PMID- 34342379 OWN - NLM STAT- MEDLINE DCOM- 20220117 LR - 20220117 IS - 1098-2825 (Electronic) IS - 0887-8013 (Print) IS - 0887-8013 (Linking) VI - 35 IP - 9 DP - 2021 Sep TI - Reference interval and the role of plasma oligomeric beta amyloid in screening of risk groups for cognitive dysfunction at health checkups. PG - e23933 LID - 10.1002/jcla.23933 [doi] LID - e23933 AB - BACKGROUND: Alzheimer's disease (AD) has a prolonged preclinical stage characterized by cognitive dysfunction. Simple, reliable, and noninvasive biomarkers reflecting the pathogenesis of AD are needed for screening cognitive dysfunction in primary health care. The aims of this study were to determine (1) the potential utility of the Multimer Detection System-Oligomeric Amyloid-beta (MDS-OAbeta) value in cognitive assessments and (2) the reference interval (RI) of plasma MDS-OAbeta values in the general population. METHODS: This prospective study consecutively recruited 1,594 participants who underwent health checkups including cognitive function examination at 16 health-promotion centers in Korea between December 2020 and January 2021. The inBlood(TM) OAbeta test (PeopleBio, Gyeonggi-do, Republic of Korea) was utilized to quantify MDS-OAbeta values in plasma. The reference subjects were obtained among those with normal general cognition on cognitive screening tools. RIs were established according to the CLSI C28-A3 guidelines. RESULTS: The median MDS-OAbeta value was higher in subjects with Korean Dementia Screening Questionnaire-Cognition (KDSQ-C) scores >/=8 than in those with KDSQ-C scores of 6-7 (P = 0.013). The median MDS-OAbeta value was higher in subjects with Mini-Mental State Examination for Dementia Screening (MMSE-DS) scores of 21-26 than in those with MMSE-DS scores >/=27 (P = 0.011). The RI (one-side upper 95th percentile) of the MDS-OAbeta value was 0.80 ng/mL (95% confidence interval = 0.78-0.82) in those aged >/=50 years. CONCLUSIONS: The plasma MDS-OAbeta value reflects cognitive function as assessed using the KDSQ-C and MMSE-DS. RIs obtained from a large and cognitively healthy community-based sample are presented. CI - (c) The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC. FAU - Nah, Eun-Hee AU - Nah EH AUID- ORCID: 0000-0003-0637-4364 AD - Department of Laboratory Medicine and Health Promotion Research Institute, Korea Association of Health Promotion, Seoul, Korea. FAU - Cho, Seon AU - Cho S AD - Department of Laboratory Medicine and Health Promotion Research Institute, Korea Association of Health Promotion, Seoul, Korea. FAU - Park, Hyeran AU - Park H AD - Department of Laboratory Medicine and Health Promotion Research Institute, Korea Association of Health Promotion, Seoul, Korea. FAU - Noh, Dongwon AU - Noh D AD - Department of Laboratory Medicine and Health Promotion Research Institute, Korea Association of Health Promotion, Seoul, Korea. FAU - Hwang, Inhwan AU - Hwang I AD - Department of Laboratory Medicine and Health Promotion Research Institute, Korea Association of Health Promotion, Seoul, Korea. FAU - Cho, Han-Ik AU - Cho HI AD - MEDIcheck LAB, Korea Association of Health Promotion, Seoul, Korea. LA - eng PT - Journal Article DEP - 20210803 PL - United States TA - J Clin Lab Anal JT - Journal of clinical laboratory analysis JID - 8801384 RN - 0 (Amyloid beta-Peptides) RN - 0 (Biomarkers) SB - IM MH - Aged MH - Aged, 80 and over MH - Amyloid beta-Peptides/*blood/*chemistry MH - Biomarkers/*blood MH - Cognitive Dysfunction/blood/*diagnosis/epidemiology MH - Female MH - Healthy Volunteers MH - Humans MH - Male MH - Middle Aged MH - Prospective Studies MH - Reference Values MH - Republic of Korea/epidemiology MH - Risk Factors PMC - PMC8418474 OTO - NOTNLM OT - Alzheimer's disease OT - cognitive assessment OT - multimer detection system OT - oligomeric amyloid-beta OT - reference interval COIS- No potential conflicts of interest relevant to this article were reported. EDAT- 2021/08/04 06:00 MHDA- 2022/01/18 06:00 PMCR- 2021/08/03 CRDT- 2021/08/03 08:55 PHST- 2021/07/20 00:00 [revised] PHST- 2021/07/02 00:00 [received] PHST- 2021/07/21 00:00 [accepted] PHST- 2021/08/04 06:00 [pubmed] PHST- 2022/01/18 06:00 [medline] PHST- 2021/08/03 08:55 [entrez] PHST- 2021/08/03 00:00 [pmc-release] AID - JCLA23933 [pii] AID - 10.1002/jcla.23933 [doi] PST - ppublish SO - J Clin Lab Anal. 2021 Sep;35(9):e23933. doi: 10.1002/jcla.23933. Epub 2021 Aug 3.