Journal
NEUROBIOLOGY OF AGING
Volume 35, Issue 3, Pages 614-622Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.neurobiolaging.2013.08.027
Keywords
Cerebrospinal fluid; Biomarkers; Atrophy; Longitudinal; Alzheimer's disease
Categories
Funding
- Alzheimer's Disease Neuroimaging Initiative (ADNI) (National Institutes of Health) [U01 AG024904]
- National Institute on Aging
- National Institute of Biomedical Imaging and Bioengineering
- NIH [P30 AG010129, K01 AG030514]
- Swedish Research Council
- Goteborgs Lakaresallskap
- Svenska Lakaresallskapet
- Sahlgrenska Universitetssjukhuset
- Carl-Bertil Laurells fond
- Klinisk Biokemi i Norden
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Biomarkers associated with Alzheimer's disease (AD)-like brain atrophy in healthy individuals may identify mechanisms involved in early stage AD. Aside from cerebrospinal fluid (CSF) beta-amyloid42 (A beta 42) and tau, no studies have tested associations between CSF proteins and AD-like brain atrophy. We studied 90 healthy elders, who underwent lumbar puncture at baseline, and serial magnetic resonance imaging scans for up to 4 years. We tested statistical effects of baseline CSF proteins (N = 70 proteins related to A beta 42-metabolism, microglial activity, and synaptic/neuronal function) on atrophy rates in 7 AD-related regions. Besides the effects of A beta 42 and phosphorylated tau (P-tau) that were seen in several regions, novel CSF proteins were found to have effects in inferior and middle temporal cortex (including apolipoprotein CIII, apolipoprotein D, and apolipoprotein H). Several proteins (including S100 beta and matrix metalloproteinase-3) had effects that depended on the presence of brain A beta pathology, as measured by CSF A beta 42. Other proteins (including P-tau and apolipoprotein D) had effects even after adjusting for CSF A beta 42. The statistical effects in this exploratory study were mild and not significant after correction for multiple comparisons, but some of the identified proteins may be associated with brain atrophy in healthy persons. Proteins interacting with CSF A beta 42 may be related to A beta brain pathology, whereas proteins associated with atrophy even after adjusting for CSF A beta 42 may be related to A beta-independent mechanisms. (C) 2014 Elsevier Inc. All rights reserved.
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