%0 Journal Article %@ 1552-5279 %A Vergallo, A %A Bun, R-S %A Toschi, N %A Baldacci, F %A Zetterberg, H %A Blennow, K %A Cavedo, E %A Lamari, F %A Habert, M-O %A Dubois, B %A Floris, R %A Garaci, F %A Lista, S %A Hampel, H %A INSIGHT-preAD study group %A Alzheimer Precision Medicine Initiative (APMI) %D 2018 %F discovery:10059341 %J Alzheimers Dement %K Alzheimer's disease, Amyloid PET, Cerebrospinal fluid, Monocentric, Preclinical, SUVR, Subjective memory complainers, Synergistic, Tau protein, α-Synuclein %N 12 %P 1623-1631 %T Association of Cerebrospinal Fluid Α-synuclein With Total and Phospho-tau181 Protein Concentrations and Brain Amyloid Load in Cognitively Normal Subjective Memory Complainers Stratified by Alzheimer's Disease Biomarkers %U https://discovery.ucl.ac.uk/id/eprint/10059341/ %V 14 %X INTRODUCTION: Several neurodegenerative brain proteinopathies, including Alzheimer's disease (AD), are associated with cerebral deposition of insoluble aggregates of α-synuclein. Previous studies reported a trend toward increased cerebrospinal fluid (CSF) α-synuclein (α-syn) concentrations in AD compared with other neurodegenerative diseases and healthy controls. METHODS: The pathophysiological role of CSF α-syn in asymptomatic subjects at risk of AD has not been explored. We performed a large-scale cross-sectional observational monocentric study of preclinical individuals at risk for AD (INSIGHT-preAD). RESULTS: We found a positive association between CSF α-syn concentrations and brain β-amyloid deposition measures as mean cortical standard uptake value ratios. We demonstrate positive correlations between CSF α-syn and both CSF t-tau and p-tau181 concentrations. DISCUSSION: Animal models presented evidence, indicating that α-syn may synergistically and directly induce fibrillization of both tau and β-amyloid. Our data indicate an association of CSF α-syn with AD-related pathophysiological mechanisms, during the preclinical phase of the disease. %Z This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.