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Alzheimer's Disease Biomarkers Revisited From the Amyloid Cascade Hypothesis Standpoint

Alawode, Deborah OT; Fox, Nick C; Zetterberg, Henrik; Heslegrave, Amanda J; (2022) Alzheimer's Disease Biomarkers Revisited From the Amyloid Cascade Hypothesis Standpoint. Frontiers in Neuroscience , 16 , Article 837390. 10.3389/fnins.2022.837390. Green open access

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Abstract

Alzheimer’s disease (AD) is the most common neurodegenerative disease worldwide. Amyloid beta (Aβ) is one of the proteins which aggregate in AD, and its key role in the disease pathogenesis is highlighted in the amyloid cascade hypothesis, which states that the deposition of Aβ in the brain parenchyma is a crucial initiating step in the future development of AD. The sensitivity of instruments used to measure proteins in blood and cerebrospinal fluid has significantly improved, such that Aβ can now successfully be measured in plasma. However, due to the peripheral production of Aβ, there is significant overlap between diagnostic groups. The presence of pathological Aβ within the AD brain has several effects on the cells and surrounding tissue. Therefore, there is a possibility that using markers of tissue responses to Aβ may reveal more information about Aβ pathology and pathogenesis than looking at plasma Aβ alone. In this manuscript, using the amyloid cascade hypothesis as a starting point, we will delve into how the effect of Aβ on the surrounding tissue can be monitored using biomarkers. In particular, we will consider whether glial fibrillary acidic protein, triggering receptor expressed on myeloid cells 2, phosphorylated tau, and neurofilament light chain could be used to phenotype and quantify the tissue response against Aβ pathology in AD.

Type: Article
Title: Alzheimer's Disease Biomarkers Revisited From the Amyloid Cascade Hypothesis Standpoint
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fnins.2022.837390
Publisher version: https://doi.org/10.3389/fnins.2022.837390
Language: English
Additional information: © 2022 Alawode, Fox, Zetterberg and Heslegrave. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).
Keywords: amyloid-beta, blood biomarkers, neurodegeneration, neurofilament light (NfL), glial fibrillary acidic protein (GFAP), phosphorylated tau (p-tau), triggering receptor expressed on myeloid cells 2 (TREM2)
UCL classification: 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 > Neurodegenerative Diseases
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
URI: https://discovery.ucl.ac.uk/id/eprint/10149164
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