German Center for Neurodegenerative Diseases, DZNE, Bonn, Germany.
Department of Psychiatry and Psychotherapy, University Medical Center, Goettingen, Germany.
Alzheimers Dement. 2023 Nov;19(11):4828-4840. doi: 10.1002/alz.13066. Epub 2023 Apr 6.
Extracellular vesicles (EVs) may propagate and modulate Alzheimer's disease (AD) pathology. We aimed to comprehensively characterize the proteome of cerebrospinal fluid (CSF) EVs to identify proteins and pathways altered in AD.
CSF EVs were isolated by ultracentrifugation (Cohort 1) or Vn96 peptide (Cohort 2) from non-neurodegenerative controls (n = 15, 16) and AD patients (n = 22, 20, respectively). EVs were subjected to untargeted quantitative mass spectrometry-based proteomics. Results were validated by enzyme-linked immunosorbent assay (ELISA) in Cohorts 3 and 4, consisting of controls (n = 16, n = 43, (Cohort3, Cohort4)), and patients with AD (n = 24, n = 100).
We found > 30 differentially expressed proteins in AD CSF EVs involved in immune-regulation. Increase of C1q levels in AD compared to non-demented controls was validated by ELISA (∼ 1.5 fold, p (Cohort 3) = 0.03, p (Cohort 4) = 0.005).
EVs may be utilized as a potential biomarker and may play a so far unprecedented role in immune-regulation in AD.
细胞外囊泡 (EVs) 可能会传播并调节阿尔茨海默病 (AD) 病理。我们旨在全面描述脑脊液 (CSF) EVs 的蛋白质组,以确定 AD 中改变的蛋白质和途径。
通过超速离心(队列 1)或 Vn96 肽(队列 2)从非神经退行性对照组(n = 15,16)和 AD 患者(n = 22,20)中分离 CSF EVs。EVs 进行非靶向定量基于质谱的蛋白质组学分析。结果通过酶联免疫吸附测定法 (ELISA) 在队列 3 和 4 中进行验证,队列 3 和 4 包括对照组 (n = 16,n = 43) 和 AD 患者 (n = 24,n = 100)。
我们发现 AD CSF EVs 中存在 > 30 种差异表达的蛋白质,这些蛋白质参与免疫调节。与非痴呆对照组相比,AD 中 C1q 水平的增加通过 ELISA 得到验证(约 1.5 倍,p(队列 3)= 0.03,p(队列 4)= 0.005)。
EVs 可用作潜在的生物标志物,并可能在 AD 中的免疫调节中发挥迄今为止前所未有的作用。