
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subjects Alzheimer's disease
Biobanks
Biomarkers
Cerebrospinal fluid
CSF Biomarkers
Dementia
Differential diagnosis
Enzymes
Fatty acids
Frontotemporal dementia
Immunoassay
Laboratories
Medical diagnosis
Memory
Mental disorders
Mutation
Neurology
Older people
Other
Pathology
Patients
Proteins
Proteomics
Standard deviation
Tau
TDP-43
title Novel diagnostic cerebrospinal fluid biomarkers for pathologic subtypes of frontotemporal dementia identified by proteomics
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