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Longitudinal cerebrospinal fluid biomarker trajectories along the Alzheimer's disease continuum in the BIOMARKAPD study

  • Alberto Lleo*
  • , Daniel Alcolea
  • , Pablo Martinez-Lage
  • , Philip Scheltens
  • , Lucilla Parnetti
  • , Judes Poirier
  • , Anja H. Simonsen
  • , Marcel M. Verbeek
  • , Pedro Rosa-Neto
  • , Rosalinde E. R. Slot
  • , Mikel Tainta
  • , Andrea Izaguirre
  • , Babette L. R. Reijs
  • , Lucia Farotti
  • , Magda Tsolaki
  • , Rik Vandenbergue
  • , Yvonne Freund-Levi
  • , Frans R. J. Verhey
  • , Jordi Clarimon
  • , Juan Fortea
  • Lutz Frolich, Isabel Santana, Jose Luis Molinuevo, Sylvain Lehmann, Pieter J. Visser, Charlotte E. Teunissen, Henrik Zetterberg, Kaj Blennow
*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Introduction: Within-person trajectories of cerebrospinal fluid (CSF) biomarkers in Alzheimer's disease (AD) are not well defined.

Methods: We included 467 subjects from the BIOMARKAPD study with at least two serial CSF samples. Diagnoses were subjective cognitive decline (n = 75), mild cognitive impairment (n = 128), and AD dementia (n = 110), and a group of cognitively unimpaired subjects (n = 154) were also included. We measured baseline and follow-up CSF levels of total tau (t-tau), phosphorylated tau (p-tau), YKL-40, and neurofilament light (NfL). Median CSF sampling interval was 2.1 years.

Results: CSF levels of t-tau, p-tau, NfL, and YKL-40 were 2% higher per each year of baseline age in controls (P

Discussion: All four CSF biomarkers increase with age, but this effect deviates in AD for t-tau and ptau. (C) 2019 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.

Original languageEnglish
Pages (from-to)742-753
Number of pages12
JournalAlzheimer's & Dementia
Volume15
Issue number6
DOIs
Publication statusPublished - Jun 2019

Keywords

  • ASSOCIATION WORKGROUPS
  • Alzheimer
  • Amyloid
  • BETA
  • CSF
  • CSF BIOMARKERS
  • DEMENTIA
  • DIAGNOSTIC GUIDELINES
  • Inflammation
  • NATIONAL INSTITUTE
  • NEUROFILAMENT LIGHT
  • Neurofilaments
  • PROTEIN
  • RECOMMENDATIONS
  • TAU LEVELS
  • Tau
  • YKL-40

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