4.8 Review

Biomarkers for neurodegenerative diseases

Journal

NATURE MEDICINE
Volume 27, Issue 6, Pages 954-963

Publisher

NATURE PORTFOLIO
DOI: 10.1038/s41591-021-01382-x

Keywords

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Funding

  1. Swedish Research Council [2016-00906]
  2. Knut and Alice Wallenberg foundation [2017-0383]
  3. Marianne and Marcus Wallenberg foundation [2015.0125]
  4. Strategic Research Area MultiPark (Multidisciplinary Research in Parkinson's disease) at Lund University
  5. Swedish Alzheimer Foundation [AF-939932]
  6. Swedish Brain Foundation [FO2019-0326]
  7. Parkinson Foundation of Sweden [1280/20]
  8. Skane University Hospital Foundation [2020-O000028]
  9. Swedish federal government under the ALF agreement [2018-Projekt0279]
  10. Regionalt Forskningsstod [2020-0314]

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Biomarkers for neurodegenerative diseases play a crucial role in improving diagnostic workup and therapy monitoring, with emerging blood-based markers and discussions on their implementation in clinical practice and trials.
Biomarkers for neurodegenerative diseases are needed to improve the diagnostic workup in the clinic but also to facilitate the development and monitoring of effective disease-modifying therapies. Positron emission tomography methods detecting amyloid-beta and tau pathology in Alzheimer's disease have been increasingly used to improve the design of clinical trials and observational studies. In recent years, easily accessible and cost-effective blood-based biomarkers detecting the same Alzheimer's disease pathologies have been developed, which might revolutionize the diagnostic workup of Alzheimer's disease globally. Relevant biomarkers for alpha-synuclein pathology in Parkinson's disease are also emerging, as well as blood-based markers of general neurodegeneration and glial activation. This review presents an overview of the latest advances in the field of biomarkers for neurodegenerative diseases. Future directions are discussed regarding implementation of novel biomarkers in clinical practice and trials. As the development of biomarkers for neurodegenerative diseases advances, new opportunities arise for their implementation in clinical practice and trials.

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