Natalia Lelental’s research while affiliated with Friedrich-Alexander-University Erlangen-Nürnberg and other places

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Publications (15)


Epitope mapping of 1G2 antibody on 12 amino acid peptides of 2N4R TAU2N4R with 10 amino acid overlapping. Peptides are spotted on NC membranes 10 amino acids overlapped. Membranes blocked with 5% skim milk powder in Tris buffer pH 10 containing 0.1% Tween 20. After 1 μg/ml 1G2 was incubated in blocking buffer at room temperature overnight followed by 3 x washing using Tris buffer and anti-mouse IgG antibody HRP conjugated. Staining was performed using western blot staining solution based on TMB. Antibody 1G2 binds to peptide sequences containing KTTP or RTTP motiv. Spots of these 12 amino acid peptides showing reactivity of 1G2 are described for line A and line B of the NC membrane.
Specificity of 1G2 antibodies. a) Direct ELISA on Tau2N4R or Tau peptides coated plates for analysis of 1G2 binding to antigens. Peptides comprised amino acid sequence 172–184 of Tau 2N4R containing T175 and T181, respectively and amino acid sequence 228–240 of Tau 2N4R containing T231. Additional peptide sequences 172–184 phosphorylated at position T175 [T175Pi] or phosphorylated at position T181 [T181Pi] and peptide 228–240 phosphorylated at position T231 [T231Pi] were tested, respectively. Bound 1G2 was detected using anti-mouse-IgG antibody HRP conjugted followed by TMB staining. b) Sandwich ELISA was used for inhibition of Tau2N4R capturing by 1G2 antibody by competition with peptides of amino acid sequence 172–184 containing T175 and T181 and amino acid sequence 228–240 containing T231 compared with inhibition effects of these peptides with different phosphorylations at position T175 [T175Pi], T181 [T181Pi], or T231 [T231Pi], respectively. Captured antigen by 1G2 was detected using 7E5 antibody HRP conjugated followed by TMB staining.
Schematic presentation of the Tau molecule, the three binding sites addressed in this study, and the corresponding kinases.
Reproducibility of the standard curves of the assay; presented are average ODs and their standard deviations; the insert presents the zoom-in of the four lowest standards.
Results of the inter-center variability study: presented are the reported concentrations of two pairs of QC samples (A/E and B/F) sent frozen (filled symbols) and under ambient temperature (open symbols).

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Non-Phosphorylated Tau as a Potential Biomarker of Alzheimer’s Disease: Analytical and Diagnostic Characterization
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  • Publisher preview available

October 2024

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210 Reads

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34 Citations

Piotr Lewczuk

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Natalia Lelental

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Background: Virtually nothing is known about a potential diagnostic role of non-phospho-epitopes of Tau (Non-P-Tau) in cerebrospinal fluid (CSF). Objective: To establish and analytically and clinically characterize the first assay capable to measure concentrations of Non-P-Tau in human CSF. Methods: An antibody (1G2) was developed that selectively binds to the Tau molecule non-phosphorylated at the positions T175 and T181, and was used in establishing a sandwich ELISA capable to measure Non-P-Tau in human CSF, following analytical and clinical validation of the method. Results: The 1G2 antibody shows decreasing reactivity to tau peptides containing phosphorylation mainly at positions T175 and T181. Detection limit of the assay is 25 pg/ml; the coefficients of variation (CVs) of the optical densities of the repeated standard curves were between 3.6–15.9%. Median intra-assay imprecision of double measurements was 4.8%; inter-assay imprecision was in the range of 11.2% – 15.3%. Non-P-Tau concentrations are stable in the CSF samples sent to distinct laboratories under ambient temperature; inter-laboratory variation was approximately 30%. The Non-P-Tau CSF concentrations were highly significantly increased in patients with Alzheimer’s disease in stage of mild cognitive impairment or dementia (AD/MCI, n = 58, 109.2±32.0 pg/mL) compared to the non-demented Controls (n = 42, 62.1±9.3 pg/mL, p < 0.001). At the cut-off of 78.3 pg/mL, the sensitivity and the specificity were 94.8% and 97.6%, respectively. Conclusion: For the first time, an assay is reported to reliably measure concentrations of non-phosphorylated Tau in human CSF.

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Results of the short-term stability testing of the samples based on prediluted plasma (Material B), when single peptides were spiked, presented as normalized concentration (in percent) of the reference samples; horizontal axes show storage time (days) at the corresponding storage conditions: RT, room temperature; +4°C, refrigerator; –20°C, frozen at –20°C. a) Non-stabilized Aβ1 - 40; b) Stabilized Aβ1 - 40; c) Non-stabilized Aβ1 - 42 (Innotest); d) Stabilized Aβ1 - 42 (Innotest); e) Non-stabilized Aβ1 - 42 (MSD); f) Stabilized Aβ1 - 42 (MSD).
Results of the short-term stability testing of the biomarkers diluted in BSA/PBS+Tween (Material C), presented as normalized concentration (in percent) of the reference samples; horizontal axes show storage time (days) at the corresponding storage conditions: RT, room temperature; +4°C, refrigerator; –20°C, frozen at –20°C. a) Non-stabilized Aβ1 - 40; b) Stabilized Aβ1 - 40; c) Non-stabilized Aβ1 - 42 (Innotest); d) Stabilized Aβ1 - 42 (Innotest); e) Non-stabilized Aβ1- 42 (MSD); f) Stabilized Aβ1 - 42 (MSD).
The results of the long-term stability testing. a) Aβ1 - 40; b) Aβ1 - 42; c) Tau; d) pTau181.
Results of the inter-center variability testing. Horizontal axes represent the participants (in a random order); vertical axes present concentrations of the biomarkers (pg/mL). a) Aβ1 - 40 in liquid CSF (EQC-1) and in freeze-dried CSF (EQC-2); b) Aβ1 - 40 in prediluted plasma (EQC-3 and EQC-4), and in BSA/PBS+Tween (EQC-5 and EQC-6); c) Aβ1 - 42 in liquid CSF (EQC-1) and in freeze-dried CSF (EQC-2); d) Aβ1 - 42 in prediluted plasma (EQC-3 and EQC-4), and in BSA/PBS+Tween (EQC-5 and EQC-6); e) Tau in liquid CSF (EQC-1) and in freeze-dried CSF (EQC-2); f) pTau181 in liquid CSF (EQC-1) and in freeze-dried CSF (EQC-2).
Normalized concentrations of the biomarkers diluted in BSA/PBS+Tween, tested for short-term stability (C0 and C+)
Comparison of Different Matrices as Potential Quality Control Samples for Neurochemical Dementia Diagnostics

October 2024

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212 Reads

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18 Citations

Background: Assay-vendor independent quality control (QC) samples for neurochemical dementia diagnostics (NDD) biomarkers are so far commercially unavailable. This requires that NDD laboratories prepare their own QC samples, for example by pooling leftover cerebrospinal fluid (CSF) samples. Objective: To prepare and test alternative matrices for QC samples that could facilitate intra- and inter-laboratory QC of the NDD biomarkers. Methods: Three matrices were validated in this study: (A) human pooled CSF, (B) Aβ peptides spiked into human prediluted plasma, and (C) Aβ peptides spiked into solution of bovine serum albumin in phosphate-buffered saline. All matrices were tested also after supplementation with an antibacterial agent (sodium azide). We analyzed short- and long-term stability of the biomarkers with ELISA and chemiluminescence (Fujirebio Europe, MSD, IBL International), and performed an inter-laboratory variability study. Results: NDD biomarkers turned out to be stable in almost all samples stored at the tested conditions for up to 14 days as well as in samples stored deep-frozen (at – 80°C) for up to one year. Sodium azide did not influence biomarker stability. Inter-center variability of the samples sent at room temperature (pooled CSF, freeze-dried CSF, and four artificial matrices) was comparable to the results obtained on deep-frozen samples in other large-scale projects. Conclusion: Our results suggest that it is possible to replace self-made, CSF-based QC samples with large-scale volumes of QC materials prepared with artificial peptides and matrices. This would greatly facilitate intra- and inter-laboratory QC schedules for NDD measurements.


Comparison of Different Matrices as Potential Quality Control Samples for Neurochemical Dementia Diagnostics

April 2016

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45 Reads

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14 Citations

Journal of Alzheimer's Disease

Background: Assay-vendor independent quality control (QC) samples for neurochemical dementia diagnostics (NDD) biomarkers are so far commercially unavailable. This requires that NDD laboratories prepare their own QC samples, for example by pooling leftover cerebrospinal fluid (CSF) samples. Objective: To prepare and test alternative matrices for QC samples that could facilitate intra- and inter-laboratory QC of the NDD biomarkers. Methods: Three matrices were validated in this study: (A) human pooled CSF, (B) A peptides spiked into human prediluted plasma, and (C) A peptides spiked into solution of bovine serum albumin in phosphate-buffered saline. All matrices were tested also after supplementation with an antibacterial agent (sodium azide). We analyzed short- and long-term stability of the biomarkers with ELISA and chemiluminescence (Fujirebio Europe, MSD, IBL International), and performed an inter-laboratory variability study. Results: NDD biomarkers turned out to be stable in almost all samples stored at the tested conditions for up to 14 days as well as in samples stored deep-frozen (at –80◦C) for up to one year. Sodium azide did not influence biomarker stability. Inter-center variability of the samples sent at room temperature (pooled CSF, freeze-dried CSF, and four artificial matrices) was comparable to the results obtained on deep-frozen samples in other large-scale projects. Conclusion: Our results suggest that it is possible to replace self-made, CSF-based QC samples with large-scale volumes of QC materials prepared with artificial peptides and matrices. This would greatly facilitate intra- and inter-laboratory QC schedules for NDD measurements.


Application of multiplexing technology to the analysis of the intrathecally released immunoglobulins against B. burgdorferi antigens in neuroborreliosis

July 2015

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116 Reads

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1 Citation

Immunology Letters

Lyme neuroborreliosis (LNB) is an infectious disease of the nervous system caused by the tick-borne spirochete Borrelia burgdorferi. The presence of Borrelia burgdorferi specific antibodies in cerebrospinal fluid (CSF), with evidence of intrathecal production, is the traditional diagnostic standard, although has limitations it such as low sensitivity in the very early phase. In the current study, 27 patients with possible neuroborreliosis suffered from clinically defined Bannwarth syndrome. The control group (CON) consisted of 6 patients. The analyses included function of the blood-CSF barrier (QAlb) as well as intrathecal synthesis of total IgG and IgM, (QIgG, and QIgM). Multiplexing analyses of the specific antibodies (IgG and IgM) against B.burgdorferi antigens were performed with the Microgen assay (Neuried, Germany). The ASI antibodies (Antibody Synthesis Index) specific to particular Borrelia burgdorferi antigens (VlsE, OspC, etc.) were calculated analogously as QIgG and QIgM for separate antibody. All but one patient with NB had pathologic ASI-IgG against B. burgdorferi (median 6.3). Out of 27 NB patients, 13 had measureable ASI-IgM, and all these indices were pathologic. None of the CON subjects had pathologic ASI in either IgG or IgM class. Furthermore, NB patients showed dysfunction of the blood-CSF barrier (average QAlb in the NB and CON groups: 13.8 and 5.6, respectively, p<0.01). Twenty-one of 27 NB patients had at least one positive (>1.5) IgG-ASI against either VlsE, p100, p58, p39, p18, or OspC, and none of these patients showed positive OspA-IgG-ASI. Interestingly, the NB patient with negative IgG ASI on ELISA had the highest p100 IgG ASI on multiplexing (270.8). Among the 13 NB patients with detectable IgM-ASI on ELISA, nine showed measureable IgM-ASI against at least one antigen; however, in one of these cases, the OspC ASI was normal (0.6). In addition, one subject with non-measureable IgM ASI on ELISA had highly pathologic (19.7) index for OspC B. g. on multiplexing. The control subjects with measureable ASI-IgG on ELISA (two cases) had measureable, but normal, indices for VlsE in the IgG class also on multiplexing. None of the control subjects had measureable indices for any of the antigens in the IgM class. The simultaneous analysis of a panel of antibodies against different Borrelia burgdorferi antigens makes multiplexing technology a very interesting supplement to the classic ELISA by providing more specific, antigen-related indices to the general, antigen-unspecific ASI. Whether this additional information proves to be diagnostically relevant will be certainly a matter of further studies. Copyright © 2015. Published by Elsevier B.V.


Figure 1: Hybrid immunoaffinity-mass spectrometry characterization of plasma neurogranin. (A) Hybrid immunoaffinity-mass spectrometry analysis of human plasma repeatedly detected several short C-terminal peptides. *Peptides found only in plasma and not in cerebrospinal fluid or brain tissue. ‡ Nonspecific binding of other plasma proteins to magnetic beads. (B) A cluster of peaks roughly corresponding to the mass of full-length neurogranin (Ng) is present in plasma. *Peak corresponding to the theoretical mass of full-length Ng (7,618 Da). m/z, Mass-to-charge ratio.
Figure 2: Scatterplots displaying the results from hybrid immunoaffinity-mass spectrometry and Meso Scale Discovery analysis of plasma and cerebrospinal fluid samples. (A) Scatterplot of plasma concentrations of the most abundant neurogranin (Ng) peptide 43 to 75 (Ng 43–75 ), in samples from the paired cohort obtained by hybrid immunoaffinity-mass spectrometry (HI-MS). (B) Scatterplot of plasma Ng 43–75 concentrations in samples from the verification study obtained by HI-MS. (C) Scatterplot of plasma Ng levels obtained by Meso Scale Discovery (MSD) in samples from the paired cohort. (D) Scatterplot of cerebrospinal fluid Ng levels obtained by MSD. The data presented are medians and interquartile ranges. AD, Alzheimer’s disease; Co, Control.
Figure 3: Analysis of cerebrospinal fluid neurogranin storage stability. Normalized cerebrospinal fluid neurogranin (Ng) concentrations in samples without (A) or with (B) the addition of a stabilizing agent. Samples were kept at room temperature (RT), 4°C or −20°C for between 1 and 7 days before transfer to storage at −80°C pending analysis. Samples were normalized to day 0, with or without stabilizer.
Characterization of the postsynaptic protein neurogranin in paired cerebrospinal fluid and plasma samples from Alzheimer’s disease patients and healthy controls

March 2015

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133 Reads

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135 Citations

Alzheimer's Research & Therapy

Synaptic dysfunction and degeneration are central events in Alzheimer's disease (AD) pathophysiology that are thought to occur early in disease progression. Synaptic pathology may be studied by examining protein biomarkers specific for different synaptic elements. We recently showed that the dendritic protein neurogranin (Ng), including the endogenous Ng peptide 48 to 76 (Ng48-76), is markedly increased in cerebrospinal fluid (CSF) in AD and that Ng48-76 is the dominant peptide in human brain tissue. The aim of this study was to characterize Ng in plasma and CSF using mass spectrometry and to investigate the performance of plasma Ng as an AD biomarker. Paired plasma and CSF samples from patients with AD (n = 25) and healthy controls (n = 20) were analyzed in parallel using an immunoassay developed in-house on the Meso Scale Discovery platform and hybrid immunoaffinity-mass spectrometry (HI-MS). A second plasma material from patients with AD (n = 13) and healthy controls (n = 17) was also analyzed with HI-MS. High-resolution mass spectrometry was used for identification of endogenous plasma Ng peptides. Ng in human plasma is present as several endogenous peptides. Of the 16 endogenous Ng peptides identified, seven were unique for plasma and not detectable in CSF. However, Ng48-76 was not present in plasma. CSF Ng was significantly increased in AD compared with controls (P < 0.0001), whereas the plasma Ng levels were similar between the groups in both studies. Plasma and CSF Ng levels showed no correlation. CSF Ng was stable during storage at -20°C for up to 2 days, and no de novo generation of peptides were detected. For the first time, to our knowledge, we have identified several endogenous Ng peptides in human plasma. In agreement with previous studies, we show that CSF Ng is significantly increased in AD as compared with healthy controls. The origin of Ng in plasma and its possible use as a biomarker need to be further investigated. The results suggest that CSF Ng, in particular Ng48-76, might reflect the neurodegenerative processes within the brain, indicating a role for Ng as a potential novel clinical biomarker for synaptic function in AD.


Surface trafficking of APP and BACE in live cells

February 2015

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246 Reads

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10 Citations

Traffic

Amyloid-β (Aβ)-peptide, the major constituent of the plaques that develop during Alzheimer's disease, is generated via the cleavage of Aβ precursor protein (APP) by β-site APP-cleaving enzyme (BACE). Using live-cell imaging of APP and BACE labeled with pH-sensitive proteins, we could detect the release events of APP and BACE and their distinct kinetics. We provide kinetic evidence for the cleavage of APP by α-secretase on the cellular surface after exocytosis. Furthermore, simultaneous dual-color evanescent field illumination revealed that the two proteins are trafficked to the surface in separate compartments. Perturbing the membrane lipid composition resulted in a reduced frequency of exocytosis and affected BACE more strongly than APP. We propose that surface fusion frequency is a key factor regulating the aggregation of APP and BACE in the same membrane compartment and that this process can be modulated via pharmacological intervention. This article is protected by copyright. All rights reserved.


Fig. I. The plots of the optical densities (ODs) versus the defined concentrations of the standards; presented are the average ODs (dots), and the corresponding standard deviations (horizontal bars) often experiments. a) Al3t-40 ; b) A13t-42· 46000 40000 a  
Amyloid-β 42/40 Cerebrospinal Fluid Concentration Ratio in the Diagnostics of Alzheimer's Disease: Validation of Two Novel Assays

October 2014

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820 Reads

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181 Citations

Background The increasing role of cerebrospinal fluid (CSF) biomarkers in the early diagnosis of Alzheimer's disease (AD) is reflected in recently published diagnostic and/or research criteria. A growing body of evidence suggests better diagnostic performance of the amyloid-β (Aβ)42/40 CSF concentration ratio compared to the Aβ42 concentration alone. Objective (a) to analytically validate two novel ELISAs capable to measure Aβ1-40 and Aβ1-42 in the CSF, and (b) to compare the diagnostic accuracies of Aβ1-42 and Aβ42/40 ratio. Methods In this study, (a) the novel Aβ1-40 and Aβ1-42 ELISAs (IBL International GmbH, Hamburg, Germany) have been analytically validated, and (b) a clinical study has been performed comparing the diagnostic performance of the CSF Aβ42/40 concentration ratio and the CSF Aβ42 concentration. Results In the analytical part of the study, only marginal cross-reactivity (Aβ1-42 versus Aβ1-40) was observed; recoveries were in the range of 85–100% for the samples diluted 1 : 20–1 : 640 (Aβ1-40), and 92–104% for the samples diluted 1 : 20–1 : 320 (Aβ1-42). For Aβ1-40, the intra-assay imprecision was 2.1%, the inter-assay imprecision was 4.4%, and the inter-lot imprecision was 5.4 %. For Aβ1-42, the numbers were 3.1%, 6.2%, and 6.9%, respectively. The goodness of the fit of the average standard curves was >0.99 for both assays, and the imprecision of the optical densities in ten repetitions of the standard curves was ≤5% for all standards. In the clinical part, at the cut off value 691 pg/mL, Aβ1-42 showed sensitivity and specificity of 69.3% and 88.9%, respectively, whereas at the cut off value 0.06, the Aβ42/40 ratio showed significantly improved performance with sensitivity and specificity of 93.3% and 100%, respectively. The area under the ROC curve for Aβ42/40 (0.974) was highly significantly larger compared to Aβ1-42 concentration ROC curve (0.827, p < 0.0001). Conclusions (a) the novel Aβ1-40 and Aβ1-42 ELISA assays characterize with very good analytical performance; (b) we reconfirm that the CSF Aβ42/40 concentration ratio shows significantly better diagnostic performance compared to the CSF Aβ1-42 concentration alone.


Ventricular and Lumbar Cerebrospinal Fluid Concentrations of Alzheimer's Disease Biomarkers in Patients with Normal Pressure Hydrocephalus and Posttraumatic Hydrocephalus

July 2014

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252 Reads

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34 Citations

Background Little information is available on the rostro-caudal concentration gradient of Alzheimer’s disease (AD) biomarkers. Objective We studied the concentrations of amyloid-β (Aβ) peptides 1-42 and 1-40 as well as the Tau and pTau proteins in simultaneously collected ventricular and lumbar cerebrospinal fluid (CSF) samples. Methods The samples were simultaneously collected from the ventricle and the lumbar spinal canal in two groups of patients: 10 subjects being treated for normal pressure hydrocephalus (NPH) by the placement of a ventriculo-peritoneal shunt and 5 patients treated simultaneously with an external ventricular drain and a lumbar CSF drain due to posttraumatic hydrocephalus (PTH). Results The ventricular-lumbar (V/L) concentration ratio for Aβ1-40 was 0.81 in NPH patients and 0.71 in PTH patients. The V/L-ratio for Aβ1-42 was 0.84 in NPH, reflecting significantly higher concentrations in lumbar CSF than in ventricular CSF, and 1.02 in PTH patients. The V/L-ratios for Tau and pTau differed significantly depending on the diagnostic group: the median V/L-ratio for Tau was 6.83 in NPH patients but only 0.97 in PTH patients. The median V/L-ratio for pTau was 2.36 in NPH patients and 0.91 in PTH patients. Conclusions We conclude that the rostro-caudal concentration gradient for brain-derived proteins (Tau and pTau in this study) depends on the diagnosis and clinical status of the patient, which were largely neglected in the previously postulated models.



Plasma Concentrations of the Amyloid-β Peptides in Young Volunteers: The Influence of the APOE Genotype

May 2014

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94 Reads

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11 Citations

Changes in the concentrations of amyloid-β (Aβ) in the body fluids are the earliest alterations observed in Alzheimer's disease (AD), however, there is a lack of data about how early these alterations occur, before the onset of the clinical symptoms. APOE genotype is the most recognized genetic risk/protective factor of AD, meaning that a group of non-demented persons carrying ε4 allele is enriched in the subjects who will develop AD, compared to the group of non-carriers. Therefore, we studied the plasma concentrations of Aβ peptides (Aβ1-42, Aβ1-40, Aβx-42, and Aβx-40), and the APOE genotype in 173 young volunteers (average age, 28 ± 7.6 years) without memory deficits, in order to see whether the non-demented group of subjects at risk already characterize with Aβ changes three-to-four decades before the age at which dementia usually occurs. We did not find statistically significant differences among the groups of ε4 carriers, ε3 homozygotes, and ε2 carriers. We conclude that the APOE genotype does not influence the metabolism of the Aβ peptides in young persons without memory deficits.


Citations (15)


... Biomarkers for amyloid-beta (Aβ), tau and neurodegeneration were analyzed in CSF samples. Typically, levels of Aβ 1-42 (n = 475), total tau (t-Tau, n = 476) and phosphorylated tau ( 181 p-Tau, n = 476) were determined by enzyme-linked immunosorbent assay using Innotest technology (Fujirebio) following the European BIOMARK-APD validated and standardized protocol (Lelental, 2016). Additional proteins and cytokines were also analyzed as part of other subprojects and data are shared in our registered repository (ApoE ug/ mL n = 340, PCSK9 ng/mL n = 92, G-CSF pg/mL n = 321, IL-15 pg/mL n = 321, IL-8 pg/mL n = 321, VEGF pg/mL n = 300). ...

Reference:

Open Science Datasets from PREVENT-AD, a Longitudinal Cohort of Pre-symptomatic Alzheimer’s Disease
Comparison of Different Matrices as Potential Quality Control Samples for Neurochemical Dementia Diagnostics

Journal of Alzheimer's Disease

... While alterations in Aβ metabolism are recognised as the earliest detectable events in AD, interventions based on the Aβ hypothesis have to date yielded disappointing results [59,60]. This underlines the need for a broader exploration of alternative hypotheses, with particular interest in those related to Tau [61]. This is reinforced by the observation that cognitive symptoms in AD correlate more directly with biomarkers of neurodegeneration than with Aβ deposition. ...

Non-Phosphorylated Tau as a Potential Biomarker of Alzheimer’s Disease: Analytical and Diagnostic Characterization

... Several international standardization initiatives have been launched to improve intra-and inter-laboratory variability, by standardizing pre-analytical variables, analytical protocols. and assay calibrators [10][11][12]. Although major advances have been made in the field [13], the situation is still not optimal, and universally accepted cut-offs have not been reached. ...

Comparison of Different Matrices as Potential Quality Control Samples for Neurochemical Dementia Diagnostics

... For antibody tests, sensitivities between 55% and 90% have been reported for symptom durations of less than 6 weeks (11,(14)(15)(16)(17)(18). As the immune response against Borrelia expands over time (19)(20)(21), the sensitivity improves as the infection progresses and can ultimately reach 100% (11,15,22). Lower sensitivities have also been reported for antibody assays that are based on a single antigen compared to those of antibody assays based on multiple antigens (18,23,24). ...

Application of multiplexing technology to the analysis of the intrathecally released immunoglobulins against B. burgdorferi antigens in neuroborreliosis
  • Citing Article
  • July 2015

Immunology Letters

... Rights reserved. Case-control study [83,84] Case-control study [87] AD Prospective study [88] AD-D (n = 100) MCI (n = 40) Control (n = 80) ...

Characterization of the postsynaptic protein neurogranin in paired cerebrospinal fluid and plasma samples from Alzheimer’s disease patients and healthy controls

Alzheimer's Research & Therapy

... At present, most of the in vitro models used to study pathogenesis of AD only reveal the level of Aβ42, the most toxic form of amyloid beta, as a confirmation of successful model development, and comparisons are conducted only between wild-type and single-mutant versions of the APP gene. Recent findings have shown that the Aβ42/40 ratio in cerebrospinal fluid (CSF) is a better diagnostic indicator of AD patients than is Aβ42 alone [6] and have shown more extensive Aβ formation such as accumulation of intraneuronal Aβ, Aβ plaques, soluble oligomeric Aβ (oAβ), and insoluble fibrillar Aβ (fAβ) in TgCRND8 mice expressing a double-mutant form (Swedish and Indiana) of the APP gene that leads to greater progressive impairment of the brain [7]. Therefore, we aimed to generate three stably transfected SH-SY5Y cell lines expressing wild-type human APP, single-mutant APP (Swedish mutation) and double-mutant APP (Swedish and Indiana mutations) and to evaluate these cell lines for APP expression as well as the Aβ42/40 ratio as tools to confirm the biochemistry underlying sporadic and familial AD and to provide pharmacotherapeutics insights. ...

EARLY DIAGNOSIS OF ALZHEIMER'S DISEASE WITH THE β-AMYLOID 42/40 CSF CONCENTRATION RATIO: ANALYTICAL AND CLINICAL VALIDATION OF TWO NOVEL ASSAYS
  • Citing Article
  • July 2014

... Given that RAB11 dynamically associates with BACE1-containing vesicles at the cell periphery, we reasoned that it may regulate BACE1 exocytosis. Therefore, we used a pH sensitive superecliptic pHluorintagged BACE1 (pHBACE) construct (Bauereiss et al., 2015) and performed high-resolution Mutli-Angle total internal reflection fluorescence (MA-TIRF) microscopy experiments (Boulanger et al., 2014). HeLa cells co-expressing pHBACE with mCherry-RAB11A or -RAB11B was used to capture concomitant exocytic events, whereas RFP-RAB5A (associated with early endosomes) or mCherry-RAB6A (associated with the Golgi complex) were used as controls. ...

Surface trafficking of APP and BACE in live cells

Traffic

... In AD patients, the plasma Aβ42/40 ratio value is recognized as a relatively definite biomarker of AD brain pathology based on research showing that Aβ42 decreases while Aβ40 remains unchanged due to metabolic disorders of amyloid precursor protein (Hansson et al., 2019). The cut-off point of the Aβ42/40 ratio in the plasma known to indicate amyloidosis is 0.1218 (Lewczuk et al., 2015;Schindler et al., 2019). Previous studies investigating the Aβ42/40 of AD patients have reported significant correlations with clinical symptoms and cerebral cortical volume. ...

Amyloid-β 42/40 Cerebrospinal Fluid Concentration Ratio in the Diagnostics of Alzheimer's Disease: Validation of Two Novel Assays

... While this design was conceptually novel, it is impractical for multiple investigators to target people in terminal stage of their illnesses (neurological and non-neurological) to participate in most biomarker studies. Because protein composition also differs greatly between ventricular and lumbar CSF [60][61][62][63][64][65][66], using post-mortem ventricular CSF for biomarker discovery with hopes of translating to early disease diagnosis -especially in people who experience agonal or septic states prior to death -is not a viable alternative. Another approach is to leverage familial cases with highly predictable etiologies, and pathogenic mutations for AD, FTLD TDP-immunoreactive lesions (FTLD-TDP), and FTLD (FTLD-Tau) are continuing to expand in number and complexity [67][68][69][70][71]. ...

Ventricular and Lumbar Cerebrospinal Fluid Concentrations of Alzheimer's Disease Biomarkers in Patients with Normal Pressure Hydrocephalus and Posttraumatic Hydrocephalus

... Previous literature has mixed findings as to whether APOE genotype associates with plasma Aβ concentrations. Some studies found no association of plasma Aβ levels and APOE ε4 23,24 in cognitively healthy cohorts; however, this trend is not always consistent. 25 Other studies found interactions between APOE genotype and the ability of plasma Aβ to detect amyloid pathology, 26,27 indicating that the association of plasma Aβ and APOE may depend on the presence of increased amyloid pathology. We found that p-tau181 associated with APOE ε4 carriership in Super-Seniors. ...

Plasma Concentrations of the Amyloid-β Peptides in Young Volunteers: The Influence of the APOE Genotype