Development and validation of a salivary tau biomarker in Alzheimer's disease

Heather Pekeles1,2, Hamid Y. Qureshi2, Hemant K. Paudel1,2, Hyman M. Schipper1,2,3, Mervyn Gornistky1,2,3, Howard Chertkow1,2,3,4
1Departments of Neurology and Neurosurgery and Dentistry, McGill University, Montreal, Québec, Canada
2Lady Davis Institute, Montreal, Québec, Canada
3Jewish General Hospital, Montreal, Québec, Canada
4Baycrest Health Sciences, Toronto, Ontario, Canada

Tóm tắt

AbstractIntroductionTotal tau (t‐tau) and phosphorylated tau (p‐tau) are abnormally elevated in the brain and cerebrospinal fluid of individuals with Alzheimer's disease (AD). Tau is also present in the salivary gland tissue and saliva, and salivary measures might produce an accurate, accessible, and inexpensive biomarker.MethodsUsing unstimulated saliva and Western blot analysis, we quantified the p‐tau/t‐tau ratio at different phosphorylation sites.ResultsWe found that for one phosphorylation site, S396, p‐tau/t‐tau ratio was significantly elevated in patients with AD compared with normal elderly control subjects. The elevation in saliva, however, did not correlate with cerebrospinal fluid tau or with brain measures such as hippocampal volume.DiscussionThere is significant elevation of p‐tau/t‐tau ratio for the S396 phosphorylation site. Large variation in the AD salivary tau levels, however, limits the utility of this test as a clinical biomarker.

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