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评估脑脊液 tau/β-淀粉样蛋白(42)比值作为阿尔茨海默病的诊断标志物。

Evaluation of cerebrospinal fluid tau/beta-amyloid(42) ratio as diagnostic markers for Alzheimer disease.

机构信息

Department of Biochemistry, Faculty of Medicine of Sousse, Sousse, Tunisia.

出版信息

Eur Neurol. 2009;62(6):349-55. doi: 10.1159/000241881. Epub 2009 Sep 26.

DOI:10.1159/000241881
PMID:19786779
Abstract

BACKGROUND

Alzheimer's disease (AD) is the leading cause of dementia. Currently, no definitive diagnostic test for AD exists. Cerebrospinal fluid (CSF) concentrations of amyloid beta (Abeta1-42) peptides and total tau proteins (T-tau) may serve as biomarkers for AD.

AIM

The objective of this study was to investigate the usefulness of CSF Abeta1-42 and T-tau analyses in the diagnosis of AD with Tunisians.

METHODS

We focused on three groups originating from Central Tunisian that matched in age (range 48-85): healthy controls (n = 53), AD patients (n = 93) and non-Alzheimer (nAD) dementia (n = 35) patients. Abeta1-42 and T-tau levels were measured in CSF by sandwich enzyme-linked immunosorbent assay.

RESULTS

The ratio of T-tau/Abeta1-42 at baseline yielded a sensitivity of 85.3% for detection of AD and the specificity was 84.8% to differentiate controls and nAD dementia.

CONCLUSION

Our findings confirm the use of T-tau/Abeta1-42 ratio in the discrimination of AD patients from all other patients.

摘要

背景

阿尔茨海默病(AD)是痴呆症的主要病因。目前,尚无针对 AD 的明确诊断测试。脑脊液(CSF)中淀粉样蛋白β(Abeta1-42)肽和总tau 蛋白(T-tau)的浓度可作为 AD 的生物标志物。

目的

本研究旨在探讨 CSF Abeta1-42 和 T-tau 分析在突尼斯人 AD 诊断中的作用。

方法

我们专注于三个来自突尼斯中部的年龄匹配的组(48-85 岁):健康对照组(n=53)、AD 患者组(n=93)和非阿尔茨海默病(nAD)痴呆症患者组(n=35)。通过夹心酶联免疫吸附测定法测量 CSF 中 Abeta1-42 和 T-tau 水平。

结果

基线时 T-tau/Abeta1-42 比值对 AD 的检测具有 85.3%的敏感性,特异性为 84.8%,可区分对照组和 nAD 痴呆症患者。

结论

我们的研究结果证实了 T-tau/Abeta1-42 比值在区分 AD 患者与所有其他患者中的作用。

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