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血浆生物标志物组合在阿尔茨海默病鉴别诊断中的潜在效用

Potential Utility of Plasma Biomarker Panels in Differential Diagnosis of Alzheimer's Disease.

作者信息

Krishna Geethu, Thangaraju Sivakumar Palanimuthu, Dahale Ajit B, Subramanian Sarada

机构信息

Department of Neurochemistry, National Institute of Mental Health & Neurosciences, Bengaluru, India.

Department of Psychiatry, National Institute of Mental Health & Neurosciences, Bengaluru, India.

出版信息

J Alzheimers Dis Rep. 2024 Jan 9;8(1):1-7. doi: 10.3233/ADR-230156. eCollection 2024.

DOI:10.3233/ADR-230156
PMID:38229828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10789288/
Abstract

Blood tests are in need, in the clinical diagnosis of Alzheimer's disease (AD) as minimally invasive and less expensive alternatives to cerebrospinal fluid and neuroimaging methods. On these lines, single molecule array (Simoa) analysis of amyloid-β (Aβ), total tau (t-tau), phospho-tau (p-tau 181), and neurofilament L (NfL) in the plasma samples of AD subjects, healthy controls (HC), and non-AD subjects was conducted. Findings from this study suggest that a panel of multiple plasma biomarkers (NfL, Aβ, t-tau, and p-tau 181) combined with the clinical assessments could support differential diagnosis of AD and other dementias from healthy controls.

摘要

在阿尔茨海默病(AD)的临床诊断中,血液检测作为脑脊液和神经影像学方法的微创且低成本替代方案,很有必要。基于此,对AD患者、健康对照(HC)和非AD受试者的血浆样本进行了淀粉样β蛋白(Aβ)、总tau蛋白(t-tau)、磷酸化tau蛋白(p-tau 181)和神经丝轻链(NfL)的单分子阵列(Simoa)分析。该研究结果表明,一组多种血浆生物标志物(NfL、Aβ、t-tau和p-tau 181)与临床评估相结合,可辅助从健康对照中鉴别诊断AD和其他痴呆症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dde/10789288/ddff98b81170/adr-8-adr230156-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dde/10789288/4e92cc26d27a/adr-8-adr230156-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dde/10789288/ddff98b81170/adr-8-adr230156-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dde/10789288/4e92cc26d27a/adr-8-adr230156-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dde/10789288/ddff98b81170/adr-8-adr230156-g002.jpg

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本文引用的文献

1
Plasma p-tau181 as a promising non-invasive biomarker of Alzheimer's Disease pathology in Subjective Cognitive Decline and Mild Cognitive Impairment.血浆p-tau181作为主观认知衰退和轻度认知障碍中阿尔茨海默病病理的一种有前景的非侵入性生物标志物。
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Diagnostic Biomarkers of Amyloid and Tau Pathology in Alzheimer's Disease: An Overview of Tests for Clinical Practice in the United States and Europe.阿尔茨海默病中淀粉样蛋白和 tau 病理的诊断生物标志物:美国和欧洲临床实践中测试的概述。
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Distinct spatiotemporal subtypes of amyloid deposition are associated with diverging disease profiles in cognitively normal and mild cognitive impairment individuals.在认知正常和轻度认知障碍个体中,淀粉样蛋白沉积具有不同的时空亚型,与不同的疾病特征相关。
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Assessment of Plasma and Cerebrospinal Fluid Biomarkers in Different Stages of Alzheimer's Disease and Frontotemporal Dementia.评估阿尔茨海默病和额颞叶痴呆不同阶段的血浆和脑脊液生物标志物。
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Shared Risk Factors between Dementia and Atherosclerotic Cardiovascular Disease.痴呆症与动脉粥样硬化性心血管疾病的共同危险因素。
Int J Mol Sci. 2022 Aug 29;23(17):9777. doi: 10.3390/ijms23179777.
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Tau as a Biomarker of Neurodegeneration.tau 作为神经退行性变的生物标志物。
Int J Mol Sci. 2022 Jun 30;23(13):7307. doi: 10.3390/ijms23137307.
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Differential diagnostic performance of a panel of plasma biomarkers for different types of dementia.一组血浆生物标志物对不同类型痴呆的鉴别诊断性能。
Alzheimers Dement (Amst). 2022 May 15;14(1):e12285. doi: 10.1002/dad2.12285. eCollection 2022.
9
Diagnostic Accuracy of Blood-Based Biomarker Panels: A Systematic Review.基于血液的生物标志物组合的诊断准确性:一项系统评价。
Front Aging Neurosci. 2022 Mar 11;14:683689. doi: 10.3389/fnagi.2022.683689. eCollection 2022.
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A Longitudinal Study of Plasma pTau181 in Mild Cognitive Impairment with Lewy Bodies and Alzheimer's Disease.一项关于路易体轻度认知障碍和阿尔茨海默病患者血浆 pTau181 的纵向研究。
Mov Disord. 2022 Jul;37(7):1495-1504. doi: 10.1002/mds.28994. Epub 2022 Mar 23.