PMID- 33247941 OWN - NLM STAT- MEDLINE DCOM- 20210510 LR - 20210510 IS - 1600-0404 (Electronic) IS - 0001-6314 (Linking) VI - 143 IP - 4 DP - 2021 Apr TI - Cerebrospinal fluid cytokines and metalloproteinases in cerebral amyloid angiopathy-related inflammation. PG - 450-457 LID - 10.1111/ane.13382 [doi] AB - OBJECTIVES: To clarify pathomechanisms of cerebral amyloid angiopathy-related inflammation/vasculitis (CAA-ri). METHODS: We collected cerebrospinal fluid (CSF) samples of nine patients with CAA-ri of before (acute CAA-ri group) and after treatment (post-treatment CAA-ri group) and nine patients with CAA (CAA without inflammation group). We examined anti-amyloid beta protein (Abeta) antibody titer by ELISA, and measured 27 Cytokines, nine matrix metalloproteinases (MMPs), and four tissue inhibitors of MMPs (TIMPs) by multiplexed fluorescent bead-based immunoassay. RESULTS: We demonstrated TIMP-2 (median) in CSF of the acute CAA-ri group (30,994.49 pg/ml, p = 0.007) and the post-treatment CAA-ri group (36,430.97 pg/ml, p = 0.001) was significantly elevated compared to that of the CAA without inflammation group (22,013.58 pg/ml). TIMP-1 was also higher in the post-treatment CAA-ri group than that in the CAA without inflammation group (58,167.75 pg/ml vs. 45,770.03 pg/ml, p = 0.005). There was a significant positive correlation between TIMP-1 and anti-Abeta antibodies in CAA-ri (r(s) = 0.900, p = 0.037). Median MMP-2 tended to be higher in the acute and post-treatment CAA-ri groups (10,619.82 pg/ml and 8396.98 pg/ml, respectively) than in the CAA without inflammation group (4436.34 pg/ml). Platelet-derived growth factor (PDGF)-BB levels before treatment were higher than those after treatment (median, 12.66 pg/ml vs. 6.39 pg/ml; p = 0.011) and correlated with the titer of anti-Abeta antibodies (r(s) =0.900, p = 0.037). CONCLUSIONS: Elevated levels of MMP-2, TIMP-1, and TIMP-2 might be related to the development of CAA-ri. Elevation of PDGF-BB could be a useful marker for clinical diagnosis of CAA-ri. CI - (c) 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Sakai, Kenji AU - Sakai K AUID- ORCID: 0000-0002-8865-4097 AD - Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan. FAU - Noguchi-Shinohara, Moeko AU - Noguchi-Shinohara M AD - Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan. AD - Department of Preemptive Medicine for Dementia, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan. FAU - Ikeda, Tokuhei AU - Ikeda T AD - Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan. AD - Department of Neurology, Ishikawa Prefectural Central Hospital, Kanazawa, Japan. FAU - Hamaguchi, Tsuyoshi AU - Hamaguchi T AD - Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan. FAU - Ono, Kenjiro AU - Ono K AD - Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan. AD - Department of Neurology, Showa University School of Medicine, Tokyo, Japan. FAU - Yamada, Masahito AU - Yamada M AD - Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan. LA - eng GR - Takeda Science Foundation/ GR - JP26860234/JSPS KAKENHI/ GR - The Amyloidosis Research Committee, Intractable Disease Division of the Japanese Ministry of Health and Welfare/ GR - H21-Nanchi-Ippan-072/The Research Committee on Collection of Biosamples from Patients with CAA on Intractable Diseases from the Ministry of Health, Labour, and Welfare/ PT - Journal Article DEP - 20201211 PL - Denmark TA - Acta Neurol Scand JT - Acta neurologica Scandinavica JID - 0370336 RN - 0 (Amyloid beta-Peptides) RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) RN - EC 3.4.- (Metalloproteases) SB - IM MH - Aged MH - Aged, 80 and over MH - Amyloid beta-Peptides/cerebrospinal fluid MH - Biomarkers/cerebrospinal fluid MH - Cerebral Amyloid Angiopathy/*cerebrospinal fluid/*diagnosis MH - Cytokines/*cerebrospinal fluid MH - Female MH - Humans MH - Inflammation Mediators/*cerebrospinal fluid MH - Male MH - Metalloproteases/*cerebrospinal fluid MH - Retrospective Studies OTO - NOTNLM OT - cerebral amyloid angiopathy OT - inflammation OT - matrix metalloproteinase OT - platelet-derived growth factor OT - tissue inhibitor of matrix proteinase OT - vasculitis EDAT- 2020/11/29 06:00 MHDA- 2021/05/11 06:00 CRDT- 2020/11/28 17:04 PHST- 2020/08/29 00:00 [received] PHST- 2020/11/06 00:00 [revised] PHST- 2020/11/21 00:00 [accepted] PHST- 2020/11/29 06:00 [pubmed] PHST- 2021/05/11 06:00 [medline] PHST- 2020/11/28 17:04 [entrez] AID - 10.1111/ane.13382 [doi] PST - ppublish SO - Acta Neurol Scand. 2021 Apr;143(4):450-457. doi: 10.1111/ane.13382. Epub 2020 Dec 11.