Literature DB >> 25579841

Biomarkers of Alzheimer's disease and mild cognitive impairment: a current perspective.

Piotr Lewczuk1, Barbara Mroczko2, Anne Fagan3, Johannes Kornhuber4.   

Abstract

A growing body of evidence supports the application of the neurochemical dementia diagnostics (NDD) biomarkers for the diagnosis of dementing conditions. Biomarkers of Alzheimer's disease (AD) were recently classified as these reflecting amyloid β pathology (decreased CSF concentrations of Aβ42 and/or positive Aβ PET scan) and these reflecting neurodegeneration (increased CSF Tau concentrations, decreased uptake of FDG on FDG-PET, and cerebral atrophy on structural MRI). Particularly important seems the role of the biomarkers in the early diagnosis of AD, as the first pathophysiologic events observable in the CSF and amyloid β-PET occur years and perhaps decades before the onset of the earliest clinical symptoms. Therefore, the NDD tools enable the diagnosis of AD already in the early preclinical stage. This review summarizes pathophysiology underlying the CSF biomarkers, following a discussion of their role in the current guidelines for the diagnostic procedures.
Copyright © 2014 Medical University of Bialystok. All rights reserved.

Entities:  

Keywords:  Alzheimer's disease; Amyloid β; Cerebrospinal fluid; Clinical neurochemistry; Tau

Mesh:

Substances:

Year:  2014        PMID: 25579841     DOI: 10.1016/j.advms.2014.11.002

Source DB:  PubMed          Journal:  Adv Med Sci        ISSN: 1896-1126            Impact factor:   3.287


  19 in total

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