Sharma Neeti, Singh Anshika Nikita
Assistant Professor, Symbiosis School of Biomedical Sciences, Symbiosis International University , Lavale, Pune, Maharashtra, India .
DST- Inspire Junior Research Fellow, Symbiosis School of Biomedical Sciences, Symbiosis International University , Lavale, Pune, Maharashtra, India .
J Clin Diagn Res. 2016 Jul;10(7):KE01-6. doi: 10.7860/JCDR/2016/18828.8166. Epub 2016 Jul 1.
Alzheimer's Disease (AD) is one of the most common form of dementia occurring in elderly population worldwide. Currently Aβ42, tau and p-tau in the cerebrospinal fluid is estimated for confirmation of AD. CSF which is being used as the potent source for biomarker screening is obtained by invasive lumbar punctures. Thus, there is an urgent need of minimal invasive methods for identification of diagnostic markers for early detection of AD. Blood serum and plasma serves as an appropriate source, due to minimal discomfort to the patients, promoting frequent testing, better follow-up and better consent to clinical trials. Hence, the need of the hour demands discovery of diagnostic and prognostic patient specific signature biomarkers by using emerging technologies of mass spectrometry, microarrays and peptidomics. In this review we summarize the present scenario of AD biomarkers such as circulatory biomarkers, blood based amyloid markers, inflammatory markers and oxidative stress markers being investigated and also some of the potent biomarkers which might be able to predict early onset of Alzheimer's and delay cognitive impairment.
阿尔茨海默病(AD)是全球老年人群中最常见的痴呆症形式之一。目前,通过检测脑脊液中的Aβ42、tau蛋白和磷酸化tau蛋白来确诊AD。脑脊液作为生物标志物筛查的重要来源,是通过侵入性腰椎穿刺获取的。因此,迫切需要采用微创方法来鉴定用于AD早期检测的诊断标志物。血清和血浆是合适的来源,因为对患者造成的不适最小,有利于频繁检测、更好的随访以及患者对临床试验的更好配合。因此,当下迫切需要利用质谱、微阵列和肽组学等新兴技术发现针对患者的诊断和预后特征性生物标志物。在本综述中,我们总结了目前正在研究的AD生物标志物的现状,如循环生物标志物、血液淀粉样蛋白标志物、炎症标志物和氧化应激标志物,以及一些可能能够预测阿尔茨海默病早期发病并延缓认知障碍的有效生物标志物。