School of Medical Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.
Co-operative Research Centre for Mental Health, Carlton, VIC 3053, Australia.
Sci Rep. 2017 Oct 25;7(1):14057. doi: 10.1038/s41598-017-14020-9.
Alzheimer's Disease (AD) is the most common form of dementia, characterised by extracellular amyloid deposition as plaques and intracellular neurofibrillary tangles of tau protein. As no current clinical test can diagnose individuals at risk of developing AD, the aim of this project is to evaluate a blood-based biomarker panel to identify individuals who carry this risk. We analysed the levels of 22 biomarkers in clinically classified healthy controls (HC), mild cognitive impairment (MCI) and Alzheimer's participants from the well characterised Australian Imaging, Biomarker and Lifestyle (AIBL) study of aging. High levels of IL-10 and IL-12/23p40 were significantly associated with amyloid deposition in HC, suggesting that these two biomarkers might be used to detect at risk individuals. Additionally, other biomarkers (Eotaxin-3, Leptin, PYY) exhibited altered levels in AD participants possessing the APOE ε4 allele. This suggests that the physiology of some potential biomarkers may be altered in AD due to the APOE ε4 allele, a major risk factor for AD. Taken together, these data highlight several potential biomarkers that can be used in a blood-based panel to allow earlier identification of individuals at risk of developing AD and/or early stage AD for which current therapies may be more beneficial.
阿尔茨海默病(AD)是最常见的痴呆症形式,其特征是细胞外淀粉样蛋白沉积形成斑块和细胞内 tau 蛋白神经原纤维缠结。由于目前没有临床测试可以诊断出有患 AD 风险的个体,因此本项目的目的是评估基于血液的生物标志物谱,以识别具有这种风险的个体。我们分析了澳大利亚成像、生物标志物和生活方式(AIBL)研究老化中临床分类的健康对照(HC)、轻度认知障碍(MCI)和阿尔茨海默病参与者的 22 种生物标志物水平。高水平的 IL-10 和 IL-12/23p40 与 HC 中的淀粉样蛋白沉积显著相关,表明这两种生物标志物可能用于检测有风险的个体。此外,其他生物标志物(Eotaxin-3、瘦素、PYY)在携带 APOE ε4 等位基因的 AD 参与者中表现出改变的水平。这表明由于 APOE ε4 等位基因,AD 中一些潜在生物标志物的生理可能发生改变,APOE ε4 等位基因为 AD 的主要危险因素。总之,这些数据突出了几种潜在的生物标志物,可用于基于血液的谱中,以允许更早地识别有患 AD 风险的个体和/或处于目前治疗可能更有益的早期 AD 阶段的个体。