Changes in plasma amyloid beta in a longitudinal study of aging and Alzheimer's disease

Abstract

Background: A practical biomarker is required to facilitate the preclinical diagnosis of Alzheimer's disease (AD). Methods: Plasma amyloid beta (Aβ)1-40, Aβ1-42, Aβn-40, and Aβn-42 peptides were measured at baseline and after 18 months in 771 participants from the Australian Imaging Biomarkers and Lifestyle (AIBL) study of aging. Aβ peptide levels were compared with clinical pathology, neuroimaging and neuropsychological measurements. Results: Although inflammatory and renal function covariates influenced plasma Aβ levels significantly, a decrease in Aβ1-42/Aβ1-40 was observed in patients with AD, and was also inversely correlated with neocortical amyloid burden. During the 18 months, plasma Aβ1-42 decreased in subjects with mild cognitive impairment (MCI) and in those transitioning from healthy to MCI. Conclusion: Our findings are consistent with a number of published plasma Aβ studies and, although the prognostic value of individual measures in any given subject is limited, the diagnostic contribution of plasma Aβ may demonstrate utility when combined with a panel of peripheral biomarkers.

Keywords

Alzheimer's disease, Amyloid-β, Biomarkers, Diagnosis, Pittsburgh compound B, Positron emission tomography, amyloid beta protein, amyloid beta protein[1-40], amyloid beta protein[1-42], amyloid beta protein[n-40], amyloid beta protein[n-42], Pittsburgh compound B, unclassified drug, aged, aging, Alzheimer disease, article, cohort analysis, enzyme linked immunosorbent assay, episodic memory, executive function, female, follow up, human, kidney function, Kruskal Wallis test, lifestyle, longitudinal study, major clinical study, male, mild cognitive impairment, neuroimaging, neuropsychology, pathology, positron emission tomography, priority journal, Alzheimer's disease, Amyloid-β, Biomarkers, Diagnosis, Pittsburgh compound B, Positron emission tomography, Aged, Aged, 80 and over, Aging, Alzheimer Disease, Amyloid beta-Peptides, Apolipoprotein E4, Chi-Square Distribution, Cohort Studies, Disease Progression, Female, Humans, Male, Middle Aged, Mild Cognitive Impairment, Neuropsychological Tests, Peptide Fragments, Positron-Emission Tomography

Document Type

Journal Article

Date of Publication

1-1-2014

Faculty

Faculty of Health, Engineering and Science

Publisher

Elsevier

School

School of Medical Sciences

RAS ID

18787

Comments

Rembach A., Faux N.G., Watt A.D., Pertile K.K., Rumble R.L., Trounson B.O., Fowler C.J., Roberts B.R., Perez K.A., Li Q.-X., Laws S.M., Taddei K., Rainey-Smith S., Robertson J.S., Vandijck M., Vanderstichele H., Barnham K.J., Ellis K.A., Szoeke C., MacAulay L., Rowe C.C., Villemagne V.L., Ames D., Martins R.N., Bush A.I., Masters C.L. (2014). Changes in plasma amyloid beta in a longitudinal study of aging and Alzheimer's disease. Alzheimer's and Dementia, 10(1), 53-61. Available here

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Link to publisher version (DOI)

10.1016/j.jalz.2012.12.006