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CSF metabolites associate with CSF tau and improve prediction of Alzheimer's disease status

Dong, R; Darst, BF; Deming, Y; Ma, Y; Lu, Q; Zetterberg, H; Blennow, K; ... Engelman, CD; + view all (2021) CSF metabolites associate with CSF tau and improve prediction of Alzheimer's disease status. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring , 13 , Article e12167. 10.1002/dad2.12167. Green open access

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Abstract

Introduction: Cerebrospinal fluid (CSF) total tau (t-tau) and phosphorylated tau (p-tau) are biomarkers of Alzheimer's disease (AD), yet much is unknown about AD-associated changes in tau metabolism and tau tangle etiology. Methods: We assessed the variation of t-tau and p-tau explained by 38 previously identified CSF metabolites using linear regression models in middle-age controls from the Wisconsin Alzheimer's Disease Research Center, and predicted AD/mild cognitive impairment (MCI) versus an independent set of older controls using metabolites selected by the least absolute shrinkage and selection operator (LASSO). Results: The 38 CSF metabolites explained 70.3% and 75.7% of the variance in t-tau and p-tau, respectively. Of these, seven LASSO-selected metabolites improved the prediction ability of AD/MCI versus older controls (area under the curve score increased from 0.92 to 0.97 and 0.78 to 0.93) compared to the base model. Discussion: These tau-correlated CSF metabolites increase AD/MCI prediction accuracy and may provide insight into tau tangle etiology.

Type: Article
Title: CSF metabolites associate with CSF tau and improve prediction of Alzheimer's disease status
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/dad2.12167
Publisher version: http://dx.doi.org/10.1002/dad2.12167
Language: English
Additional information: © 2021 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, LLC on behalf of Alzheimer's Association This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
Keywords: Alzheimer's disease, cerebrospinal fluid, metabolite, metabolomics, p‐tau, t‐tau
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neurodegenerative Diseases
URI: https://discovery.ucl.ac.uk/id/eprint/10128122
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