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Current advances in plasma and cerebrospinal fluid biomarkers in Alzheimer's disease

Leuzy, Antoine LU ; Cullen, Nicholas C. LU ; Mattsson-Carlgren, Niklas LU orcid and Hansson, Oskar LU orcid (2021) In Current Opinion in Neurology 34(2). p.266-274
Abstract

PURPOSE OF REVIEW: This review provides a concise overview of recent advances in cerebrospinal fluid (CSF) and blood-based biomarkers of Alzheimer's disease lesions. RECENT FINDINGS: Important recent advances for CSF Alzheimer's disease biomarkers include the introduction of fully automated assays, the development and implementation of certified reference materials for CSF Aβ42 and a unified protocol for handling of samples, which all support reliability and availability of CSF Alzheimer's disease biomarkers. Aβ deposition can be detected using Aβ42/Aβ40 ratio in both CSF and plasma, though a much more modest change is seen in plasma. Tau aggregation can be detected using phosphorylated tau (P-tau) at threonine 181 and 217 in CSF, with... (More)

PURPOSE OF REVIEW: This review provides a concise overview of recent advances in cerebrospinal fluid (CSF) and blood-based biomarkers of Alzheimer's disease lesions. RECENT FINDINGS: Important recent advances for CSF Alzheimer's disease biomarkers include the introduction of fully automated assays, the development and implementation of certified reference materials for CSF Aβ42 and a unified protocol for handling of samples, which all support reliability and availability of CSF Alzheimer's disease biomarkers. Aβ deposition can be detected using Aβ42/Aβ40 ratio in both CSF and plasma, though a much more modest change is seen in plasma. Tau aggregation can be detected using phosphorylated tau (P-tau) at threonine 181 and 217 in CSF, with similar accuracy in plasma. Neurofilament light (NfL) be measured in CSF and shows similar diagnostic accuracy in plasma. Though total tau (T-tau) can also be measured in plasma, this measure is of limited clinical relevance for Alzheimer's disease in its current immunoassay format. SUMMARY: Alzheimer's disease biomarkers, including Aβ, P-tau and NfL can now be reliably measured in both CSF and blood. Plasma-based measures of P-tau show particular promise, with potential applications in both clinical practice and in clinical trials.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Current Opinion in Neurology
volume
34
issue
2
pages
9 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:85102657841
  • pmid:33470669
ISSN
1473-6551
DOI
10.1097/WCO.0000000000000904
language
English
LU publication?
yes
id
ca7bafdb-8c58-4948-857f-83f2d31b4b79
date added to LUP
2021-03-24 10:11:38
date last changed
2024-04-18 04:13:00
@article{ca7bafdb-8c58-4948-857f-83f2d31b4b79,
  abstract     = {{<p>PURPOSE OF REVIEW: This review provides a concise overview of recent advances in cerebrospinal fluid (CSF) and blood-based biomarkers of Alzheimer's disease lesions. RECENT FINDINGS: Important recent advances for CSF Alzheimer's disease biomarkers include the introduction of fully automated assays, the development and implementation of certified reference materials for CSF Aβ42 and a unified protocol for handling of samples, which all support reliability and availability of CSF Alzheimer's disease biomarkers. Aβ deposition can be detected using Aβ42/Aβ40 ratio in both CSF and plasma, though a much more modest change is seen in plasma. Tau aggregation can be detected using phosphorylated tau (P-tau) at threonine 181 and 217 in CSF, with similar accuracy in plasma. Neurofilament light (NfL) be measured in CSF and shows similar diagnostic accuracy in plasma. Though total tau (T-tau) can also be measured in plasma, this measure is of limited clinical relevance for Alzheimer's disease in its current immunoassay format. SUMMARY: Alzheimer's disease biomarkers, including Aβ, P-tau and NfL can now be reliably measured in both CSF and blood. Plasma-based measures of P-tau show particular promise, with potential applications in both clinical practice and in clinical trials.</p>}},
  author       = {{Leuzy, Antoine and Cullen, Nicholas C. and Mattsson-Carlgren, Niklas and Hansson, Oskar}},
  issn         = {{1473-6551}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{266--274}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Current Opinion in Neurology}},
  title        = {{Current advances in plasma and cerebrospinal fluid biomarkers in Alzheimer's disease}},
  url          = {{http://dx.doi.org/10.1097/WCO.0000000000000904}},
  doi          = {{10.1097/WCO.0000000000000904}},
  volume       = {{34}},
  year         = {{2021}},
}