PMID- 26825093 OWN - NLM STAT- MEDLINE DCOM- 20170927 LR - 20191027 IS - 1875-5828 (Electronic) IS - 1567-2050 (Print) IS - 1567-2050 (Linking) VI - 13 IP - 7 DP - 2016 TI - Cerebrospinal Fluid proNGF: A Putative Biomarker for Early Alzheimer's Disease. PG - 800-8 AB - The discovery of biomarkers for the onset of Alzheimer's disease (AD) is essential for disease modification strategies. To date, AD biomarker studies have focused on brain imaging and cerebrospinal fluid (CSF) changes in amyloid- beta (Abeta) peptide and tau proteins. While reliable to an extent, this panel could be improved by the inclusion of novel biomarkers that optimize sensitivity and specificity. In this study, we determined whether CSF levels of the nerve growth factor (NGF) precursor protein, proNGF, increased during the progression of AD, mirroring its up regulation in postmortem brain samples of people who died with a clinical diagnosis of mild cognitive impairment (MCI) or AD. Immunoblot analysis was performed on ventricular CSF harvested from participants in the Rush Religious Orders Study with an antemortem clinical diagnosis of no cognitive impairment (NCI), amnestic MCI (aMCI, a putative prodromal AD stage), or mild/moderate AD. ProNGF levels were increased 55% in aMCI and 70% in AD compared to NCI. Increasing CSF proNGF levels correlated with impairment on cognitive test scores. In a complementary study, we found that proNGF was significantly increased by 30% in lumbar CSF samples derived from patients with a clinical dementia rating (CDR) of 0.5 or 1 compared to those with a CDR = 0. Notably, proNGF/Abeta1-42 levels were 50% higher in CDR 0.5 and CDR 1 compared to CDR 0 controls. By contrast, ELISA measurements of CSF brain-derived neurotrophic factor (BDNF) did not distinguish aMCI from NCI. Taken together, these results suggest that proNGF protein levels may augment the diagnostic accuracy of currently used CSF biomarker panels. FAU - Counts, Scott E AU - Counts SE AD - Michigan State University, 333 Bostwick Ave NE, Grand Rapids, MI 49503, USA. scott.counts@hc.msu.edu. FAU - He, Bin AU - He B FAU - Prout, John G AU - Prout JG FAU - Michalski, Bernadeta AU - Michalski B FAU - Farotti, Lucia AU - Farotti L FAU - Fahnestock, Margaret AU - Fahnestock M FAU - Mufson, Elliott J AU - Mufson EJ AD - Barrow Neurological Institute, 350 W. Thomas St., Phoenix, AZ 85013, 602-406-8525, USA. elliott.mufson@dignityhealth.org. LA - eng GR - P30 AG053760/AG/NIA NIH HHS/United States GR - R21 AG042146/AG/NIA NIH HHS/United States GR - R01 AG043375/AG/NIA NIH HHS/United States GR - P50 AG005136/AG/NIA NIH HHS/United States GR - CIHR/Canada GR - P30 AG010161/AG/NIA NIH HHS/United States GR - P01 AG014449/AG/NIA NIH HHS/United States GR - R21 AG026032/AG/NIA NIH HHS/United States GR - R21 AG053581/AG/NIA NIH HHS/United States GR - P30 AG019610/AG/NIA NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United Arab Emirates TA - Curr Alzheimer Res JT - Current Alzheimer research JID - 101208441 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Protein Precursors) RN - 0 (pro-nerve growth factor, human) RN - 9061-61-4 (Nerve Growth Factor) SB - IM MH - Aged MH - Aged, 80 and over MH - Alzheimer Disease/*cerebrospinal fluid MH - Analysis of Variance MH - Biomarkers/*cerebrospinal fluid MH - Brain-Derived Neurotrophic Factor/cerebrospinal fluid MH - Cognitive Dysfunction/cerebrospinal fluid MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Male MH - Mental Status Schedule MH - Middle Aged MH - Nerve Growth Factor/*cerebrospinal fluid MH - Protein Precursors/*cerebrospinal fluid PMC - PMC5827942 MID - NIHMS944066 COIS- CONFLICT OF INTEREST The authors confirm that this article content has no conflict of interest. EDAT- 2016/01/31 06:00 MHDA- 2017/09/28 06:00 PMCR- 2018/02/27 CRDT- 2016/01/31 06:00 PHST- 2015/10/19 00:00 [received] PHST- 2015/12/08 00:00 [revised] PHST- 2015/12/10 00:00 [accepted] PHST- 2016/01/31 06:00 [entrez] PHST- 2016/01/31 06:00 [pubmed] PHST- 2017/09/28 06:00 [medline] PHST- 2018/02/27 00:00 [pmc-release] AID - CAR-EPUB-73330 [pii] AID - 10.2174/1567205013666160129095649 [doi] PST - ppublish SO - Curr Alzheimer Res. 2016;13(7):800-8. doi: 10.2174/1567205013666160129095649.