Takata Manabu, Nakashima Manabu, Takehara Taro, Baba Hideyo, Machida Kazuyuki, Akitake Yoshiharu, Ono Kazuhiko, Hosokawa Masato, Takahashi Mitsuo
Department of Clinical Pharmacology, Faculty of Pharmaceutical Sciences, Fukuoka University, 8-19-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.
Neurosci Lett. 2008 Apr 18;435(2):126-30. doi: 10.1016/j.neulet.2008.02.019. Epub 2008 Feb 16.
To seek for a new valid biomarker using non-invasive specimens for the diagnosis of Alzheimer's disease (AD) and mild cognitive impairment (MCI), we carried out the detection of amyloid beta (Abeta) protein in urine. Ten-millilitre urine samples were first sedimented with trichloroacetic acid, and the pellets were resuspended for further analysis by Western blotting with anti-Abeta antibody. The detection sensitivity of the method was 40pg/ml. Rates of subjects positive for monomeric Abeta according to their clinical dementia rating (CDR) were 11.1% for CDR 0, 62.5% for CDR 0.5, 83.3% for CDR 1, 54.5% for CDR 2 and 0% for CDR 3. A single Abeta band relative to the CDR score reflects an alteration in the production, solubility and clearance of Abeta in the brain. Thus, the method could be used as both a diagnostic and monitoring tool in assessing AD and MCI patients during disease-modifying therapies.
为了寻找一种新的有效生物标志物,用于使用非侵入性标本诊断阿尔茨海默病(AD)和轻度认知障碍(MCI),我们对尿液中的淀粉样β蛋白(Aβ)进行了检测。首先用三氯乙酸沉淀10毫升尿液样本,将沉淀重悬后,用抗Aβ抗体通过蛋白质印迹法进行进一步分析。该方法的检测灵敏度为40pg/ml。根据临床痴呆评定量表(CDR),单体Aβ呈阳性的受试者比例为:CDR 0时为11.1%,CDR 0.5时为62.5%,CDR 1时为83.3%,CDR 2时为54.5%,CDR 3时为0%。相对于CDR评分的单一Aβ条带反映了大脑中Aβ的产生、溶解度和清除率的改变。因此,该方法可作为一种诊断和监测工具,用于在疾病修饰治疗期间评估AD和MCI患者。