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Proteomic-based Signature of Brain-r...
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Begcevic, Ilijana.
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Proteomic-based Signature of Brain-related Proteins as Novel Candidate Biomarkers for Alzheimer's Disease Diagnosis.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Proteomic-based Signature of Brain-related Proteins as Novel Candidate Biomarkers for Alzheimer's Disease Diagnosis./
作者:
Begcevic, Ilijana.
出版者:
Ann Arbor : ProQuest Dissertations & Theses, : 2018,
面頁冊數:
251 p.
附註:
Source: Dissertations Abstracts International, Volume: 80-02, Section: B.
Contained By:
Dissertations Abstracts International80-02B.
標題:
Medicine. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10639062
ISBN:
9780438186095
Proteomic-based Signature of Brain-related Proteins as Novel Candidate Biomarkers for Alzheimer's Disease Diagnosis.
Begcevic, Ilijana.
Proteomic-based Signature of Brain-related Proteins as Novel Candidate Biomarkers for Alzheimer's Disease Diagnosis.
- Ann Arbor : ProQuest Dissertations & Theses, 2018 - 251 p.
Source: Dissertations Abstracts International, Volume: 80-02, Section: B.
Thesis (Ph.D.)--University of Toronto (Canada), 2018.
This item must not be sold to any third party vendors.
Alzheimer's disease (AD) is the most common type of dementia characterized by the progressive memory loss and cognitive decline, with typical age of onset after 65 years. The main disease hallmarks include extracellular amyloid beta deposits and intracellular neurofibrillary tangles. Brain pathology is reflected in cerebrospinal fluid (CSF) where core biomarkers amyloid beta 1-42, total tau, and phosphorylated tau protein levels are changed relative to cognitively normal elderly. There is a need for novel disease-specific biomarkers that will capture disease more accurately and at an earlier stage, predict disease severity, and be used in research and clinical trial settings for patients' enrichment and stratification or to monitor drug efficacy. The aim of the present dissertation is to evaluate diagnostic potential of brain-related proteins in CSF of AD patients. The study was focused on proteins with high specificity for brain tissue. Only proteins expressed predominantly in the brain and reliably identified in the human CSF proteome were selected for development of multiplex mass spectrometry-based assay. Candidate biomarkers were then evaluated in AD patients with different spectrum of disease severity and cognitively healthy individuals (in total 154 subjects). This exploratory study suggests APLP1 protein as a promising biomarker for early AD detection. Specifically, the protein was elevated in mild cognitive impairment compared to cognitively healthy individuals (p<0.001) and was able to discriminate the two groups with high accuracy (AUC: 0.789); this potential was also observed for the multivariate panel of two proteins, APLP1 and SPP1 (AUC: 0.841). Future studies need to validate the biomarkers in a larger, independent cohort including AD, MCI and preclinical AD patients.
ISBN: 9780438186095Subjects--Topical Terms:
641104
Medicine.
Proteomic-based Signature of Brain-related Proteins as Novel Candidate Biomarkers for Alzheimer's Disease Diagnosis.
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Alzheimer's disease (AD) is the most common type of dementia characterized by the progressive memory loss and cognitive decline, with typical age of onset after 65 years. The main disease hallmarks include extracellular amyloid beta deposits and intracellular neurofibrillary tangles. Brain pathology is reflected in cerebrospinal fluid (CSF) where core biomarkers amyloid beta 1-42, total tau, and phosphorylated tau protein levels are changed relative to cognitively normal elderly. There is a need for novel disease-specific biomarkers that will capture disease more accurately and at an earlier stage, predict disease severity, and be used in research and clinical trial settings for patients' enrichment and stratification or to monitor drug efficacy. The aim of the present dissertation is to evaluate diagnostic potential of brain-related proteins in CSF of AD patients. The study was focused on proteins with high specificity for brain tissue. Only proteins expressed predominantly in the brain and reliably identified in the human CSF proteome were selected for development of multiplex mass spectrometry-based assay. Candidate biomarkers were then evaluated in AD patients with different spectrum of disease severity and cognitively healthy individuals (in total 154 subjects). This exploratory study suggests APLP1 protein as a promising biomarker for early AD detection. Specifically, the protein was elevated in mild cognitive impairment compared to cognitively healthy individuals (p<0.001) and was able to discriminate the two groups with high accuracy (AUC: 0.789); this potential was also observed for the multivariate panel of two proteins, APLP1 and SPP1 (AUC: 0.841). Future studies need to validate the biomarkers in a larger, independent cohort including AD, MCI and preclinical AD patients.
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