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Correlations of CSF tau and amyloid levels with Alzheimer pathology in neuropathologically verified dementia with Lewy bodies.

Brunnström, Hans LU orcid ; Hansson, Oskar LU orcid ; Zetterberg, Henrik ; Londos, Elisabet LU and Englund, Elisabet LU orcid (2013) In International Journal of Geriatric Psychiatry 28(7). p.738-744
Abstract
OBJECTIVE:

The presence of concomitant Alzheimer pathology has been linked to earlier death in cases with dementia with Lewy bodies (DLB). Recently, elevated cerebrospinal fluid (CSF) tau protein levels have been reported to be associated with shorter survival in clinically diagnosed DLB. Correlations between CSF biomarkers and neuropathological findings in DLB are missing. The aim of this study was to investigate correlations between CSF biomarker levels and histopathological findings, with a focus on concomitant Alzheimer pathology, in neuropathologically verified DLB cases.



METHODS:

The extent of neurofibrillary pathology (Braak stage), neuritic plaques (CERAD stage), Alzheimer pathology (PPAD9... (More)
OBJECTIVE:

The presence of concomitant Alzheimer pathology has been linked to earlier death in cases with dementia with Lewy bodies (DLB). Recently, elevated cerebrospinal fluid (CSF) tau protein levels have been reported to be associated with shorter survival in clinically diagnosed DLB. Correlations between CSF biomarkers and neuropathological findings in DLB are missing. The aim of this study was to investigate correlations between CSF biomarker levels and histopathological findings, with a focus on concomitant Alzheimer pathology, in neuropathologically verified DLB cases.



METHODS:

The extent of neurofibrillary pathology (Braak stage), neuritic plaques (CERAD stage), Alzheimer pathology (PPAD9 stage) and cerebral amyloid angiopathy was assessed in 16 cases with DLB in whom total tau (T-tau), hyperphosphorylated tau and amyloid beta 1-42 (Aβ42) protein levels in CSF had been analyzed in vivo. Demographic and clinical data were collected.



RESULTS:

Both Braak and PPAD9 stages were inversely correlated with Aβ42 levels, whereas CERAD stage showed no significant correlations. Cerebral amyloid angiopathy correlated positively with T-tau and T-tau/Aβ42 ratio, and inversely with Aβ42 levels, but the group showed a very heterogeneous extent of cerebral amyloid angiopathy.



CONCLUSIONS:

The burden of concomitant Alzheimer pathology correlates with CSF Aβ42 but not with T-tau levels in cases with neuropathologically defined DLB. Copyright © 2012 John Wiley & Sons, Ltd. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Geriatric Psychiatry
volume
28
issue
7
pages
738 - 744
publisher
John Wiley & Sons Inc.
external identifiers
  • wos:000319944200009
  • pmid:22911491
  • scopus:84878765032
  • pmid:22911491
ISSN
1099-1166
DOI
10.1002/gps.3881
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Clinical Memory Research Unit (013242610), Pathology, (Lund) (013030000)
id
4546ad94-33eb-4f25-8d0a-977cb3c45f21 (old id 3047326)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22911491?dopt=Abstract
date added to LUP
2016-04-01 10:53:25
date last changed
2022-03-27 20:31:48
@article{4546ad94-33eb-4f25-8d0a-977cb3c45f21,
  abstract     = {{OBJECTIVE: <br/><br>
The presence of concomitant Alzheimer pathology has been linked to earlier death in cases with dementia with Lewy bodies (DLB). Recently, elevated cerebrospinal fluid (CSF) tau protein levels have been reported to be associated with shorter survival in clinically diagnosed DLB. Correlations between CSF biomarkers and neuropathological findings in DLB are missing. The aim of this study was to investigate correlations between CSF biomarker levels and histopathological findings, with a focus on concomitant Alzheimer pathology, in neuropathologically verified DLB cases. <br/><br>
<br/><br>
METHODS: <br/><br>
The extent of neurofibrillary pathology (Braak stage), neuritic plaques (CERAD stage), Alzheimer pathology (PPAD9 stage) and cerebral amyloid angiopathy was assessed in 16 cases with DLB in whom total tau (T-tau), hyperphosphorylated tau and amyloid beta 1-42 (Aβ42) protein levels in CSF had been analyzed in vivo. Demographic and clinical data were collected. <br/><br>
<br/><br>
RESULTS: <br/><br>
Both Braak and PPAD9 stages were inversely correlated with Aβ42 levels, whereas CERAD stage showed no significant correlations. Cerebral amyloid angiopathy correlated positively with T-tau and T-tau/Aβ42 ratio, and inversely with Aβ42 levels, but the group showed a very heterogeneous extent of cerebral amyloid angiopathy. <br/><br>
<br/><br>
CONCLUSIONS: <br/><br>
The burden of concomitant Alzheimer pathology correlates with CSF Aβ42 but not with T-tau levels in cases with neuropathologically defined DLB. Copyright © 2012 John Wiley &amp; Sons, Ltd.}},
  author       = {{Brunnström, Hans and Hansson, Oskar and Zetterberg, Henrik and Londos, Elisabet and Englund, Elisabet}},
  issn         = {{1099-1166}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{738--744}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{International Journal of Geriatric Psychiatry}},
  title        = {{Correlations of CSF tau and amyloid levels with Alzheimer pathology in neuropathologically verified dementia with Lewy bodies.}},
  url          = {{http://dx.doi.org/10.1002/gps.3881}},
  doi          = {{10.1002/gps.3881}},
  volume       = {{28}},
  year         = {{2013}},
}