Department of Neurology and State Key Laboratory of Biotherapy/Collaborative Innovation Center for Biotherapy, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, 610041, China.
Department of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Transl Neurodegener. 2021 Mar 12;10(1):10. doi: 10.1186/s40035-021-00234-5.
A lack of convenient and reliable biomarkers for diagnosis and prognosis is a common challenge for neurodegenerative diseases such as Alzheimer's disease (AD). Recent advancement in ultrasensitive protein assays has allowed the quantification of tau and phosphorylated tau proteins in peripheral plasma. Here we identified 66 eligible studies reporting quantification of plasma tau and phosphorylated tau 181 (ptau181) using four ultrasensitive methods. Meta-analysis of these studies confirmed that the AD patients had significantly higher plasma tau and ptau181 levels compared with controls, and that the plasma tau and ptau181 could predict AD with high-accuracy area under curve of the Receiver Operating Characteristic. Therefore, plasma tau and plasma ptau181 can be considered as biomarkers for AD diagnosis.
用于诊断和预后的方便可靠的生物标志物的缺乏是神经退行性疾病(如阿尔茨海默病(AD))的常见挑战。最近在超灵敏蛋白质检测方面的进展使得外周血浆中 tau 和磷酸化 tau 蛋白的定量成为可能。在这里,我们确定了 66 项符合条件的研究报告,这些研究使用四种超灵敏方法定量检测血浆 tau 和磷酸化 tau181(ptau181)。对这些研究的荟萃分析证实,与对照组相比,AD 患者的血浆 tau 和 ptau181 水平显著升高,并且血浆 tau 和 ptau181 可以通过高准确性的接收者操作特征曲线来预测 AD。因此,血浆 tau 和血浆 ptau181 可以被认为是 AD 诊断的生物标志物。