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A High Throughput, Multiplexed and Targeted Proteomic CSF Assay to Quantify Neurodegenerative Biomarkers and Apolipoprotein E Isoforms Status
Published on: October 20, 2016
Plasma proteins predict conversion to dementia from prodromal disease.
Abdul Hye1, Joanna Riddoch-Contreras1, Alison L Baird1
1Institute of Psychiatry, Department of Old Age Psychiatry, King's College London, London, UK.
Ten plasma proteins show strong links to Alzheimer's disease (AD) progression. These biomarkers can aid in selecting patients for clinical trials and managing early memory complaints.
Area of Science:
- Biomarker discovery and validation
- Neurodegenerative disease research
- Alzheimer's disease (AD) diagnostics
Background:
- Previous research identified potential plasma biomarkers for AD.
- This study aimed to validate these biomarkers using neuroimaging for disease severity.
- The prognostic value for predicting dementia conversion was also assessed.
Purpose of the Study:
- To validate plasma biomarkers for Alzheimer's disease (AD).
- To assess the prognostic value of these biomarkers in predicting dementia.
- To utilize neuroimaging measures as a surrogate for disease severity.
Main Methods:
- Utilized three multicenter cohorts: cognitively healthy elderly, mild cognitive impairment (MCI), and AD patients.
- Employed standardized clinical assessments and structural neuroimaging.
- Quantified 26 candidate proteins in 1148 subjects using multiplex (xMAP) assays.
Main Results:
- Sixteen proteins demonstrated correlation with disease severity and cognitive decline.
- A panel of 10 proteins in the MCI group accurately predicted progression to AD (87% accuracy).
- This panel showed high sensitivity (85%) and specificity (88%) for predicting AD conversion.
Conclusions:
- Identified 10 plasma proteins significantly associated with AD severity and progression.
- These protein markers show potential for improving patient selection in clinical trials.
- The markers may assist in evaluating individuals with subjective memory complaints and predisease symptoms.
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