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Title
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A worldwide multicentre comparison of assays for cerebrospinal fluid biomarkers in Alzheimer's disease
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Author
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Abstract
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| Background: Different cerebrospinal fluid (CSF) amyloid-beta 142 (Aâ142), total Tau (Tau) and Tau phosphorylated at threonine 181 (P-Tau) levels are reported, but currently there is a lack of quality control programmes. The aim of this study was to compare the measurements of these CSF biomarkers, between and within centres. Methods: Three CSF-pool samples were distributed to 13 laboratories in 2004 and the same samples were again distributed to 18 laboratories in 2008. In 2004 six laboratories measured Aâ142, Tau and P-Tau and seven laboratories measured one or two of these marker(s) by enzyme-linked immunosorbent assays (ELISAs). In 2008, 12 laboratories measured all three markers, three laboratories measured one or two marker(s) by ELISAs and three laboratories measured the markers by Luminex. Results: In 2004, the ELISA intercentre coefficients of variance (interCV) were 31%, 21% and 13% for Aâ142, Tau and P-Tau, respectively. These were 37%, 16% and 15%, respectively, in 2008. When we restricted the analysis to the Innotest® (N = 13) for Aâ142, lower interCV were calculated (22%). The centres that participated in both years (N = 9) showed interCVs of 21%, 15% and 9% and intra-centre coefficients (intraCV) of variance of 25%,18% and 7% in 2008. Conclusions: The highest variability was found for Aâ142. The variabilities for Tau and P-Tau were lower in both years. The centres that participated in both years showed a high intraCV comparable to their interCV, indicating that there is not only a high variation between but also within centres. Besides a uniform standardization of (pre)analytical procedures, the same assay should be used to decrease the inter/intracentre variation. |
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Language
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English
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Source (journal)
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Annals of clinical biochemistry. - London, 1969, currens
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Publication
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London
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2009
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ISSN
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0004-5632
[print]
1758-1001
[online]
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DOI
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10.1258/ACB.2009.008232
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Volume/pages
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46
:3
(2009)
, p. 235-240
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ISI
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000266289800009
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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