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Table 1 Summary of fluid biomarkers and their changes in AD

From: Advances in the development of new biomarkers for Alzheimer’s disease

Biomarker

Study group

Sample

Remark

References

1-42/Aβ1-40

AD n = 57

MCI n = 214

SCD n = 174

NC n = 274

Plasma

CSF

AD Aβ42 and Aβ40 AD ↓ vs NC

[59]

APP669–711/ Aβ1-42

1-40/Aβ1-42

Cohort NCGG

AD n = 29

MCI n = 30

NC n = 62

Cohort AIBL

AD n = 29

MCI n = 67

NC n = 156

Plasma

CSF

AD plasma composite biomarker and other Aβ bimarkers (including Aβ42) showed significant correlations with Aβ-PET

[60]

P-Tau

AD n = 26

CSF

AD CSF P-Tau showed a positive correlation with counts of neurofibrillary tangles (NFT) and neuritic plaques (NP)

[75]

T-Tau

AD n = 54,

MCI n = 75

NC n = 25

Plasma

CSF

T-Tau ↑ in AD

[130]

1-40

1-42

T-Tau

AD/MCI n = 25

NC n = 20

Plasma

42↑ in AD

42/Aβ40↑ in AD

T-Tau↑ in AD

[131]

T-Tau

P-Tau

AD n = 28,

NC n = 23

CSF

T-tau↑ in AD

[132]

1-42

T-Tau

Cohort ADNI:

AD n = 179

MCI n = 195

NC n = 189

Cohort BioFINDER:

AD n = 61

MCI n = 212

SCD n = 174

NC n = 274

Plasma

CSF

AD Plasma Tau ↑ vs NC and MCI (ADNI cohort)

CSF Aβ42 negatively correlated with Plasma Tau (ADNI cohort)

AD plasma Tau > Aβ− NC, Aβ+ NC, Aβ− MCI, Aβ+ MCI (ADNI cohort)

Aβ+ MCI plasma Tau > Aβ− MCI (ADNI cohort)

CSF Aβ42 positively correlated with CSF T-Tau and P-Tau (BioFINDER)

[80]

NFL, T-Tau

AD n = 156

MCI n = 185

NC n = 279

Plasma

Plasma NFL AD↑ vs MCI and NC

[97]

P-Tau, T-Tau

AD n = 40

MCI n = 57

NC n = 172

Plasma

T-Tau↑ in AD and MCI

P-Tau ↑ in AD

[78]

Neurogranin

AD n = 65

MCI n = 61

NC n = 37

CSF

Neurogranin ↑ in AD and MCI baseline

Neurogranin ↑ in AD and MCI follow-up

[83]

Neurogranin

YKL-40

AD n = 74

DLB/PDD n = 47

VaD n = 34

FTD n = 33

NC n = 53

CSF

Neurogranin ↑ in AD and MCI vs NC

YKL-40 ↑ in AD vs NC

[84]

Neurogranin

NFL

YKL-40

T-tau

AD n = 180

MCI n = 450

NC n = 140

CSF

Neurogranin ↑ in Aβ+ vs Aβ−

NFL ↑ in AD and MCI vs NC

YKL-40 ↑ in AD and MCI vs NC

T-tau ↑ in AD and MCI vs NC

[87]

Neurogranin

AD n = 100

MCI n = 40

NC n = 80

CSF

Neurogranin ↑ in AD and MCI

[85]

Neurogranin

AD n = 95

MCI n = 173

NC n = 110

CSF

Neurogranin ↑ in AD and MCI

[86]

Neurogranin

AD n = 100

genetic AD n = 2

bvFTD n = 20

svFTD n = 21

DLB n = 13

PD n = 31

PSP n = 46

MSA n = 29

NC n = 50

CSF

Neurogranin ↑ in AD and genetic AD

[90]

Neurogranin

AD n = 397

MCI n = 114

NC n = 75

CSF

Neurogranin ↑ in AD

[91]

Neurogranin

Cross-sectional study

AD n = 12,

FTD n = 16,

NC n = 28

Longitudinal study

AD n = 9

FTD n = 10

NC n = 19

Plasma

Exosomal neurogranin ↓ in AD

[89]

NFL

Mut AD n = 243

NC n = 162

CSF

Serum

NFL ↑ in AD in serum and CSF

[94]

IL-1β

AD n = 58

MCI n = 74

NC n = 31

Serum

IL-1β ↑ in AD and MCI

[101]

CCL2 (MCP-1)

AD n = 41

NC n = 31

serum

CCL2 ↑ in AD

[133]

CXCL12

AD n = 30

NC n = 30

Serum

CXCL12 ↓ in AD

[104]

Progranulin

Mut AD n = 130

NC n = 85

CSF

Progranulin ↑ in Mut AD

[108]

Progranulin

Cohort UCSF-MAC

AD n = 186

MCI n = 118

NC n = 204

Cohort AddNeuroMedd

AD n = 40

MCI n = 66

NC n = 95

Cohort ADNI

AD n = 40

MCI n = 159

NC n = 240

Plasma

CSF

No change in plasma progranulin

Progranulin ↓ in CSF of AD patients

[109]

YKL-40

n = 318 cognitively healthy people at risk of Alzheimer's disease

Plasma

The concentration of YKL-40 ↑ with age, there was a negative association with the deposition of Aβ in the brain

[112]

sVCAM-1

AD n = 60

VaD n = 80

Non-dementia n = 40

NC n = 30

Plasma

sVCAM-1 ↑ in AD, vascular dementia and cerebrovascular disease without dementia (non-dementia)

[115]

sICAM-1

AD n = 25

NINDs n = 54

NC n = 15

Serum

sICAM-1 ↑ in AD and NINDs

[116]

IL-33

sST2

AD n = 30

MCI n = 30

NC n = 30

CSF

Serum

IL-33 ↓ in CSF of AD and MCI patients

IL-33 ↓ in serum of AD and MCI patients

sST2 ↑ in serum of AD and MCI patients

[119]

EGF

Presymptomatic AD n = 259

Plasma

EGF ↓ in patients developing AD

[122]

EGF

AD n = 112

Parkinson's disease n = 236

MCI n = 396

NC n = 56

Plasma

EGF ↓ AD and MCI

[123]

Pancreatic polypeptide

AD n = 112

MCI n = 396

NC n = 58

Plasma

The level of CSF Aβ42 and the ratio of T-tau/Aβ42 correlate with the plasma level of the pancreatic polypeptide

[124]

HAGH*

CASP8*

EIF4EBP1*

UNC5C*

RGMB*

JAM-B*

TRAIL*

SMOC*

KYNU*

sLDLR*

tPA*

*—only selected markers with the same change in CSF and plasma are listed for clarity

AD n = 176

MCI n = 131

NC n = 565

Plasma

CSF

HAGH ↑ in AD, CSF and plasma

CASP8 ↑ in AD, CSF and plasma

EIF4EBP1 ↑ in AD, CSF and plasma

UNC5C ↓ in AD, CSF and plasma

RGMB ↓ in AD, CSF and plasma

JAM-B ↓ in AD, CSF and plasma

TRAIL ↓ in AD, CSF and plasma

SMOC ↓ in AD, CSF and plasma

KYNU ↓ in AD, CSF and plasma

sLDLR ↓ in AD, CSF and plasma

tPA ↓ in AD, CSF and plasma

[127]

LYN*

CD69*

EIF4G1*

PLXNA4*

SNAP29*

FGF-5*

MMP-3*

KRT19*

CSF-1*

PAPPA*

*—only the top 5 up and downregulated markers are listed for clarity

Discovery cohort:

AD n = 106

NC n = 74

Validation cohort:

AD n = 36

NC n = 61

Plasma

LYN ↑ in AD

CD69 ↑ in AD

EIF4G1 ↑ in AD

PLXNA4 ↑ in AD

SNAP29 ↑ in AD

FGF-5 ↓ in AD

MMP-3 ↓ in AD

KRT19 ↓ in AD

CSF-1 ↓ in AD

PAPPA ↓ in AD

[128]

  1. AD, Alzheimer's disease; AOC3, amine oxidase copper containing 3; CBS, corticobasal syndrome; CD8A, cluster of differentiation 8A; CD164, cluster of differentiation 164, CETN2, centrin 2; CHIT1, chitinase 1; DLB, dementia with Lewy bodies; dvppa, semantic variant PPA; EGF, epidermal growth factor; FTD, frontotemporal dementia; GAMT, guanidinoacetate N-methyltransferase; GSAP, gamma-secretase activating protein; hK14, human kallikrein 14; ICAM-1, intercellular adhesion molecule; JAM-B, junctional adhesion molecule B; KLK4, kallikrein-related peptidase 4; LIF-R, the leukemia inhibitory factor receptor; LYN, tyrosine-protein kinase Lyn; MMP-10, matrix metalloproteinase 10; MSA, multiple system atrophy; NFKBIE, NFKB inhibitor epsilon; nfvppa,non-fluent variant primary progressive aphasia; Ng, neurogranin; PCA, posterior cortical atrophy PRKCQ; PDD, Parkinson's disease dementia; RGMB, repulsive guidance molecule BMP co-receptor b; PRDX1, peroxiredoxin 1; PSP, progressive supranuclear palsy; protein kinase C theta; SCD, subjective cognitive decline; SMOC2, SPARC-related modular calcium-binding protein 2; sST2, soluble interleukin 1 receptor-like 1; Thy-1 or CD90, cluster of Differentiation 90; TMSB10, thymosin beta 10; TRAIL, tumor necrosis factor ligand superfamily member 10; TRANCE, tumor necrosis factor related activation-induced cytokine; UNC5C, Unc-5 netrin receptor C; VaD, vascular dementia; VCAM-1, vascular cell adhesion protein 1; VPS37A, vacuolar protein sorting 37 homolog A; YKL-40 or CHI3L1; chitinase-3-like protein 1