Evaluation of a novel immunoassay to detect p-tau Thr217 in the CSF to distinguish Alzheimer disease from other dementias.
Aged
Aged, 80 and over
Alzheimer Disease
/ cerebrospinal fluid
Amyloid beta-Peptides
/ cerebrospinal fluid
Aphasia, Primary Progressive
/ cerebrospinal fluid
Cohort Studies
Diagnosis, Differential
Female
Frontotemporal Dementia
/ cerebrospinal fluid
Humans
Immunoassay
/ methods
Male
Middle Aged
Neurodegenerative Diseases
/ cerebrospinal fluid
Peptide Fragments
/ cerebrospinal fluid
Predictive Value of Tests
Reproducibility of Results
Sensitivity and Specificity
Supranuclear Palsy, Progressive
/ cerebrospinal fluid
Tauopathies
/ cerebrospinal fluid
tau Proteins
/ cerebrospinal fluid
Journal
Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060
Informations de publication
Date de publication:
01 12 2020
01 12 2020
Historique:
received:
04
03
2020
accepted:
08
07
2020
pubmed:
26
9
2020
medline:
17
12
2020
entrez:
25
9
2020
Statut:
ppublish
Résumé
To investigate whether tau phosphorylated at Thr217 (p-tau T217) assay in CSF can distinguish patients with Alzheimer disease (AD) from patients with other dementias and healthy controls. We developed and validated a novel Simoa immunoassay to detect p-tau T217 in CSF. There was a total of 190 participants from 3 cohorts with AD (n = 77) and other neurodegenerative diseases (n = 69) as well as healthy participants (n = 44). The p-tau T217 assay (cutoff 242 pg/mL) identified patients with AD with accuracy of 90%, with 78% positive predictive value (PPV), 97% negative predictive value (NPV), 93% sensitivity, and 88% specificity, compared favorably with p-tau T181 ELISA (52 pg/mL), showing 78% accuracy, 58% PPV, 98% NPV, 71% specificity, and 97% sensitivity. The assay distinguished patients with AD from age-matched healthy controls (cutoff 163 pg/mL, 98% sensitivity, 93% specificity), similarly to p-tau T181 ELISA (cutoff 60 pg/mL, 96% sensitivity, 86% specificity). In patients with AD, we found a strong correlation between p-tau T217 and p-tau T181, total tau and β-amyloid 40, but not β-amyloid 42. This study demonstrates that p-tau T217 displayed better diagnostic accuracy than p-tau T181. The data suggest that the new p-tau T217 assay has potential as an AD diagnostic test in clinical evaluation. This study provides Class III evidence that a CSF immunoassay for p-tau T217 distinguishes patients with AD from patients with other dementias and healthy controls.
Identifiants
pubmed: 32973122
pii: WNL.0000000000010814
doi: 10.1212/WNL.0000000000010814
pmc: PMC7734919
doi:
Substances chimiques
Amyloid beta-Peptides
0
MAPT protein, human
0
Peptide Fragments
0
amyloid beta-protein (1-40)
0
amyloid beta-protein (1-42)
0
tau Proteins
0
Types de publication
Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e3026-e3035Informations de copyright
Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.
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