PMID- 29330839 OWN - NLM STAT- MEDLINE DCOM- 20190226 LR - 20240329 IS - 1559-1182 (Electronic) IS - 0893-7648 (Print) IS - 0893-7648 (Linking) VI - 55 IP - 8 DP - 2018 Aug TI - Peripheral Blood Brain-Derived Neurotrophic Factor as a Biomarker of Alzheimer's Disease: Are There Methodological Biases? PG - 6661-6672 LID - 10.1007/s12035-017-0866-y [doi] AB - Mounting evidence that alterations in brain-derived neurotrophic factor (BDNF) levels and signaling may be involved in the etiopathogenesis of Alzheimer's disease (AD) has suggested that its blood levels could be used as a biomarker of the disease. However, higher, lower, or unchanged circulating BDNF levels have all been described in AD patients compared to healthy controls. Although the reasons for such different findings are unclear, methodological issues are likely to be involved. The heterogeneity of participant recruitment criteria and the lack of control of variables that influence circulating BDNF levels regardless of dementia (depressive symptoms, medications, lifestyle, lack of overlap between serum and plasma, and experimental aspects) are likely to bias result and prevent study comparability. The present work reviews a broad panel of factors, whose close control could help reduce the inconsistency of study findings, and offers practical advice on their management. Research directed at elucidating the weight of each of these variables and at standardizing analytical methodologies is urgently needed. FAU - Balietti, Marta AU - Balietti M AUID- ORCID: 0000-0002-3123-7903 AD - Center for Neurobiology of Aging, INRCA, Via Birarelli 8, 60121, Ancona, Italy. m.balietti@inrca.it. FAU - Giuli, Cinzia AU - Giuli C AD - Geriatrics Operative Unit, INRCA, Fermo, 63023, Italy. FAU - Conti, Fiorenzo AU - Conti F AD - Center for Neurobiology of Aging, INRCA, Via Birarelli 8, 60121, Ancona, Italy. AD - Department of Experimental and Clinical Medicine, Section of Neuroscience and Cell Biology, Universita Politecnica delle Marche, Ancona, 60126, Italy. LA - eng GR - 154/GR-2009-1584108/Italian Ministry of Health and Regione Marche/ PT - Journal Article PT - Review DEP - 20180113 PL - United States TA - Mol Neurobiol JT - Molecular neurobiology JID - 8900963 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Alzheimer Disease/*blood/complications/drug therapy MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Depression/etiology MH - Humans MH - Life Style MH - Models, Biological PMC - PMC6061178 OTO - NOTNLM OT - Alzheimer's disease OT - Biomarker OT - Blood OT - Brain-derived neurotrophic factor OT - Confounding variables COIS- The authors declare that they have no conflict of interest. EDAT- 2018/01/14 06:00 MHDA- 2019/02/27 06:00 PMCR- 2018/01/13 CRDT- 2018/01/14 06:00 PHST- 2017/10/03 00:00 [received] PHST- 2017/12/26 00:00 [accepted] PHST- 2018/01/14 06:00 [pubmed] PHST- 2019/02/27 06:00 [medline] PHST- 2018/01/14 06:00 [entrez] PHST- 2018/01/13 00:00 [pmc-release] AID - 10.1007/s12035-017-0866-y [pii] AID - 866 [pii] AID - 10.1007/s12035-017-0866-y [doi] PST - ppublish SO - Mol Neurobiol. 2018 Aug;55(8):6661-6672. doi: 10.1007/s12035-017-0866-y. Epub 2018 Jan 13.