Getting the Jump on Alzheimer’s

April 21st, 2009 | Sources: Annals of Neurology, BurrillReport

Subjects:

Scientists at the University of Pennsylvania have developed a screening test for Alzheimer’s disease.

whichonehasAlzheimer's?They claim the test can detect the condition before symptom onset and predict whether patients with mild cognitive impairment will progress to the full-blown syndrome.
 
The test involves measuring cerebrospinal fluid concentrations of the disease’s 2 principal biochemical hallmarks—amyloid beta42 peptide and tau protein.

Compared with unaffected people, Alzheimer’s patients have decreased levels of the former and increased levels of the latter.
 
“With this test, we can detect and track progression of Alzheimer’s disease,” Leslie Shaw asserted to BurrillReport.

The co-director of Penn’s Alzheimer’s Disease Neuroimaging Initiative and lead author of the study added, “validated biomarkers will improve the focus of Alzheimer’s clinical trials, enrolling patients at earlier stages of the disease to find treatments that can delay, and perhaps stop neurodegeneration.”
 
Shaw and her colleagues wrote it up in Annals of Neurology.

The scientists examined CSF samples from 410 volunteers at 56 sites in the US and Canada, as well as 52 presumed normal volunteers and post-mortem specimens from 56 patients with autopsy-proven Alzheimer’s disease.
 
The test was 87 percent accurate overall.

It correctly ruled out Alzheimer’s in 95% of normal volunteers, correctly detected the disease in 96% of those with autopsy-proven disease, and predicted conversion from mild cognitive impairment to Alzheimer’s in 82% of participants.

Thiswon'thurtabitFurther validation studies are underway. 
 
“We have validated a test where a safe, simple lumbar puncture can provide information to confirm suspected Alzheimer’s disease and predict the onset of the disease,” John Trojanowski told Burrill.

The director of the Penn Alzheimer’s Disease Core Center added that “using this technique, we will further our understanding of how the disease progresses and what we can do to stop Alzheimer’s disease before it starts.”


 

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