Alzheimer s & Dementia,
Journal Year:
2023,
Volume and Issue:
20(3), P. 1753 - 1770
Published: Dec. 17, 2023
Abstract
INTRODUCTION
We
investigated
whether
novel
plasma
biomarkers
are
associated
with
cognition,
cognitive
decline,
and
functional
independence
in
activities
of
daily
living
across
within
neurodegenerative
diseases.
METHODS
Glial
fibrillary
acidic
protein
(GFAP),
neurofilament
light
chain
(NfL),
phosphorylated
tau
(p‐tau)181
amyloid
beta
(Aβ)
42/40
were
measured
using
ultra‐sensitive
Simoa
immunoassays
44
healthy
controls
480
participants
diagnosed
Alzheimer's
disease/mild
impairment
(AD/MCI),
Parkinson's
disease
(PD),
frontotemporal
dementia
(FTD)
spectrum
disorders,
or
cerebrovascular
(CVD).
RESULTS
GFAP,
NfL,
and/or
p‐tau181
elevated
among
all
diseases
compared
to
controls,
broadly
worse
baseline
performance,
greater
lower
independence.
While
highly
predictive
diseases,
was
more
specific
the
AD/MCI
cohort.
Sparse
associations
found
FTD
CVD
cohorts
for
Aβ
.
DISCUSSION
valuable
predictors
cognition
function
common
may
be
useful
specialized
clinics
clinical
trials.
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
20(6), P. 4199 - 4211
Published: May 16, 2024
Plasma
biomarkers
of
Alzheimer's
disease
and
related
dementias
predict
global
cognitive
performance
decline
over
time;
it
remains
unclear
how
they
associate
with
changes
in
different
dementia
syndromes
affecting
distinct
domains.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(2), P. 1158 - 1158
Published: Jan. 18, 2024
Polycystic
ovary
syndrome
(PCOS)
is
the
most
common
endocrine
condition
in
women
of
reproductive
age,
and
several
risk
factors
found
PCOS
are
associated
with
an
increased
Alzheimer's
disease
(AD).
Proteins
AD
have
been
reported
to
include
fibronectin
(FN)
fragments
3
4
(FN1.3
FN1.4,
respectively)
ApoE.
We
hypothesized
that
Alzheimer-related
proteins
would
be
dysregulated
because
insulin
resistance
obesity.
In
this
comparative
cross-sectional
analysis,
aptamer-based
SomaScan
proteomic
analysis
for
detection
plasma
was
undertaken
a
biobank
143
97
control
women.
Amyloid
precursor
protein
(APP)
(p
<
0.05)
amyloid
P-component
(APCS)
0.001)
were
elevated
PCOS,
while
alpha-synuclein
(SNCA)
reduced
PCOS.
Associations
protective
heat
shock
(HSPs)
showed
SNCA
positively
correlated
HSP90
0.0001)
HSP60
both
Correlations
markers
inflammation
APCS
interleukin
6
(IL6)
=
0.04),
Apolipoprotein
(Apo)
E3
TNF-alpha
0.02).
FN,
FN1.3,
FN1.4
ApoE
all
significantly
0.05).
An
AD-associated
pattern
addition
APP
SNCA,
which
same
as
type
2
diabetes
(T2D)
with,
additionally,
elevation
APCS.
With
biomarker
being
very
similar
T2D,
where
there
association
between
suggests
larger
prospective
cohort
studies
needed
determine
if
causal
AD.
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
20(8), P. 5617 - 5628
Published: June 28, 2024
Abstract
BACKGROUND
This
study
investigated
the
potential
of
phosphorylated
plasma
Tau217
ratio
(pTau217R)
and
amyloid
beta
(Aβ)
42/Aβ40
in
predicting
brain
levels
measured
by
positron
emission
tomography
(PET)
Centiloid
(CL)
for
Alzheimer's
disease
(AD)
staging
screening.
METHODS
Quantification
pTau217R
Aβ42/Aβ40
employed
immunoprecipitation‐mass
spectrometry.
CL
prediction
models
were
developed
on
a
cohort
904
cognitively
unimpaired,
preclinical
early
AD
subjects
validated
two
independent
cohorts.
RESULTS
Models
integrating
outperformed
alone,
up
to
89.1
CL.
High
area
under
receiver
operating
characteristic
curve
(AUROC)
values
(89.3%
94.7%)
observed
across
broad
range
(15
90).
Utilizing
pTau217R‐based
low
reduced
PET
scans
70.5%
78.6%.
DISCUSSION
effectively
predicts
levels,
surpassing
cerebrospinal
fluid
Aβ42/Aβ40's
range.
Combining
it
with
enhances
sensitivity
detection,
reducing
unnecessary
expanding
clinical
utility.
CLINICALTRIALS.GOV
IDENTIFIERS
NCT02956486
(MissionAD1),
NCT03036280
(MissionAD2),
NCT04468659
(AHEAD3‐45),
NCT03887455
(ClarityAD)
Highlights
Phosphorylated
amyloid‐PET
spectrum.
Integrating
extends
upper
limit
Combined
model
status
high
accuracy,
especially
unimpaired
individuals.
identifies
above
or
below
various
thresholds
accuracy.
significantly
reduce
78.6%
screening
out
individuals
no/low
amyloid.
Alzheimer s & Dementia,
Journal Year:
2023,
Volume and Issue:
20(3), P. 1753 - 1770
Published: Dec. 17, 2023
Abstract
INTRODUCTION
We
investigated
whether
novel
plasma
biomarkers
are
associated
with
cognition,
cognitive
decline,
and
functional
independence
in
activities
of
daily
living
across
within
neurodegenerative
diseases.
METHODS
Glial
fibrillary
acidic
protein
(GFAP),
neurofilament
light
chain
(NfL),
phosphorylated
tau
(p‐tau)181
amyloid
beta
(Aβ)
42/40
were
measured
using
ultra‐sensitive
Simoa
immunoassays
44
healthy
controls
480
participants
diagnosed
Alzheimer's
disease/mild
impairment
(AD/MCI),
Parkinson's
disease
(PD),
frontotemporal
dementia
(FTD)
spectrum
disorders,
or
cerebrovascular
(CVD).
RESULTS
GFAP,
NfL,
and/or
p‐tau181
elevated
among
all
diseases
compared
to
controls,
broadly
worse
baseline
performance,
greater
lower
independence.
While
highly
predictive
diseases,
was
more
specific
the
AD/MCI
cohort.
Sparse
associations
found
FTD
CVD
cohorts
for
Aβ
.
DISCUSSION
valuable
predictors
cognition
function
common
may
be
useful
specialized
clinics
clinical
trials.