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Table 1 Study of the various known pathological factors in AD

From: Impact of the biological definition of Alzheimer’s disease using amyloid, tau and neurodegeneration (ATN): what about the role of vascular changes, inflammation, Lewy body pathology?

Factor

Imaging

CSF

Blood

Potential RX

Amyloid-β load

[11C]PIB

[18F]NAV4694

[18F]florbetapir

[18F]florbetaben

[18F]flutemetamol

Amyloid-β(1–42)

APP669–711;

Amyloid-β(1–42);

Amyloid-β(1–40);

BACE inhibitors

Amyloid-β immunotherapy

Neurofibrillary tangles load

[18F]MK6240

[18F]AV1451

[11C]PBBB3

Phosphorylated tau

The association of serum phosphorylated tau with tangles is unclear

Anti-aggregation

Tau immunotherapy

Neurodegeneration

MRI

[18F]FDG

Neurofilament light chain (NFL); d neurogranin (Ng);

Visinin-like protein-1 (VILIP-1); Synaptosomal-associated protein 25 (SNAP-25);

Neuron-specific enolase (NSE); Heart fatty acid binding protein (HFABP)

Neurofilament light chain (NFL)

Neurotrophic factors

Vascular load

MRI

CSF albumin /plasma albumin ratio

Control of risk factors

Lewy Body load

NA

α-synuclein

α-synuclein

α-synuclein immunotherapy

Neuroinflammation activity

Microglial Activation:

[11C]PK11195

[11C]PBR28

[11C]DAA1106

[18F] DPA714

[11C] DPA713

[18F]GE180

Reactive astrocytes:

[11C]L-des-deprenyl

Microglial Activation:

Chitinase-3-like protein 1 (YKL-40), soluble TREM2 (sTREM2)

Cytokines:

TNF-α, IL-6, IL-1β

Chemokines: monocyte chemotactic protein 1 [MCP-1]

Microglial Activation:

Chitinase-3-like protein 1 (YKL-40)

Cytokines:

TNF-α, IL-6, IL-1β,

Chemokines: monocyte chemotactic protein 1 [MCP-1]

NSAIDS

Peroxisome proliferator-activated receptor-γ

(PPAR-γ) activators

TNF-α inhibitor