Age-Dependency of Total Tau in the Cerebrospinal Fluid Is Corrected by Amyloid-β 1-40: A Correlational Study in Healthy Adults

Autor: Josef Priller, Marion Ortner, Achim Berthele, Marie-Sophie Franz, Paul Theo Zebhauser, Timo Grimmer, Oliver Goldhardt, Janine Diehl-Schmid
Rok vydání: 2021
Předmět:
0301 basic medicine
Male
Amyloid β
statistics & numerical data [Healthy Volunteers]
Physiology
Clinical settings
Total tau
tau Proteins
cerebrospinal fluid [Amyloid beta-Peptides]
03 medical and health sciences
0302 clinical medicine
Cerebrospinal fluid
mental disorders
Medicine
Humans
ddc:610
cerebrospinal fluid [Peptide Fragments]
Amyloid beta-Peptides
Models
Statistical

business.industry
General Neuroscience
Age Factors
amyloid beta-protein (1-40)
General Medicine
Middle Aged
amyloid-beta 1–40
total-Tau
Healthy Volunteers
Peptide Fragments
Clinical Practice
Psychiatry and Mental health
Clinical Psychology
030104 developmental biology
cerebrospinal fluid [Biomarkers]
cerebrospinal fluid [tau Proteins]
Correlational study
Biomarker (medicine)
Female
Geriatrics and Gerontology
business
Alzheimer’s disease
030217 neurology & neurosurgery
Biomarkers
Zdroj: Journal of Alzheimer's disease 83(1), 155-162 (2021). doi:10.3233/JAD-210286
ISSN: 1875-8908
DOI: 10.3233/JAD-210286
Popis: Background: Tau proteins are established biomarkers of neuroaxonal damage in a wide range of neurodegenerative conditions. Although measurement of total-Tau in the cerebrospinal fluid is widely used in research and clinical settings, the relationship between age and total-Tau in the cerebrospinal fluid is yet to be fully understood. While past studies reported a correlation between age and total-Tau in the cerebrospinal fluid of healthy adults, in clinical practice the same cut-off value is used independently of patient’s age. Objective: To further explore the relationship between age and total-Tau and to disentangle neurodegenerative from drainage-dependent effects. Methods: We analyzed cerebrospinal fluid samples of 76 carefully selected cognitively healthy adults and included amyloid-β 1–40 as a potential marker of drainage from the brain’s interstitial system. Results: We found a significant correlation of total-Tau and age, which was no longer present when correcting total-Tau for amyloid-β 1–40 concentrations. These findings were replicated under varied inclusion criteria. Conclusion: Results call into question the association of age and total-Tau in the cerebrospinal fluid. Furthermore, they suggest diagnostic utility of amyloid-β 1–40 as a possible proxy for drainage-mechanisms into the cerebrospinal fluid when interpreting biomarker concentrations for neurodegenerative diseases.
Databáze: OpenAIRE