Alzheimer's disease CSF biomarkers: clinical indications and rational use.

Abstract:

:This review focusses on the validation and standardization of Alzheimer's disease (AD) cerebrospinal fluid (CSF) biomarkers, as well as on the current clinical indications and rational use of CSF biomarkers in daily clinical practice. The validated AD CSF biomarkers, Aβ1-42, T-tau, and P-tau181, have an added value in the (differential) diagnosis of AD and related disorders, including mixed pathologies, atypical presentations, and in case of ambiguous clinical dementia diagnosis. CSF biomarkers should not be routinely used in the diagnostic work-up of dementia and cannot be used to diagnose non-AD dementias. In cognitively healthy subjects, CSF biomarkers can only be applied for research purposes, e.g., to identify pre-clinical AD in the context of clinical trials with potentially disease-modifying drugs. Therefore, biomarker-based early diagnosis of AD offers great opportunities for preventive treatment development in the near future.

journal_name

Acta Neurol Belg

journal_title

Acta neurologica Belgica

authors

Niemantsverdriet E,Valckx S,Bjerke M,Engelborghs S

doi

10.1007/s13760-017-0816-5

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

591-602

issue

3

eissn

0300-9009

issn

2240-2993

pii

10.1007/s13760-017-0816-5

journal_volume

117

pub_type

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