PMID- 32284537 OWN - NLM STAT- MEDLINE DCOM- 20210802 LR - 20210802 IS - 2092-6413 (Electronic) IS - 1226-3613 (Print) IS - 1226-3613 (Linking) VI - 52 IP - 4 DP - 2020 Apr TI - New fluid biomarkers tracking non-amyloid-beta and non-tau pathology in Alzheimer's disease. PG - 556-568 LID - 10.1038/s12276-020-0418-9 [doi] AB - Cerebrospinal fluid (CSF) biomarkers based on the core pathological proteins associated with Alzheimer's disease (AD), i.e., amyloid-beta (Abeta) and tau protein, are widely regarded as useful diagnostic biomarkers. However, a lack of biomarkers for monitoring the treatment response and indexing clinical severity has proven to be problematic in drug trials targeting Abeta. Therefore, new biomarkers are needed to track non-Abeta and non-tau pathology. Many proteins involved in the pathophysiological progression of AD have shown promise as new biomarkers. Neurodegeneration- and synapse-related biomarkers in CSF (e.g., neurofilament light polypeptide [NFL], neurogranin, and visinin-like protein 1) and blood (e.g., NFL) aid prediction of AD progress, as well as early diagnosis. Neuroinflammation, lipid dysmetabolism, and impaired protein clearance are considered important components of AD pathophysiology. Inflammation-related proteins in the CSF, such as progranulin, intercellular adhesion molecule 1, and chitinase-3-like protein 1 (YKL-40), are useful for the early detection of AD and can represent clinical severity. Several lipid metabolism-associated biomarkers and protein clearance-linked markers have also been suggested as candidate AD biomarkers. Combinations of subsets of new biomarkers enhance their utility in terms of broadly characterizing AD-associated pathological changes, thereby facilitating precise selection of susceptible patients and comprehensive monitoring of the treatment response. This approach could facilitate the development of effective treatments for AD. FAU - Park, Sun Ah AU - Park SA AUID- ORCID: 0000-0002-3027-3259 AD - Lab for Neurodegenerative Dementia, Department of Anatomy, Ajou University School of Medicine, Suwon, 16499, Republic of Korea. sap001@ajou.ac.kr. AD - Department of Neurology, Ajou University School of Medicine, Suwon, 16499, Republic of Korea. sap001@ajou.ac.kr. AD - Neuroscience Graduate Program, Department of Biomedical Sciences, Ajou University Graduate School of Medicine, Suwon, 16499, Republic of Korea. sap001@ajou.ac.kr. FAU - Han, Song Mi AU - Han SM AD - Lab for Neurodegenerative Dementia, Department of Anatomy, Ajou University School of Medicine, Suwon, 16499, Republic of Korea. AD - Neuroscience Graduate Program, Department of Biomedical Sciences, Ajou University Graduate School of Medicine, Suwon, 16499, Republic of Korea. FAU - Kim, Chae Eun AU - Kim CE AD - Lab for Neurodegenerative Dementia, Department of Anatomy, Ajou University School of Medicine, Suwon, 16499, Republic of Korea. AD - Neuroscience Graduate Program, Department of Biomedical Sciences, Ajou University Graduate School of Medicine, Suwon, 16499, Republic of Korea. LA - eng GR - NRF-2018R1A2B6009439/National Research Foundation of Korea (NRF)/International GR - NRF-2019R1A5A2026045/National Research Foundation of Korea (NRF)/International GR - NRF-2018M3C7A1056293/National Research Foundation of Korea (NRF)/International PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200413 PL - United States TA - Exp Mol Med JT - Experimental & molecular medicine JID - 9607880 RN - 0 (Amyloid beta-Peptides) RN - 0 (Amyloidogenic Proteins) RN - 0 (Biomarkers) RN - 0 (Inflammation Mediators) RN - 0 (tau Proteins) SB - IM MH - Alzheimer Disease/diagnosis/*etiology/*metabolism MH - Amyloid beta-Peptides/blood/cerebrospinal fluid/metabolism MH - Amyloidogenic Proteins/blood/cerebrospinal fluid/*metabolism MH - Axons/metabolism/pathology MH - *Biomarkers/blood/cerebrospinal fluid MH - Blood-Brain Barrier/metabolism MH - *Disease Susceptibility MH - Humans MH - Inflammation Mediators/blood/cerebrospinal fluid/metabolism MH - Lipid Metabolism MH - Liquid Biopsy/methods MH - Molecular Diagnostic Techniques MH - Nerve Degeneration MH - Prognosis MH - Synapses/metabolism/pathology MH - tau Proteins/blood/cerebrospinal fluid/metabolism PMC - PMC7210893 COIS- The authors declare that they have no conflict of interest. EDAT- 2020/04/15 06:00 MHDA- 2021/08/03 06:00 PMCR- 2020/04/13 CRDT- 2020/04/15 06:00 PHST- 2019/10/27 00:00 [received] PHST- 2020/03/09 00:00 [accepted] PHST- 2020/03/06 00:00 [revised] PHST- 2020/04/15 06:00 [pubmed] PHST- 2021/08/03 06:00 [medline] PHST- 2020/04/15 06:00 [entrez] PHST- 2020/04/13 00:00 [pmc-release] AID - 10.1038/s12276-020-0418-9 [pii] AID - 418 [pii] AID - 10.1038/s12276-020-0418-9 [doi] PST - ppublish SO - Exp Mol Med. 2020 Apr;52(4):556-568. doi: 10.1038/s12276-020-0418-9. Epub 2020 Apr 13.