Oeckl Patrick, Otto Markus
Department of Neurology, Ulm University Hospital, Ulm, Germany.
Neurol Ther. 2019 Dec;8(Suppl 2):113-127. doi: 10.1007/s40120-019-00165-4. Epub 2019 Dec 12.
Alzheimer's disease (AD) is the most common form of neurodegenerative dementia and there is no cure to date. Biomarkers in cerebrospinal fluid (CSF) are already included in the diagnostic work-up of symptomatic patients but markers for preclinical diagnosis and disease progression are not available. Furthermore, blood biomarkers are highly appreciated because they are minimally invasive and more accessible in primary care and in clinical studies. Mass spectrometry (MS) is an established tool for the measurement of various analytes in biological fluids such as blood. Its major strength is the high selectivity which is why it is also preferred as a reference method for immunoassays. MS has been used in several studies in the past for blood biomarker discovery and validation in AD using targeted MS such as multiple/selected reaction monitoring (MRM/SRM) or unbiased approaches (proteomics, metabolomics). In this short review, we give an overview on the status of current MS-based biomarker candidates for AD in blood plasma and serum.Plain Language Summary: Plain language summary available for this article.
阿尔茨海默病(AD)是神经退行性痴呆最常见的形式,迄今为止尚无治愈方法。脑脊液(CSF)生物标志物已被纳入有症状患者的诊断检查中,但尚无用于临床前诊断和疾病进展的标志物。此外,血液生物标志物备受青睐,因为它们微创,在初级保健和临床研究中更易获取。质谱(MS)是用于测量生物流体(如血液)中各种分析物的既定工具。其主要优势在于高选择性,这也是它被首选作为免疫测定参考方法的原因。过去,MS已在多项研究中用于通过靶向MS(如多反应监测/选择反应监测(MRM/SRM))或无偏倚方法(蛋白质组学、代谢组学)发现和验证AD血液生物标志物。在这篇简短综述中,我们概述了目前基于MS的血浆和血清中AD生物标志物候选物的状况。简明语言摘要:本文提供简明语言摘要。