Analytical performance and clinical utility of the INNOTEST® PHOSPHO-TAU(181P) assay for discrimination between Alzheimer's disease and dementia with Lewy bodies

Background: Total tau (T-tau) and β-amyloid(1-42) (Aβ1-42) levels in cerebrospinal fluid (CSF) can differentiate Alzheimer's disease (AD) from normal aging or depressive pseudo-dementia. Differential diagnosis from dementia with Lewy bodies (DLB) in clinical settings is difficult. Methods: The...

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Veröffentlicht in:Clinical chemistry and laboratory medicine 2006-12, Vol.44 (12), p.1472-1480
Hauptverfasser: Vanderstichele, Hugo, De Vreese, Karen, Blennow, Kaj, Andreasen, Niels, Sindic, Christian, Ivanoiu, Adrian, Hampel, Harald, Bürger, Katharina, Parnetti, Lucilla, Lanari, Alessia, Padovani, Allesandro, DiLuca, Monica, Bläser, Miriam, Ohrfelt Olsson, Annika, Pottel, Hans, Hulstaert, Frank, Vanmechelen, Eugeen
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container_end_page 1480
container_issue 12
container_start_page 1472
container_title Clinical chemistry and laboratory medicine
container_volume 44
creator Vanderstichele, Hugo
De Vreese, Karen
Blennow, Kaj
Andreasen, Niels
Sindic, Christian
Ivanoiu, Adrian
Hampel, Harald
Bürger, Katharina
Parnetti, Lucilla
Lanari, Alessia
Padovani, Allesandro
DiLuca, Monica
Bläser, Miriam
Ohrfelt Olsson, Annika
Pottel, Hans
Hulstaert, Frank
Vanmechelen, Eugeen
description Background: Total tau (T-tau) and β-amyloid(1-42) (Aβ1-42) levels in cerebrospinal fluid (CSF) can differentiate Alzheimer's disease (AD) from normal aging or depressive pseudo-dementia. Differential diagnosis from dementia with Lewy bodies (DLB) in clinical settings is difficult. Methods: The analytical performance of the INNOTEST® PHOSPHO-TAU(181P) assay was validated in terms of selectivity, sensitivity, specificity, precision, robustness, and stability. Clinical utility of the assay alone, or combined with T-tau and Aβ1-42, for discrimination of AD (n=94) from patients suffering from DLB (n=60) or from age-matched control subjects (CS) (n=60) was assessed in a multicenter study. Results: CSF concentrations of tau phosphorylated at threonine 181 (P-tau181P) in AD was significantly higher than in DLB and CS. Discriminant analysis, a classification tree, and logistic regression showed that P-tau181P was the most statistically significant single variable of the three biomarkers for discrimination between AD and DLB. Conclusions: P-tau181P quantification is a robust and reliable assay that may be useful in discriminating AD from DLB. Clin Chem Lab Med 2006;44:1472–80.
doi_str_mv 10.1515/CCLM.2006.258
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source De Gruyter journals
subjects Alzheimer's disease
Biological and medical sciences
cerebrospinal fluid
dementia
diagnosis
General aspects
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
P-tau
P-tau181P
title Analytical performance and clinical utility of the INNOTEST® PHOSPHO-TAU(181P) assay for discrimination between Alzheimer's disease and dementia with Lewy bodies
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