Toward a reliable distinction between patients with mild cognitive impairment and Alzheimer-type dementia versus major depression.

Abstract:

BACKGROUND:Cerebrospinal fluid (CSF) levels of soluble amyloid precursor protein (sAPP) and its alpha-secreted form (alpha-sAPP) were investigated as a means to distinguish between individuals with mild cognitive impairment (MCI) and Alzheimer-type dementia (DAT) and those with major depressive episode (MDE) showing secondary memory deficits. METHODS:Twenty-seven patients with MCI, 32 with probable DAT, and 24 with MDE attending a memory clinic were studied. Cerebrospinal fluid levels of sAPP/amyloid precursor-like protein 2 (APLP2) and alpha-sAPP were detected by Western blotting. RESULTS:Patients with MDE had the highest CSF levels of total sAPP/APLP2 as compared with MCI and DAT patients (p < .001); sAPP/APLP2 levels were higher in MCI than in DAT subjects. Whereas alpha-sAPP levels did not differ between the MCI and DAT groups, median levels of this peptide were significantly lower in MCI and DAT versus MDE patients. CONCLUSIONS:Soluble amyloid precursor protein/APLP2 and alpha-sAPP concentrations in CSF can differentiate between DAT and MCI versus MDE, facilitating early ameliorative interventions and appropriate treatment regimens.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Post A,Ackl N,Rücker M,Schreiber Y,Binder EB,Ising M,Sonntag A,Holsboer F,Almeida OF

doi

10.1016/j.biopsych.2005.09.007

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

858-62

issue

9

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(05)01107-8

journal_volume

59

pub_type

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