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Tau and Abeta42 in cerebrospinal fluid from healthy adults 21-93 years of age: establishment of reference values

Sjogren, M ; Vanderstichele, H ; Agren, H ; Zachrisson, O ; Edsbagge, M ; Wikkelso, C ; Skoog, I ; Wallin, A ; Wahlund, L O and Marcusson, J , et al. (2001) In Clinical Chemistry 47(10). p.1776-1781
Abstract
BACKGROUND: Tau protein and the 42-amino acid form of beta-amyloid (Abeta42) measured in cerebrospinal fluid (CSF) have been proposed as potential biochemical diagnostic markers for Alzheimer disease. For the introduction of these assays in clinical practice, adequate reference values are of importance. METHODS: CSF samples were obtained from 231 neurologically and psychiatrically healthy individuals, 21-93 years of age, all with a MiniMental State examination score of 28 or above. Standardized ELISAs were used to measure tau and Abeta42 in CSF. Following IFCC recommendations, we used a rank-based method; the 0.90 and 0.10 fractiles were estimated to establish reference values for CSF-tau and CSF-Abeta42, respectively. Putative confounding... (More)
BACKGROUND: Tau protein and the 42-amino acid form of beta-amyloid (Abeta42) measured in cerebrospinal fluid (CSF) have been proposed as potential biochemical diagnostic markers for Alzheimer disease. For the introduction of these assays in clinical practice, adequate reference values are of importance. METHODS: CSF samples were obtained from 231 neurologically and psychiatrically healthy individuals, 21-93 years of age, all with a MiniMental State examination score of 28 or above. Standardized ELISAs were used to measure tau and Abeta42 in CSF. Following IFCC recommendations, we used a rank-based method; the 0.90 and 0.10 fractiles were estimated to establish reference values for CSF-tau and CSF-Abeta42, respectively. Putative confounding factors, such as the influence of the passage of proteins from peripheral blood to CSF, influence of dysfunction of the blood-brain barrier, and freezing and thawing of CSF, were investigated. RESULTS: A correlation with age was found for CSF-tau (r = 0.60; P <0.001). Therefore, separate reference values for different age groups were established for CSF-tau: <300 ng/L in the group 21-50 years of age, <450 ng/L in the group 51-70 years of age, and <500 ng/L in the group 71-93 years of age. CSF-Abeta42 did not correlate with age (r = -0.045), and the reference value was set to >500 ng/L. No correlation was found between blood-brain barrier function and CSF-tau or CSF-Abeta42. CONCLUSIONS: These reference values can be applied when using CSF-tau and CSF-Abeta42 in clinical practice. (Less)
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publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Chemistry
volume
47
issue
10
pages
1776 - 1781
publisher
American Association for Clinical Chemistry
external identifiers
  • wos:000171098600006
  • scopus:0034741554
ISSN
0009-9147
language
English
LU publication?
no
id
48525a17-5fd4-4171-b942-ea17f94c0602 (old id 1297344)
alternative location
http://www.clinchem.org/cgi/content/abstract/47/10/1776
date added to LUP
2016-04-01 12:10:14
date last changed
2022-04-21 03:25:57
@article{48525a17-5fd4-4171-b942-ea17f94c0602,
  abstract     = {{BACKGROUND: Tau protein and the 42-amino acid form of beta-amyloid (Abeta42) measured in cerebrospinal fluid (CSF) have been proposed as potential biochemical diagnostic markers for Alzheimer disease. For the introduction of these assays in clinical practice, adequate reference values are of importance. METHODS: CSF samples were obtained from 231 neurologically and psychiatrically healthy individuals, 21-93 years of age, all with a MiniMental State examination score of 28 or above. Standardized ELISAs were used to measure tau and Abeta42 in CSF. Following IFCC recommendations, we used a rank-based method; the 0.90 and 0.10 fractiles were estimated to establish reference values for CSF-tau and CSF-Abeta42, respectively. Putative confounding factors, such as the influence of the passage of proteins from peripheral blood to CSF, influence of dysfunction of the blood-brain barrier, and freezing and thawing of CSF, were investigated. RESULTS: A correlation with age was found for CSF-tau (r = 0.60; P &lt;0.001). Therefore, separate reference values for different age groups were established for CSF-tau: &lt;300 ng/L in the group 21-50 years of age, &lt;450 ng/L in the group 51-70 years of age, and &lt;500 ng/L in the group 71-93 years of age. CSF-Abeta42 did not correlate with age (r = -0.045), and the reference value was set to &gt;500 ng/L. No correlation was found between blood-brain barrier function and CSF-tau or CSF-Abeta42. CONCLUSIONS: These reference values can be applied when using CSF-tau and CSF-Abeta42 in clinical practice.}},
  author       = {{Sjogren, M and Vanderstichele, H and Agren, H and Zachrisson, O and Edsbagge, M and Wikkelso, C and Skoog, I and Wallin, A and Wahlund, L O and Marcusson, J and Nägga, Katarina and Andreasen, N and Davidsson, P and Vanmechelen, E and Blennow, K}},
  issn         = {{0009-9147}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{1776--1781}},
  publisher    = {{American Association for Clinical Chemistry}},
  series       = {{Clinical Chemistry}},
  title        = {{Tau and Abeta42 in cerebrospinal fluid from healthy adults 21-93 years of age: establishment of reference values}},
  url          = {{http://www.clinchem.org/cgi/content/abstract/47/10/1776}},
  volume       = {{47}},
  year         = {{2001}},
}