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Table of Contents
Vol. 4, No. 5, 2007
Issue release date: July 2007
Section title: Original Paper
Neurodegenerative Dis 2007;4:366–375
(DOI:10.1159/000105157)

Serum Heart-Type Fatty Acid-Binding Protein and Cerebrospinal Fluid Tau: Marker Candidates for Dementia with Lewy Bodies

Mollenhauer B.a, c · Steinacker P.c, f · Bahn E.d · Bibl M.e · Brechlin P.c · Schlossmacher M.G.a · Locascio J.J.a, b · Wiltfang J.g · Kretzschmar H.A.h · Poser S.c · Trenkwalder C.i · Otto M.c, f
aCenter for Neurologic Diseases, Brigham and Women’s Hospital and bMemory and Movement Disorder Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Mass., USA; Departments of cNeurology, dPathology and ePsychiatry, Georg August University, Göttingen, fDepartment of Neurology, University of Ulm, Ulm, gDepartment of Psychiatry, Friedrich Alexander University, Erlangen/Nuremberg, hDepartment of Neuropathology, Ludwig Maximilians University Munich, Munich, and iGeorg August University Göttingen, Paracelsus-Elena Klinik, Kassel, Germany

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: June 08, 2006
Accepted: August 27, 2006
Published online: July 06, 2007
Issue release date: July 2007

Number of Print Pages: 10
Number of Figures: 4
Number of Tables: 3

ISSN: 1660-2854 (Print)
eISSN: 1660-2862 (Online)

For additional information: http://www.karger.com/NDD

Abstract

Background: The measurement of biomarkers in cerebrospinal fluid (CSF) has gained increasing acceptance in establishing the diagnosis of some neurodegenerative diseases. Heart-type fatty acid-binding protein (H-FABP) was recently discovered in CSF and serum of patients with neurodegenerative diseases. Objective: We investigated H-FABP in CSF and serum alone and in combination with CSF tau protein to evaluate these as potential biomarkers for the differentiation between dementia with Lewy bodies (DLB) and Alzheimer’s disease (AD). Methods: We established H-FABP and tau protein values in a set of 144 persons with DLB (n = 33), Parkinson disease with dementia (PDD; n = 25), AD (n = 35) and nondemented neurological controls (NNC; n = 51). Additionally, serum H-FABP levels were analyzed in idiopathic Parkinson disease patients without evidence of cognitive decline (n = 45) using commercially available enzyme-linked immunosorbent assays. We calculated absolute values of H-FABP and tau protein in CSF and serum and established relative ratios between the two to obtain the best possible match for the clinical working diagnosis. Results: Serum H-FABP levels were elevated in DLB and PDD patients compared with NNC and AD subjects. To better discriminate between DLB and AD, we calculated the ratio of serum H-FABP to CSF tau protein levels. At the arbitrary chosen cutoff ratio ≧8 this quotient reached a sensitivity of 91% and a specificity of 66%. Conclusion: Our results suggest that the measurement of CSF tau protein, together with H-FABP quantification in serum and CSF, and the ratio of serum H-FABP to CSF tau protein represent marker candidates for the differentiation between AD and DLB.

© 2007 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: June 08, 2006
Accepted: August 27, 2006
Published online: July 06, 2007
Issue release date: July 2007

Number of Print Pages: 10
Number of Figures: 4
Number of Tables: 3

ISSN: 1660-2854 (Print)
eISSN: 1660-2862 (Online)

For additional information: http://www.karger.com/NDD


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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