NT1-Tau Is Increased in CSF and Plasma of CJD Patients, and Correlates with Disease Progression

Autor: David Mengel, Tze How Mok, Akin Nihat, Wen Liu, Robert A. Rissman, Douglas Galasko, Henrik Zetterberg, Simon Mead, John Collinge, Dominic M. Walsh
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Simoa-immunoassays
blood [Creutzfeldt-Jakob Syndrome]
blood [Neurofilament Proteins]
Creutzfeldt-Jakob Syndrome
0302 clinical medicine
Neurofilament Proteins
Biology (General)
Aged
80 and over

Immunoassay
0303 health sciences
blood [Biomarkers]
diagnosis [Alzheimer Disease]
pathology [Neurodegenerative Diseases]
neurodegeneration
Neurodegenerative Diseases
General Medicine
cerebrospinal fluid [Creutzfeldt-Jakob Syndrome]
Middle Aged
genetics [Neurofilament Proteins]
3. Good health
cerebrospinal fluid [Alzheimer Disease]
neurofilament light chain
cerebrospinal fluid [Biomarkers]
Disease Progression
biomarker
Female
Alzheimer’s disease
Adult
blood [tau Proteins]
QH301-705.5
prion disease
diagnosis [Creutzfeldt-Jakob Syndrome]
tau Proteins
Article
cerebrospinal fluid
03 medical and health sciences
blood [Alzheimer Disease]
Alzheimer Disease
blood
ddc:570
mental disorders
Humans
neurofilament protein L
030304 developmental biology
Aged
nervous system diseases
cerebrospinal fluid [Neurofilament Proteins]
genetics [tau Proteins]
cerebrospinal fluid [tau Proteins]
blood [Neurodegenerative Diseases]
genetics [Neurodegenerative Diseases]
cerebrospinal fluid [Neurodegenerative Diseases]
030217 neurology & neurosurgery
Biomarkers
Zdroj: Cells 10(12), 3514 (2021). doi:10.3390/cells10123514 special issue: "Biomarkers of Alzheimer’s Disease: New Insights"
Cells
Cells; Volume 10; Issue 12; Pages: 3514
Cells, Vol 10, Iss 3514, p 3514 (2021)
DOI: 10.3390/cells10123514
Popis: This study investigates the diagnostic and prognostic potential of different forms of tau in biofluids from patients with Creutzfeldt-Jakob disease (CJD). Extracellular tau, which is molecularly heterogeneous, was measured using ultra-sensitive custom-made Simoa assays for N-terminal (NT1), mid-region, and full-length tau. We assessed cross-sectional CSF and plasma from healthy controls, patients with Alzheimer’s disease (AD) and CJD patients. Then, we evaluated the correlation of the best-performing tau assay (NT1-tau) with clinical severity and functional decline (using the MRC Prion Disease Rating Scale) in a longitudinal CJD cohort (n = 145). In a cross-sectional study, tau measured in CSF with the NT1 and mid-region Simoa assays, separated CJD (n = 15) from AD (n = 18) and controls (n = 21) with a diagnostic accuracy (AUCs: 0.98–1.00) comparable to or better than neurofilament light chain (NfL; AUCs: 0.96–0.99). In plasma, NT1-measured tau was elevated in CJD (n = 5) versus AD (n = 15) and controls (n = 15). Moreover, in CJD plasma (n = 145) NT1-tau levels correlated with stage and rate of disease progression, and the effect on clinical progression was modified by the PRNP codon 129. Our findings suggest that plasma NT1-tau shows promise as a minimally invasive diagnostic and prognostic biomarker of CJD, and should be further investigated for its potential to monitor disease progression and response to therapies.
Databáze: OpenAIRE