TY - JOUR
T1 - Longitudinal change in CSF biomarkers in autosomal-dominant Alzheimer's disease
AU - Fagan, Anne M.
AU - Xiong, Chengjie
AU - Jasielec, Mateusz S.
AU - Bateman, Randall J.
AU - Goate, Alison M.
AU - Benzinger, Tammie L.S.
AU - Ghetti, Bernardino
AU - Martins, Ralph N.
AU - Masters, Colin L.
AU - Mayeux, Richard
AU - Ringman, John M.
AU - Rossor, Martin N.
AU - Salloway, Stephen
AU - Schofield, Peter R.
AU - Sperling, Reisa A.
AU - Marcus, Daniel
AU - Cairns, Nigel J.
AU - Buckles, Virginia D.
AU - Ladenson, Jack H.
AU - Morris, John C.
AU - Holtzman, David M.
PY - 2014/3/5
Y1 - 2014/3/5
N2 - Clinicopathological evidence suggests that the pathology of Alzheimer's disease (AD) begins many years before the appearance of cognitive symptoms. Biomarkers are required to identify affected individuals during this asymptomatic ("preclinical") stage to permit intervention with potential disease-modifying therapies designed to preserve normal brain function. Studies of families with autosomal-dominant AD (ADAD) mutations provide a unique and powerful means to investigate AD biomarker changes during the asymptomatic period. In this biomarker study, we collected cerebrospinal fluid (CSF), plasma, and in vivo amyloid imaging cross-sectional data at baseline in individuals from ADAD families enrolled in the Dominantly Inherited Alzheimer Network. Our study revealed reduced concentrations of CSF amyloid-β1-42 (Aβ1-42) associated with the presence of Aβ plaques, and elevated concentrations of CSF tau, ptau 181 (phosphorylated tau181), and VILIP-1 (visinin-like protein-1), markers of neurofibrillary tangles and neuronal injury/death, in asymptomatic mutation carriers 10 to 20 years before their estimated age at symptom onset (EAO) and before the detection of cognitive deficits. When compared longitudinally, however, the concentrations of CSF biomarkers of neuronal injury/death within individuals decreased after their EAO, suggesting a slowing of acute neurodegenerative processes with symptomatic disease progression. These results emphasize the importance of longitudinal, within-person assessment when modeling biomarker trajectories across the course of the disease. If corroborated, this pattern may influence the definition of a positive neurodegenerative biomarker outcome in clinical trials.
AB - Clinicopathological evidence suggests that the pathology of Alzheimer's disease (AD) begins many years before the appearance of cognitive symptoms. Biomarkers are required to identify affected individuals during this asymptomatic ("preclinical") stage to permit intervention with potential disease-modifying therapies designed to preserve normal brain function. Studies of families with autosomal-dominant AD (ADAD) mutations provide a unique and powerful means to investigate AD biomarker changes during the asymptomatic period. In this biomarker study, we collected cerebrospinal fluid (CSF), plasma, and in vivo amyloid imaging cross-sectional data at baseline in individuals from ADAD families enrolled in the Dominantly Inherited Alzheimer Network. Our study revealed reduced concentrations of CSF amyloid-β1-42 (Aβ1-42) associated with the presence of Aβ plaques, and elevated concentrations of CSF tau, ptau 181 (phosphorylated tau181), and VILIP-1 (visinin-like protein-1), markers of neurofibrillary tangles and neuronal injury/death, in asymptomatic mutation carriers 10 to 20 years before their estimated age at symptom onset (EAO) and before the detection of cognitive deficits. When compared longitudinally, however, the concentrations of CSF biomarkers of neuronal injury/death within individuals decreased after their EAO, suggesting a slowing of acute neurodegenerative processes with symptomatic disease progression. These results emphasize the importance of longitudinal, within-person assessment when modeling biomarker trajectories across the course of the disease. If corroborated, this pattern may influence the definition of a positive neurodegenerative biomarker outcome in clinical trials.
UR - http://www.scopus.com/inward/record.url?scp=84897505354&partnerID=8YFLogxK
U2 - 10.1126/scitranslmed.3007901
DO - 10.1126/scitranslmed.3007901
M3 - Article
C2 - 24598588
AN - SCOPUS:84897505354
SN - 1946-6234
VL - 6
JO - Science translational medicine
JF - Science translational medicine
IS - 226
M1 - 226ra30
ER -