EVOLUTION OF Aβ42 AND Aβ40 LEVELS AND Aβ42/Aβ40 RATIO IN PLASMA DURING PROGRESSION OF ALZHEIMER'S DISEASE: A MULTICENTER ASSESSMENT

被引:44
作者
Blennow, K. [2 ]
De Meyer, G. [1 ]
Hansson, O. [3 ]
Minthon, L. [3 ]
Wallin, A.
Zetterberg, H. [2 ]
Lewczuk, P.
Vanderstichele, H. [1 ]
Vanmechelen, E. [1 ]
Kornhuber, J. [6 ]
Wiltfang, J. [5 ]
机构
[1] Innogenetics, Ghent, Belgium
[2] Univ Gothenburg, Sahlgrenska Univ Hosp, Gothenburg, Sweden
[3] Lund Univ, Clin Memory Res Unit, Dept Clin Sci, Dept Psychiat, Malmo, Sweden
[4] Campus Benjamin Franklin, Charite, KND Study Grp, Berlin, Germany
[5] Univ Duisburg Essen, Kliniken Inst, Essen, Germany
[6] Univ Hosp Erlangen, Dept Psychiat, Erlangen, Germany
关键词
MILD COGNITIVE IMPAIRMENT; AMYLOID-BETA CONCENTRATIONS; CSF BIOMARKERS; A-BETA; CEREBROSPINAL-FLUID; DEMENTIA; RISK; ASSOCIATION; STABILITY; PROTEIN;
D O I
10.1007/s12603-009-0059-0
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
Objective: To better understand the seemingly contradictory plasma beta-amyloid (A beta) results in Alzheimer's disease (AD) patients by using a newly developed plasma A beta assay, the INNO-BIA plasma A beta forms, in a multicenter study. Methods: A combined retrospective analysis of plasma A beta isoforms on mild cognitive impairment (MCI) from three large cross-sectional studies involving 643 samples from the participating German and Swedish centers. Results: Detection modules based on two different amino (N)-terminal specific A beta monoclonal antibodies demonstrated that A beta in plasma could be reliable quantified using a sandwich immunoassay technology with high precision, even for low A beta 42 plasma concentrations. A beta 40 and A beta 42 concentrations varied consistently with the ApoE genotype, while the A beta 42/A beta 40 ratio did not. Irrespective of the decrease of the A beta 42/A beta 40 ratio with age and MMSE, this parameter was strongly associated with AD, as defined in this study by elevated hyperphosphorylated (P-tau181P) levels in cerebrospinal fluid (CSF). Conclusion: A highly robust assay for repeatedly measuring A beta forms in plasma such as INNO-BIA plasma A beta forms might be a useful tool in a future risk assessment of AD.
引用
收藏
页码:205 / 208
页数:4
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