Plasma A beta 42/40 Ratio Detects Early Stages of Alzheimer's Disease and Correlates with CSF and Neuroimaging Biomarkers in the AB255 Study

Romero, J.; Pesini, P.; Sarasa, L.; Monleon, I; San-Jose, I; Arbizu, J.; Martinez-Lage, P.; Munuera, J.; Ruiz, A.; Tarraga, L.; Boada, M.; Sarasa, M.; Goni, Miguel; Pujadas, Francesc; Villarejo, Alberto; Frank, Ana; Pena-Casanova, Jordi; Fernandez, Manuel; Pinol, Gerard; Blesa, Rafael; Gil, Pedro; Pascual, Luis F.; Aguilar, Miguel; Frisoni, Giovanni B.; Matias-Guiu, Jorge; Andreasen, Niels; Antunez, Carmen; Vellas, Bruno; Touchon, Jacques

Publicación: JPAD-JOURNAL OF PREVENTION OF ALZHEIMERS DISEASE
2019
VL / 6 - BP / 34 - EP / 41
abstract
BACKGROUND: Easily accessible biomarkers are needed for the early identification of individuals at risk of developing Alzheimer's disease (AD) in large population screening strategies. OBJECTIVES: This study evaluated the potential of plasma beta-amyloid (A beta) biomarkers in identifying early stages of AD and predicting cognitive decline over the following two years. DESIGN: Total plasma A beta 42/40 ratio (TP42/40) was determined in 83 cognitively normal individuals (CN) and 145 subjects with amnestic mild cognitive impairment (a-MCI) stratified by an FDG-PET AD-risk pattern. RESULTS: Significant lower TP42/40 ratio was found in a-MCI patients compared to CN. Moreover, a-MCIs with a high-risk FDG-PET pattern for AD showed even lower plasma ratio levels. Low TP42/40 at baseline increased the risk of progression to dementia by 70%. Furthermore, TP42/40 was inversely associated with neocortical amyloid deposition (measured with PiB-PET) and was concordant with the AD biomarker profile in cerebrospinal fluid (CSF). CONCLUSIONS: TP42/40 demonstrated value in the identification of individuals suffering a-MCI, in the prediction of progression to dementia, and in the detection of underlying AD pathology revealed by FDG-PET, Amyloid-PET and CSF biomarkers, being, thus, consistently associated with all the well-established indicators of AD.

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