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CSF proteomic profiles of neurodegeneration biomarkers in Alzheimer's disease

Abstract:
INTRODUCTION: We aimed to unravel the underlying pathophysiology of the neurodegeneration (N) markers neurogranin (Ng), neurofilament light (NfL), and hippocampal volume (HCV), in Alzheimer's disease (AD) using cerebrospinal fluid (CSF) proteomics. METHODS: Individuals without dementia were classified as A+ (CSF amyloid beta [Aβ]42), T+ (CSF phosphorylated tau181), and N+ or N− based on Ng, NfL, or HCV separately. CSF proteomics were generated and compared between groups using analysis of covariance. RESULTS: Only a few individuals were A+T+Ng−. A+T+Ng+ and A+T+NfL+ showed different proteomic profiles compared to A+T+Ng− and A+T+NfL−, respectively. Both Ng+ and NfL+ were associated with neuroplasticity, though in opposite directions. Compared to A+T+HCV−, A+T+HCV+ showed few proteomic changes, associated with oxidative stress. DISCUSSION: Different N markers are associated with distinct neurodegenerative processes and should not be equated. N markers may differentially complement disease staging beyond amyloid and tau. Our findings suggest that Ng may not be an optimal N marker, given its low incongruency with tau pathophysiology. Highlights: In Alzheimer's disease, neurogranin (Ng)+, neurofilament light (NfL)+, and hippocampal volume (HCV)+ showed differential protein expression in cerebrospinal fluid. Ng+ and NfL+ were associated with neuroplasticity, although in opposite directions. HCV+ showed few proteomic changes, related to oxidative stress. Neurodegeneration (N) markers may differentially refine disease staging beyond amyloid and tau. Ng might not be an optimal N marker, as it relates more closely to tau.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1002/alz.14103

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Role:
Author
ORCID:
0000-0001-8724-3010


Publisher:
Wiley Open Access
Journal:
Alzheimer's & Dementia: The Journal of the Alzheimer's Association More from this journal
Publication date:
2024-07-06
Acceptance date:
2024-06-06
DOI:
EISSN:
1552-5279
ISSN:
1552-5260 and 1552-5279


Language:
English
Keywords:
Pubs id:
2012976
Local pid:
pubs:2012976
Source identifiers:
2092678
Deposit date:
2024-07-06

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