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脑脊液多分析物谱可区分阿尔茨海默病和帕金森病。

CSF multianalyte profile distinguishes Alzheimer and Parkinson diseases.

作者信息

Zhang Jing, Sokal Izabela, Peskind Elaine R, Quinn Joseph F, Jankovic Joseph, Kenney Christopher, Chung Kathryn A, Millard Steven P, Nutt John G, Montine Thomas J

机构信息

Department of Pathology, University of Washington School of Medicine, Seattle, WA 98104, USA.

出版信息

Am J Clin Pathol. 2008 Apr;129(4):526-9. doi: 10.1309/W01Y0B808EMEH12L.

Abstract

The therapeutic imperative for Alzheimer disease (AD) and Parkinson disease (PD) calls for discovery and validation of biomarkers. Increased cerebrospinal fluid (CSF) tau and decreased amyloid (A) beta42 have been validated as biomarkers of AD. In contrast, there is no validated CSF biomarker for PD. We validated our proteomics-discovered multianalyte profile (MAP) in CSF from 95 control subjects, 48 patients with probable AD, and 40 patients with probable PD. An optimal 8-member MAP agreed with expert diagnosis for 90 control subjects (95%), 36 patients with probable AD (75%), and 38 patients with probable PD (95%). This MAP consisted of the following (in decreasing order of contribution): tau, brain-derived neurotrophic factor, interleukin 8, Abeta42, beta2-microglobulin, vitamin D binding protein, apolipoprotein (apo) AII, and apoE. This first large-scale validation of a proteomic-discovered MAP suggests a panel of 8 CSF proteins that are highly effective at identifying PD and moderately effective at identifying AD.

摘要

阿尔茨海默病(AD)和帕金森病(PD)的治疗需求促使人们去发现和验证生物标志物。脑脊液(CSF)中tau蛋白水平升高和淀粉样蛋白(A)β42水平降低已被确认为AD的生物标志物。相比之下,尚无经证实的PD脑脊液生物标志物。我们在95名对照受试者、48名可能患有AD的患者和40名可能患有PD的患者的脑脊液中验证了我们通过蛋白质组学发现的多分析物谱(MAP)。一个由8种成分组成的最佳MAP与专家诊断结果相符的情况如下:90名对照受试者(95%)、36名可能患有AD的患者(75%)以及38名可能患有PD患者(95%)。该MAP由以下成分组成(按贡献程度从高到低排列):tau蛋白、脑源性神经营养因子、白细胞介素8、Aβ42、β2-微球蛋白、维生素D结合蛋白、载脂蛋白(apo)AII和载脂蛋白E。对通过蛋白质组学发现的MAP进行的首次大规模验证表明,一组8种脑脊液蛋白在识别PD方面非常有效,在识别AD方面有一定效果。

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