Title
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Inflammatory biomarkers in Alzheimer's disease plasma
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Author
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Abstract
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Introduction Plasma biomarkers for Alzheimer's disease (AD) diagnosis/stratification are a “Holy Grail” of AD research and intensively sought; however, there are no well-established plasma markers. Methods A hypothesis-led plasma biomarker search was conducted in the context of international multicenter studies. The discovery phase measured 53 inflammatory proteins in elderly control (CTL; 259), mild cognitive impairment (MCI; 199), and AD (262) subjects from AddNeuroMed. Results Ten analytes showed significant intergroup differences. Logistic regression identified five (FB, FH, sCR1, MCP-1, eotaxin-1) that, age/APOε4 adjusted, optimally differentiated AD and CTL (AUC: 0.79), and three (sCR1, MCP-1, eotaxin-1) that optimally differentiated AD and MCI (AUC: 0.74). These models replicated in an independent cohort (EMIF; AUC 0.81 and 0.67). Two analytes (FB, FH) plus age predicted MCI progression to AD (AUC: 0.71). Discussion Plasma markers of inflammation and complement dysregulation support diagnosis and outcome prediction in AD and MCI. Further replication is needed before clinical translation. |
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Language
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English
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Source (journal)
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Alzheimer's & dementia / Alzheimer’s Association [Chicago, Ill.] - Orlando, Fla, 2005, currens
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Publication
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Orlando, Fla
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Elsevier
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2019
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ISSN
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1552-5260
[print]
1552-5279
[online]
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DOI
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10.1016/J.JALZ.2019.03.007
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Volume/pages
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15
:6
(2019)
, p. 776-787
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ISI
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000470084500005
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Pubmed ID
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31047856
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Full text (Publisher's DOI)
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Full text (open access)
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