Dissociation between CSF total tau and tau protein phosphorylated at threonine 231 in Creutzfeldt-Jakob disease

被引:44
作者
Buerger, K
Otto, M
Teipel, SJ
Zinkowski, R
Blennow, K
DeBernardis, J
Kerkman, D
Schröder, J
Schönknecht, P
Cepek, L
McCulloch, C
Möller, HJ
Wiltfang, J
Kretzschmar, H
Hampel, H
机构
[1] Univ Munich, Dementia Res Sect, D-80336 Munich, Germany
[2] Univ Munich, Alzheimer Mem Ctr, Memory Clin, D-80336 Munich, Germany
[3] Univ Munich, Geriatr Psychiat Branch, Dept Psychiat, D-80336 Munich, Germany
[4] Univ Gottingen, Dept Neurol, D-37075 Gottingen, Germany
[5] Appl NeuroSolut Inc, Vernon Hills, IL 60061 USA
[6] Univ Gothenburg, Sahlgrens Univ Hosp, Dept Clin Neurosci, Unit Neurochem, Molndal, Sweden
[7] Heidelberg Univ, Sect Gerontopsychiat, D-69115 Heidelberg, Germany
[8] Univ Erlangen Nurnberg, Dept Psychiat, D-91054 Erlangen, Germany
[9] Univ Munich, Inst Neuropathol, D-81377 Munich, Germany
关键词
Creutzfeldt-Jakob disease (CJD); Alzheimer's disease (AD); diagnosis; differential diagnosis; cerebrospinal fluid (CSF); biological marker; tau protein; phosphorylated tau protein;
D O I
10.1016/j.neurobiolaging.2004.12.003
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
To study the potential diagnostic value of abnormally phosphorylated tau protein in Creutzfeldt-Jakob disease (CJD) compared to Alzheimer's disease (AD), we determined levels of tau phosphorylated at threonine 231 (p-tau(231)) and of total tau (t-tau) in cerebrospinal fluid (CSF) of CJD patients, AD patients, and healthy controls (HQ. CID patients showed excessively high t-tau levels but relatively low p-tau(231) concentrations compared to the AD group. t-tau alone yielded the best diagnostic accuracy to differentiate between CID and AD patients, when compared to p-tau(231) and the p-tau(231)/t-tau ratio (97, 78, and 95% correctly allocated cases, respectively). Our findings indicate a dissociation in the direction of change in CSF levels of t-tau and p-tau(231) in CID when compared to AD. (C) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:10 / 15
页数:6
相关论文
共 23 条
[1]   CSF markers for incipient Alzheimer's disease [J].
Blennow, K ;
Hampel, H .
LANCET NEUROLOGY, 2003, 2 (10) :605-613
[2]   Differentiation of geriatric major depression from Alzheimer's disease with CSF tau protein phosphorylated at threonine 231 [J].
Buerger, K ;
Zinkowski, R ;
Teipel, SJ ;
Arai, H ;
DeBernardis, J ;
Kerkman, D ;
McCulloch, C ;
Padberg, F ;
Faltraco, F ;
Goernitz, A ;
Tapiola, T ;
Rapoport, SI ;
Pirttilä, T ;
Möller, HJ ;
Hampel, H .
AMERICAN JOURNAL OF PSYCHIATRY, 2003, 160 (02) :376-379
[3]   Differential diagnosis of Alzheimer disease with cerebrospinal fluid levels of tau protein phosphorylated at threonine 231 [J].
Buerger, K ;
Zinkowski, R ;
Teipel, SJ ;
Tapiola, T ;
Arai, H ;
Blennow, K ;
Andreasen, N ;
Hofmann-Kiefer, K ;
DeBernardis, J ;
Kerkman, D ;
McCulloch, C ;
Kohnken, R ;
Padberg, F ;
Pirttilä, T ;
Schapiro, MB ;
Rapoport, SI ;
Möller, HJ ;
Davies, P ;
Hampel, H .
ARCHIVES OF NEUROLOGY, 2002, 59 (08) :1267-1272
[4]   CSF tau protein phosphorylated at threonine 231 correlates with cognitive decline in MCI subjects [J].
Buerger, K ;
Teipel, SJ ;
Zinkowski, R ;
Blennow, K ;
Arai, H ;
Engel, R ;
Hofmann-Kiefer, K ;
McCulloch, C ;
Ptok, U ;
Heun, R ;
Andreasen, N ;
DeBernardis, J ;
Kerkman, D ;
Moeller, HJ ;
Davies, P ;
Hampel, H .
NEUROLOGY, 2002, 59 (04) :627-629
[5]   Biological markers for therapeutic trials in Alzheimer's disease - Proceedings of the biological markers working group; NIA initiative on neuroimaging in Alzheimer's disease [J].
Frank, RA ;
Galasko, D ;
Hampel, H ;
Hardy, J ;
de Leon, MJ ;
Mehta, PD ;
Rogers, J ;
Siemers, E ;
Trojanowski, JQ .
NEUROBIOLOGY OF AGING, 2003, 24 (04) :521-536
[6]   Coexistence of Alzheimer-type neuropathology in Creutzfeldt-Jakob disease [J].
Hainfellner, JA ;
Wanschitz, J ;
Jellinger, K ;
Liberski, PP ;
Gullotta, F ;
Budka, H .
ACTA NEUROPATHOLOGICA, 1998, 96 (02) :116-122
[7]   Measurement of phosphorylated tau epitopes in the differential diagnosis of Alzheimer disease -: A comparative cerebrospinal fluid study [J].
Hampel, H ;
Buerger, K ;
Zinkowski, R ;
Teipel, SJ ;
Goernitz, A ;
Andreasen, N ;
Sjoegren, M ;
DeBernardis, J ;
Kerkman, D ;
Ishiguro, K ;
Ohno, H ;
Vanmechelen, E ;
Vanderstichele, H ;
McCulloch, C ;
Möller, HJ ;
Davies, P ;
Blennow, K .
ARCHIVES OF GENERAL PSYCHIATRY, 2004, 61 (01) :95-102
[8]   Advances in the development of biomarkers for Alzheimer's disease:: from CSF total tau and Aβ1-42 proteins to phosphorylated tau protein [J].
Hampel, H ;
Goernitz, A ;
Buerger, K .
BRAIN RESEARCH BULLETIN, 2003, 61 (03) :243-253
[9]   A METHOD OF COMPARING THE AREAS UNDER RECEIVER OPERATING CHARACTERISTIC CURVES DERIVED FROM THE SAME CASES [J].
HANLEY, JA ;
MCNEIL, BJ .
RADIOLOGY, 1983, 148 (03) :839-843
[10]   Large-scale, multicenter study of cerebrospinal fluid tau protein phosphorylated at serine 199 for the antemortem diagnosis of Alzheimer's disease [J].
Itoh, N ;
Arai, H ;
Urakami, K ;
Ishiguro, K ;
Ohno, H ;
Hampel, H ;
Buerger, K ;
Wiltfang, J ;
Otto, M ;
Kretzschmar, H ;
Moeller, HJ ;
Imagawa, M ;
Kohno, H ;
Nakashima, K ;
Kuzuhara, S ;
Sasaki, H ;
Imahori, K .
ANNALS OF NEUROLOGY, 2001, 50 (02) :150-156