Standardization of preanalytical aspects of cerebrospinal fluid biomarker testing for Alzheimer's disease diagnosis: A consensus paper from the Alzheimer's Biomarkers Standardization Initiative

Alzheimer's & Dementia - Tập 8 - Trang 65-73 - 2012
Hugo Vanderstichele1, Mirko Bibl2, Sebastiaan Engelborghs3,4, Nathalie Le Bastard3, Piotr Lewczuk5, Jose Luis Molinuevo6, Lucilla Parnetti7, Armand Perret-Liaudet8,9, Leslie M. Shaw10, Charlotte Teunissen11, Dirk Wouters1, Kaj Blennow12
1Innogenetics NV (now part of Fujirebio), Ghent, Belgium
2Department of Psychiatry, Psychotherapy and Addiction Medicine, Kliniken Essen-Mitte, University of Duisburg-Essen, Essen, Germany
3Department of Neurology and Memory Clinic, Hospital Network Antwerp (ZNA), Middelheim and Hoge Beuken, Antwerp, Belgium
4Reference Centre for Biological Markers of Dementia (BIODEM), Institute Born-Bunge, University of Antwerp, Antwerp, Belgium
5Department of Psychiatry and Psychotherapy, Universitätsklinikum Erlangen, Erlangen, Germany
6Alzheimer's Disease and Other Cognitive Disorders Unit, Hospital Clinic i Universitari, Barcelona, Spain
7Section of Neurology, Centre for Memory Disturbances, University of Perugia, Perugia, Italy
8Centre for Memory Resources and Research (CMRR), Neurobiology Laboratory, GHE, Hôpitaux de Lyon, Lyon, France
9Centre de Recherche en Neurosciences de Lyon (équipe BioRaN). Université Lyon 1 - CNRS UMR5292 - INSERM U1028, Lyon, France
10Department of Pathology and Laboratory Medicine, Perelman Medical Center, University of Pennsylvania, Philadelphia, PA, USA
11Neurology Laboratory Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands
12Department of Psychiatry and Neurochemistry, Clinical Neurochemistry Laboratory, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden

Tóm tắt

AbstractBackground

Numerous studies show that the cerebrospinal fluid biomarkers total tau (T‐tau), tau phosphorylated at threonine 181 (P‐tau181P), and amyloid‐β (1‐42) (Aβ1–42) have high diagnostic accuracy for Alzheimer's disease. Variability in concentrations for Aβ1–42, T‐tau, and P‐tau181P drives the need for standardization.

Methods

Key issues were identified and discussed before the first meeting of the members of the Alzheimer's Biomarkers Standardization Initiative (ABSI). Subsequent ABSI consensus meetings focused on preanalytical issues.

Results

Consensus was reached on preanalytical issues such as the effects of fasting, different tube types, centrifugation, time and temperature before storage, storage temperature, repeated freeze/thaw cycles, and length of storage on concentrations of Aβ1–42, T‐tau, and P‐tau181P in cerebrospinal fluid.

Conclusions

The consensus reached on preanalytical issues and the recommendations put forward during the ABSI consensus meetings are presented in this paper.


Tài liệu tham khảo

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