Blood Amyloid-β Oligomerization as a Biomarker of Alzheimer's Disease: A Blinded Validation Study

J Alzheimers Dis. 2020;75(2):493-499. doi: 10.3233/JAD-200061.

Abstract

Background: Oligomeric amyloid-β (Aβ) is one of the major contributors to the pathomechanism of Alzheimer's disease (AD); Aβ oligomerization in plasma can be measured using a Multimer Detection System-Oligomeric Aβ (MDS-OAβ) after incubation with spiked synthetic Aβ.

Objective: We evaluated the clinical sensitivity and specificity of the MDS-OAβ values for prediction of AD.

Methods: The MDS-OAβ values measured using inBlood™ OAβ test in heparin-treated plasma samples from 52 AD patients in comparison with 52 community-based subjects with normal cognition (NC). The inclusion criterion was proposed by the NINCDS-ADRDA and additionally required at least 6 months of follow-up from the initial clinical diagnosis in the course of AD.

Results: The MDS-OAβ values were 1.43±0.30 ng/ml in AD and 0.45±0.19 (p < 0.001) in NC, respectively. Using a cut-off value of 0.78 ng/ml, the results revealed 100% sensitivity and 92.31% specificity.

Conclusion: MDS-OAβ to measure plasma Aβ oligomerization is a valuable blood-based biomarker for clinical diagnosis of AD, with high sensitivity and specificity.

Keywords: Alzheimer’s disease; amyloid-β; biomarker; blood; multimer detection system; oligomer.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / blood
  • Alzheimer Disease / diagnosis*
  • Amyloid beta-Peptides / blood*
  • Biomarkers / blood
  • Female
  • Humans
  • Male
  • Middle Aged
  • Peptide Fragments / blood*
  • Sensitivity and Specificity

Substances

  • Amyloid beta-Peptides
  • Biomarkers
  • Peptide Fragments