CSF Aβ42 and tau in Parkinson's Disease with Cognitive Impairment

被引:142
作者
Montine, Thomas J. [1 ]
Shi, Min [1 ]
Quinn, Joseph F. [2 ]
Peskind, Elaine R. [3 ,4 ]
Craft, Suzanne [3 ,5 ]
Ginghina, Carmen [1 ]
Chung, Kathryn A. [2 ]
Kim, Hojoong [5 ,6 ]
Galasko, Douglas R. [7 ]
Jankovic, Joseph [8 ,9 ]
Zabetian, Cyrus P. [5 ,6 ]
Leverenz, James B. [4 ,6 ]
Zhang, Jing [1 ]
机构
[1] Univ Washington, Dept Pathol, Sch Med, Seattle, WA 98104 USA
[2] Oregon Hlth & Sci Univ, Dept Neurol, Portland, OR 97201 USA
[3] Univ Washington, Dept Psychiat & Behav Sci, Sch Med, Seattle, WA 98104 USA
[4] VA Puget Sound Hlth Care Syst, Educ & Clin Ctr, VA NW Network Mental Illness Res, Seattle, WA USA
[5] VA Puget Sound Hlth Care Syst, Ctr Geriatr Res Educ & Clin, Seattle, WA USA
[6] Univ Washington, Dept Neurol, Sch Med, Seattle, WA 98104 USA
[7] Univ Calif San Diego, Dept Neurosci, San Diego, CA 92103 USA
[8] Baylor Coll Med, Parkinsons Dis Ctr, Houston, TX 77030 USA
[9] Baylor Coll Med, Dept Neurol, Movement Disorders Clin, Houston, TX 77030 USA
关键词
Parkinson's disease; cognitive impairment; CSF biomarkers; A beta(42); tau; CEREBROSPINAL-FLUID; ALZHEIMERS-DISEASE; BIOMARKERS; DEMENTIA; RATIO; BETA;
D O I
10.1002/mds.23287
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We tested the hypothesis that the CSF biomarker signature associated with Alzheimer's disease (AD) is present in a subset of individuals with Parkinson's disease and Dementia (PD-D) or with PD and Cognitive Impairment, Not Dementia (PD-CIND). We quantified CSF A beta(42), total tau (T-tau), and phospho-tau (P181-tau) using commercially available kits. Samples were from 345 individuals in seven groups (n): Controls <= 50 years (35), Controls > 50 years (115), amnestic Mild Cognitive Impairment (aMCI) (24), AD (49), PD (49), PD-CIND (62), and PD-D (11). We observed expected changes in AD or aMCI compared with age-matched or younger controls. CSF Ab42 was reduced in PD-CIND (P < 0.05) and PD-D (P < 0.01), whereas average CSF T-tau and P181-tau were unchanged or decreased. One-third of PD-CIND and one-half of PD-D patients had the biomarker signature of AD. Abnormal metabolism of Ab42 may be a common feature of PD-CIND and PD-D. (c) 2010 Movement Disorder Society
引用
收藏
页码:2682 / 2685
页数:4
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