From: Fluid biomarkers in Alzheimer’s disease – current concepts
Sporadic AD | ||||||
---|---|---|---|---|---|---|
Subjects | Developed dementia | Mean age (years) | Follow-up time (years) | CSF Aβ42, T-tau, P-tau, Aβ42:Aβ40 ratio or plasma Aβ42 | Comment | Ref |
55 | 4 | 73 | 8 | CSF T-tau was cross-sectionally correlated with MMSE score. CSF Aβ42 was correlated with future MMSE and change in MMSE. | There were only women in this study. | [16] |
61 | 13 (had a CDR > 0) | 75 | 3-4 | No significant results for Aβ42, T-tau, P-tau in CSF. | The main outcome was to predict conversion from CDR 0 to a higher CDR. The CSF T-tau:Aβ42 and P-tau:Aβ42 ratios significantly predicted this. | [17] |
51 | 0 | 73 | 3 | ↓ Aβ42 in CSF predicted cognitive decline. No significant results for T-tau or P-tau in CSF. | Cognition was evaluated with memQoL and MMSE. The combination of CSF Aβ42 and P-tau predicted cognitive decline with increased accuracy compared with Aβ42 alone. | [18] |
37 | 0 | 73 | 4.5 | ↓ Aβ42 CSF at follow-up correlated with worse cognition. Individuals with the most substantial longitudinal decrease of Aβ42 or increase of P-tau in CSF performed worse on cognitive test than the others. No significant results for CSF T-tau and plasma Aβ42. | Cognition was evaluated with ADAS-cog and AQT. | [19] |
43 | 0, but 4 developed MCI | Around 69a | 3.5 | Aβ42 and T-tau in CSF were used for predicting MCI. | Individuals were dichotomized into having a high or normal CSF T-tau/Aβ42 ratio. Individuals with a high ratio were more likely to develop MCI on follow-up. | [20] |
35 | 7 | 85 | 3 | ↓Aβ42 in CSF at baseline in patients that developed dementia. The CSF Aβ42:Aβ40 ratio showed a tendency to be lower (p = 0.068) in individuals that developed dementia. | CSF Aβ40 was lower in patients with dementia at baseline, but could not predict dementia in the cognitively normal. | [21] |
127 | 2, and 11 developed MCI | 60 | 4 | ↓Aβ42, ↑T-tau and ↑ P-tau in CSF among progressors. | All patients had subjective complaints at baseline. CSF Aβ42 alone was the strongest predictor for clinical progression. | [22] |