CSF pro-orexin and amyloid-β38 expression in Alzheimer's disease and frontotemporal dementia.

Abstract:

:There is an unmet need for markers that can stratify different forms and subtypes of dementia. Because of similarities in clinical presentation, it can be difficult to distinguish between Alzheimer's disease (AD) and frontotemporal dementia (FTD). Using a multiplex targeted proteomic LC-MS/MS platform, we aimed to identify cerebrospinal fluid proteins differentially expressed between patients with AD and FTD. Furthermore analysis of 2 confirmed FTD genetic subtypes carrying progranulin (GRN) and chromosome 9 open reading frame 72 (C9orf72) mutations was performed to give an insight into the differing pathologies of these forms of FTD. Patients with AD (n = 13) demonstrated a significant (p < 0.007) 1.24-fold increase in pro-orexin compared to FTD (n = 32). Amyloid beta-38 levels in patients with AD were unaltered but demonstrated a >2-fold reduction (p < 0.0001) in the FTD group compared to controls and a similar 1.83-fold reduction compared to the AD group (p < 0.001). Soluble TREM2 was elevated in both dementia groups but did not show any difference between AD and FTD. A further analysis comparing FTD subgroups revealed slightly lower levels of proteins apolipoprotein E, CD166, osteopontin, transthyretin, and cystatin C in the GRN group (n = 9) compared to the C9orf72 group (n = 7). These proteins imply GRN FTD elicits an altered inflammatory response to C9orf72 FTD.

journal_name

Neurobiol Aging

journal_title

Neurobiology of aging

authors

Heywood WE,Hallqvist J,Heslegrave AJ,Zetterberg H,Fenoglio C,Scarpini E,Rohrer JD,Galimberti D,Mills K

doi

10.1016/j.neurobiolaging.2018.08.019

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

171-176

eissn

0197-4580

issn

1558-1497

pii

S0197-4580(18)30307-5

journal_volume

72

pub_type

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