Comparative methods for quantifying plasma biomarkers in Alzheimer's disease: Implications for the next frontier in cerebral amyloid angiopathy diagnostics DOI Creative Commons
Ryan T. Muir, Zahinoor Ismail, Sandra E. Black

et al.

Alzheimer s & Dementia, Journal Year: 2023, Volume and Issue: 20(2), P. 1436 - 1458

Published: Oct. 31, 2023

Plasma amyloid beta (Aβ) and tau are emerging as accessible biomarkers for Alzheimer's disease (AD). However, many assays exist with variable test performances, highlighting the need a comparative assessment to identify most valid future use in AD apply other settings which same may be useful, namely, cerebral angiopathy (CAA). CAA is progressive cerebrovascular characterized by deposition of Aβ

Language: Английский

Definition of a Threshold for the Plasma Aβ42/Aβ40 Ratio Measured by Single-Molecule Array to Predict the Amyloid Status of Individuals without Dementia DOI Open Access
Lise Colmant, Emilien Boyer, Thomas Gérard

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(2), P. 1173 - 1173

Published: Jan. 18, 2024

Alzheimer's disease (AD) is characterized by amyloid beta (Aβ) plaques and hyperphosphorylated tau in the brain. Aβ precede cognitive impairments can be detected through amyloid-positron emission tomography (PET) or cerebrospinal fluid (CSF). Assessing plasma Aβ42/Aβ40 ratio seems promising for non-invasive cost-effective detection of brain accumulation. This approach involves some challenges, including accuracy blood-based biomarker measurements establishment clear, standardized thresholds to categorize risk developing pathology. Plasma was measured 277 volunteers without dementia, 70 AD patients 18 non-AD using single-molecule array. Patients (

Language: Английский

Citations

6

Consensus on rapid screening for prodromal Alzheimer’s disease in China DOI Creative Commons
Lin Huang,

Qinjie Li,

Yao Lu

et al.

General Psychiatry, Journal Year: 2024, Volume and Issue: 37(1), P. e101310 - e101310

Published: Feb. 1, 2024

Alzheimer’s disease (AD) is a common cause of dementia, characterised by cerebral amyloid-β deposition, pathological tau and neurodegeneration. The prodromal stage AD (pAD) refers to patients with mild cognitive impairment (MCI) evidence AD’s pathology. At this stage, disease-modifying interventions should be used prevent the progression dementia. Given inherent heterogeneity MCI, more specific biomarkers are needed elucidate underlying Although uses cerebrospinal fluid positron emission tomography widely accepted methods for detecting pathology, their clinical applications limited high costs invasiveness, particularly in low-income areas China. Therefore, improve early detection Alzheimer's pathology through cost-effective screening methods, panel 45 neurologists, psychiatrists gerontologists was invited establish formal consensus on pAD supportive grades recommendations based systematic literature review focus group discussion. National meetings were held allow participants review, vote provide expert opinions reach consensus. A majority (two-thirds) decision questions which could not reached. Recommended presented publication, including neuropsychological assessment, peripheral brain imaging. In addition, general workflow China established, will help clinicians identify individuals at risk determine therapeutic targets.

Language: Английский

Citations

6

Biomarkers of Alzheimer’s disease: Past, present and future clinical use DOI Creative Commons

Joanna Georgakas,

Matthew D. Howe, Louisa I. Thompson

et al.

Biomarkers in Neuropsychiatry, Journal Year: 2023, Volume and Issue: 8, P. 100063 - 100063

Published: April 18, 2023

Alzheimer's disease (AD) is an age-related neurodegenerative and the leading cause of dementia worldwide. AD associated with several neuropathologic changes including progressive accumulation extracellular amyloid-β (Aβ) plaques, intracellular neurofibrillary tau tangles, neuroinflammation, cerebral small vessel neurodegeneration, many which are known to begin years before onset clinical symptoms. As such, there a growing interest in developing biomarkers that can be used detect these brains at-risk individuals facilitate earlier more accurate diagnosis. This may allow for intervention disease-modifying therapies slow progression irreversible neurodegeneration improve quality life. The current review seeks provide concise overview neuropathology genetics underlying AD, then summarize most promising clinically available experimental AD. These include structural neuroimaging, functional magnetic resonance imaging (fMRI), positron emission tomography (PET), cerebrospinal fluid (CSF), blood-based assays. Multiple potential uses described, screening populations disease, aiding differential diagnosis mild cognitive impairment (MCI), monitoring impact lifestyle modifying therapies, identification treatment neuropsychiatric symptoms dementia, planning end life care. Finally, additional areas future research discussed, replication biomarker studies diverse patient cohorts, characterization real-world psychological impacts testing, as well novel currently under investigation.

Language: Английский

Citations

15

MRI and fluid biomarkers reveal determinants of myelin and axonal loss with aging DOI Creative Commons
Keenan A. Walker, Michael R. Duggan, Zhaoyuan Gong

et al.

Annals of Clinical and Translational Neurology, Journal Year: 2023, Volume and Issue: 10(3), P. 397 - 407

Published: Feb. 10, 2023

Abstract Objective White matter damage is a feature of Alzheimer's disease, yet little known about how facets the disease process relate to key features white structure. We examined association (Aß 42/40 ratio; pTau181), neuronal injury (NfL), and reactive astrogliosis (GFAP) biomarkers with MRI measures myelin content axonal density. Methods Among cognitively normal participants in BLSA GESTALT studies who received (defined by water fraction [MWF]) density neurite index [NDI]), we quantified plasma levels Aβ 42 , 40 pTau181, NfL, GFAP. Linear regression models adjusted for demographic variables were used these biomarker measures. Results In total, 119 MWF imaging (age: 56 [SD 21]), which 43 NDI 50 18]). found no relationship between total brain content. However, secondary analysis higher GFAP was associated lower temporal lobes ( ß = −0.13; P 0.049). Further, NfL −0.22; 0.009) −0.29; 0.002) Secondary analyses ratio pTau181 also density, but only select regions. These results remained similar after additionally adjusting cardiovascular risk factors. Interpretation Plasma are reduced region‐specific Axonal loss demyelination may co‐occur neurodegeneration ahead clinically meaningful cognitive decline.

Language: Английский

Citations

14

Comparative methods for quantifying plasma biomarkers in Alzheimer's disease: Implications for the next frontier in cerebral amyloid angiopathy diagnostics DOI Creative Commons
Ryan T. Muir, Zahinoor Ismail, Sandra E. Black

et al.

Alzheimer s & Dementia, Journal Year: 2023, Volume and Issue: 20(2), P. 1436 - 1458

Published: Oct. 31, 2023

Plasma amyloid beta (Aβ) and tau are emerging as accessible biomarkers for Alzheimer's disease (AD). However, many assays exist with variable test performances, highlighting the need a comparative assessment to identify most valid future use in AD apply other settings which same may be useful, namely, cerebral angiopathy (CAA). CAA is progressive cerebrovascular characterized by deposition of Aβ

Language: Английский

Citations

13