1. Amyloidogenic Nanoplaques in Cerebrospinal Fluid: Relationship to Amyloid Brain Uptake and Clinical Alzheimer's Disease in a Memory Clinic Cohort.
- Author
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Aksnes M, Müller EG, Tiiman A, Edwin TH, Terenius L, Revheim ME, Vukojević V, Bogdanović N, and Knapskog AB
- Subjects
- Aged, Alzheimer Disease diagnostic imaging, Biomarkers cerebrospinal fluid, Brain diagnostic imaging, Cohort Studies, Female, Humans, Male, Middle Aged, Plaque, Amyloid diagnostic imaging, Positron-Emission Tomography methods, Alzheimer Disease cerebrospinal fluid, Amyloid cerebrospinal fluid, Brain metabolism, Nanoparticles metabolism, Outpatient Clinics, Hospital, Plaque, Amyloid cerebrospinal fluid
- Abstract
Background: Aggregation of amyloid-β (Aβ) is an early pathological event in Alzheimer's disease (AD). Consequently, measures of pathogenic aggregated Aβ are attractive biomarkers for AD. Here, we use a recently developed Thioflavin-T-Fluorescence Correlation Spectroscopy (ThT-FCS) assay to quantify structured ThT-responsive protein aggregates, so-called nanoplaques, in the cerebrospinal fluid (CSF)., Objective: The overall aim of this work was to assess whether ThT-FCS determined CSF nanoplaque levels could predict amyloid brain uptake as determined by 18F-Flutemetamol PET analysis. Further, we assess whether nanoplaque levels could predict clinical AD., Methods: Nanoplaque levels in the CSF from 54 memory clinic patients were compared between sub-groups classified by 18F-Flutemetamol PET as amyloid-positive or amyloid-negative, and by clinical assessment as AD or non-AD., Results: Nanoplaque levels did not differ between amyloid groups and could not predict brain amyloid uptake. However, nanoplaque levels were significantly increased in patients with clinical AD, and were significant predictors for AD when adjusting for age, sex, cognitive function, and apolipoprotein E (APOE) genotype., Conclusion: The concentration of nanoplaques in the CSF differentiates patients with clinical AD from non-AD patients.
- Published
- 2020
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