Fluctuations of CSF amyloid-β levels -: Implications for a diagnostic and therapeutic biomarker

被引:200
作者
Bateman, Randall J.
Wen, Guolin
Morris, John C.
Holtzman, David M.
机构
[1] Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63110 USA
[2] Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA
[3] Washington Univ, Sch Med, Dept Mol Biol & Pharmacol, St Louis, MO 63110 USA
[4] Washington Univ, Sch Med, Alzheimers Dis Res Ctr, St Louis, MO 63110 USA
[5] Washington Univ, Sch Med, Hope Ctr Neurol Disorders, St Louis, MO 63110 USA
关键词
D O I
10.1212/01.wnl.0000256043.50901.e3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To investigate the stability and time course of human CSF amyloid-beta (A beta) levels over hours. Methods: Fifteen nondemented participants had CSF sampled hourly for up to 36 hours via indwelling lumbar catheter. CSF A beta(1-x), A beta(1-40), and A beta(1-42) were measured by ELISA in each hourly CSF sample. Results: Significant variation in A beta levels of 1.5- to fourfold was detected over 36 hours of serially sampling in individual subjects. A beta(40), A beta(42), and A beta(1-X) are highly correlated over time indicating that similar processes likely regulate the level of these species. On average, the fluctuations of A beta levels appear to be time of day or activity dependent. Conclusion: Diagnostic and therapeutic trials that measure A beta should control for the time of CSF sampling to minimize variability.
引用
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页码:666 / 669
页数:4
相关论文
共 15 条
[1]   Cerebrospinal fluid β-amyloid(1-42) in Alzheimer disease -: Differences between early- and late-onset Alzheimer disease and stability during the course of disease [J].
Andreasen, N ;
Hesse, C ;
Davidsson, P ;
Minthon, L ;
Wallin, A ;
Winblad, B ;
Vanderstichele, H ;
Vanmechelen, E ;
Blennow, K .
ARCHIVES OF NEUROLOGY, 1999, 56 (06) :673-680
[2]   Human amyloid-β synthesis and clearance rates as measured in cerebrospinal fluid in vivo [J].
Bateman, Randall J. ;
Munsell, Ling Y. ;
Morris, John C. ;
Swarm, Robert ;
Yarasheski, Kevin E. ;
Holtzman, David M. .
NATURE MEDICINE, 2006, 12 (07) :856-861
[3]   Synaptic activity regulates interstitial fluid amyloid-β levels in vivo [J].
Cirrito, JR ;
Yamada, KA ;
Finn, MB ;
Sloviter, RS ;
Bales, KR ;
May, PC ;
Schoepp, DD ;
Paul, SM ;
Mennerick, S ;
Holtzman, DM .
NEURON, 2005, 48 (06) :913-922
[4]  
Cirrito JR, 2003, J NEUROSCI, V23, P8844
[5]   Inverse relation between in vivo amyloid imaging load and cerebrospinal fluid Aβ42 in humans [J].
Fagan, AM ;
Mintun, MA ;
Mach, RH ;
Lee, SY ;
Dence, CS ;
Shah, AR ;
LaRossa, GN ;
Spinner, ML ;
Klunk, WE ;
Mathis, CA ;
DeKosky, ST ;
Morris, JC ;
Holtzman, DM .
ANNALS OF NEUROLOGY, 2006, 59 (03) :512-519
[6]   Biochemical detection of Aβ isoforms:: implications for pathogenesis, diagnosis, and treatment of Alzheimer's disease [J].
Golde, TE ;
Eckman, CB ;
Younkin, SG .
BIOCHIMICA ET BIOPHYSICA ACTA-MOLECULAR BASIS OF DISEASE, 2000, 1502 (01) :172-187
[7]   Cerebrospinal fluid sulfatide is decreased in subjects with incipient dementia [J].
Han, XL ;
Fagan, AM ;
Cheng, H ;
Morris, JC ;
Xiong, CJ ;
Holtzman, DM .
ANNALS OF NEUROLOGY, 2003, 54 (01) :115-119
[8]   Association between CSF biomarkers and incipient Alzheimer's disease in patients with mild cognitive impairment: a follow-up study. (vol 5, pg 228, 2006) [J].
Hansson, O ;
Zetterberg, H ;
Buchlave, P ;
Londos, E ;
Blennow, K ;
Minthon, L .
LANCET NEUROLOGY, 2006, 5 (04) :293-293
[9]   Medicine - The amyloid hypothesis of Alzheimer's disease: Progress and problems on the road to therapeutics [J].
Hardy, J ;
Selkoe, DJ .
SCIENCE, 2002, 297 (5580) :353-356
[10]   APP processing and synaptic function [J].
Kamenetz, F ;
Tomita, T ;
Hsieh, H ;
Seabrook, G ;
Borchelt, D ;
Iwatsubo, T ;
Sisodia, S ;
Malinow, R .
NEURON, 2003, 37 (06) :925-937