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Published in: BMC Neurology 1/2007

Open Access 01-12-2007 | Research article

Fibrinogen gamma-A chain precursor in CSF: a candidate biomarker for Alzheimer's disease

Authors: Joung Wook Lee, Hong Namkoong, Hyun Kee Kim, Sanghee Kim, Dong Whi Hwang, Hae Ri Na, Seon-Ah Ha, Jae-Ryong Kim, Jin Woo Kim

Published in: BMC Neurology | Issue 1/2007

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Abstract

Background

Cerebrospinal fluid (CSF) may be valuable for exploring protein markers for the diagnosis of Alzheimer's disease (AD). The prospect of early detection and treatment, to slow progression, holds hope for aging populations with increased average lifespan. The aim of the present study was to investigate candidate CSF biological markers in patients with mild cognitive impairment (MCI) and AD and compare them with age-matched normal control subjects.

Methods

We applied proteomics approaches to analyze CSF samples derived from 27 patients with AD, 3 subjects with MCI and 30 controls. The AD group was subdivided into three groups by clinical severity according to clinical dementia rating (CDR), a well known clinical scale for dementia.

Results

We demonstrated an elevated level of fibrinogen gamma-A chain precursor protein in CSF from patients with mild cognitive impairment and AD compared to the age-matched normal subjects. Moreover, its expression was more prominent in the AD group than in the MCI and correlated with disease severity and progression. In contrast, fibrinogen gamma-A chain precursor protein was detected very low in the age-matched normal group.

Conclusion

These findings suggest that the CSF level of fibrinogen gamma-A chain precursor may be a candidate biomarker for AD.
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Literature
1.
go back to reference Choe LH, Dutt MJ, Relkin N, Lee KH: Studies of potential cerebrospinal fluid molecular markers for Alzheimer's disease. Electrophoresis. 2002, 23: 2247-2251. 10.1002/1522-2683(200207)23:14<2247::AID-ELPS2247>3.0.CO;2-M.CrossRefPubMed Choe LH, Dutt MJ, Relkin N, Lee KH: Studies of potential cerebrospinal fluid molecular markers for Alzheimer's disease. Electrophoresis. 2002, 23: 2247-2251. 10.1002/1522-2683(200207)23:14<2247::AID-ELPS2247>3.0.CO;2-M.CrossRefPubMed
2.
go back to reference Johnson G, Brane D, Block W, Kammen DP, Gurklis J, Peters JL, Wyatt RJ, Kirch DG, Ghanbari HA, Merril CR: Cerebrospinal fluid protein variations in common to Alzheimer's disease and schizophrenia. Appl Theor Electrophor. 1992, 3 (2): 47-53.PubMed Johnson G, Brane D, Block W, Kammen DP, Gurklis J, Peters JL, Wyatt RJ, Kirch DG, Ghanbari HA, Merril CR: Cerebrospinal fluid protein variations in common to Alzheimer's disease and schizophrenia. Appl Theor Electrophor. 1992, 3 (2): 47-53.PubMed
3.
go back to reference Sjögren M, Davidsson P, Tullberg M, Minthon L, Wallin A, Wikkelso C, Granerus AK, Vanderstichele H, Vanmechelen E, Blenow K: Both total and phosphorylated tau are increased in Alzheimer's disease. J Neurol Neurosurg Psychiatry. 2001, 70 (5): 624-630. 10.1136/jnnp.70.5.624.CrossRefPubMedPubMedCentral Sjögren M, Davidsson P, Tullberg M, Minthon L, Wallin A, Wikkelso C, Granerus AK, Vanderstichele H, Vanmechelen E, Blenow K: Both total and phosphorylated tau are increased in Alzheimer's disease. J Neurol Neurosurg Psychiatry. 2001, 70 (5): 624-630. 10.1136/jnnp.70.5.624.CrossRefPubMedPubMedCentral
4.
go back to reference Sjögren M, Davidsson P, Gottfries J, Vanderstichele H, Edman A, Vanmechelen E, Wallin A, Blenow K: The cerebrospinal fluid levels of tau, growth-associated protein-43 and soluble amyloid precursor protein correlate in Alzheimer's disease, reflecting a common pathophysiological process. Dement Geriatr Cogn Disord. 2001, 12 (4): 257-264. 10.1159/000051268.CrossRefPubMed Sjögren M, Davidsson P, Gottfries J, Vanderstichele H, Edman A, Vanmechelen E, Wallin A, Blenow K: The cerebrospinal fluid levels of tau, growth-associated protein-43 and soluble amyloid precursor protein correlate in Alzheimer's disease, reflecting a common pathophysiological process. Dement Geriatr Cogn Disord. 2001, 12 (4): 257-264. 10.1159/000051268.CrossRefPubMed
5.
go back to reference Davidsson P, Westman-Brinkmalm A, Nilsson CL, Lindbjer M, Paulson L, Andreasen N, Sjogren M, Blenow K: Proteome analysis of cerebrospinal fluid proteins in Alzheimer patients. NeuroReport. 2002, 13 (5): 611-615. 10.1097/00001756-200204160-00015.CrossRefPubMed Davidsson P, Westman-Brinkmalm A, Nilsson CL, Lindbjer M, Paulson L, Andreasen N, Sjogren M, Blenow K: Proteome analysis of cerebrospinal fluid proteins in Alzheimer patients. NeuroReport. 2002, 13 (5): 611-615. 10.1097/00001756-200204160-00015.CrossRefPubMed
7.
go back to reference Kawas CH, Katzman R: Epidemiology of dementia and Alzheimer disease. Alzheimer Disease. Edited by: Terry RD, Katzman R, Bick KL, Sisodia SS. 1999, Philadelphia: Lippincott Williams & Wilkins, 95-115. 2 Kawas CH, Katzman R: Epidemiology of dementia and Alzheimer disease. Alzheimer Disease. Edited by: Terry RD, Katzman R, Bick KL, Sisodia SS. 1999, Philadelphia: Lippincott Williams & Wilkins, 95-115. 2
8.
go back to reference Tomlinson BE, Blessed G, Roth M: Observations on the brains of demented old people. J Neurol Sci. 1970, 11 (3): 205-242. 10.1016/0022-510X(70)90063-8.CrossRefPubMed Tomlinson BE, Blessed G, Roth M: Observations on the brains of demented old people. J Neurol Sci. 1970, 11 (3): 205-242. 10.1016/0022-510X(70)90063-8.CrossRefPubMed
9.
go back to reference McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM: Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology. 1984, 34 (7): 939-944.CrossRefPubMed McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM: Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology. 1984, 34 (7): 939-944.CrossRefPubMed
10.
go back to reference Petersen RC, Smith GE, Waring SC, Ivnik RJ, Tangalos EG, Kokmen E: Mild cognitive impairment: clinical characterization and outcome. Arch Neurol. 1999, 56: 303-308. 10.1001/archneur.56.3.303.CrossRefPubMed Petersen RC, Smith GE, Waring SC, Ivnik RJ, Tangalos EG, Kokmen E: Mild cognitive impairment: clinical characterization and outcome. Arch Neurol. 1999, 56: 303-308. 10.1001/archneur.56.3.303.CrossRefPubMed
11.
go back to reference Morris JC: The Clinical Dementia Rating (CDR): Current version and scoring rules. Neurology. 1993, 43 (11): 2412-2414.CrossRefPubMed Morris JC: The Clinical Dementia Rating (CDR): Current version and scoring rules. Neurology. 1993, 43 (11): 2412-2414.CrossRefPubMed
12.
go back to reference Blum H, Beier H, Gross HJ: Improved silver staining of plant proteins, RNA and DNA in polyacrylamide gels. Electrophoresis. 1987, 8: 93-99. 10.1002/elps.1150080203.CrossRef Blum H, Beier H, Gross HJ: Improved silver staining of plant proteins, RNA and DNA in polyacrylamide gels. Electrophoresis. 1987, 8: 93-99. 10.1002/elps.1150080203.CrossRef
13.
go back to reference Shevchenko A, Wilm M, Vorm O, Mann M: Mass spectrometric sequencing of proteins silver-stained polyacrylamide gels. Anal Chem. 1996, 68 (5): 850-858. 10.1021/ac950914h.CrossRefPubMed Shevchenko A, Wilm M, Vorm O, Mann M: Mass spectrometric sequencing of proteins silver-stained polyacrylamide gels. Anal Chem. 1996, 68 (5): 850-858. 10.1021/ac950914h.CrossRefPubMed
17.
go back to reference Pratico D, Clark CM, Liun F, Rokach J, Lee VY, Trojanowski JQ: Increase of brain oxidative stress in mild cognitive impairment: a possible predictor of Alzheimer disease. Arch Neurol. 2002, 59 (6): 972-976. 10.1001/archneur.59.6.972.CrossRefPubMed Pratico D, Clark CM, Liun F, Rokach J, Lee VY, Trojanowski JQ: Increase of brain oxidative stress in mild cognitive impairment: a possible predictor of Alzheimer disease. Arch Neurol. 2002, 59 (6): 972-976. 10.1001/archneur.59.6.972.CrossRefPubMed
18.
go back to reference Galimberti D, Schoonenboom N, Scheltens P, Fenoglio C, Bouwman F, Venturelli E, Guidi I, Blankenstein MA, Bresolin N, Scarpini E: Intrathecal chemokine synthesis in mild cognitive impairment and Alzheimer disease. Arch Neurol. 2006, 63 (4): 538-543. 10.1001/archneur.63.4.538.CrossRefPubMed Galimberti D, Schoonenboom N, Scheltens P, Fenoglio C, Bouwman F, Venturelli E, Guidi I, Blankenstein MA, Bresolin N, Scarpini E: Intrathecal chemokine synthesis in mild cognitive impairment and Alzheimer disease. Arch Neurol. 2006, 63 (4): 538-543. 10.1001/archneur.63.4.538.CrossRefPubMed
19.
go back to reference Khwaja FW, Reed MS, Olson JJ, Schmotzer BJ, Gillespie GY, Guha A, Groves MD, Kesari S, Pohl J, Meir EG: Proteomic identification of biomarkers in the cerebrospinal fluid (CSF) of astrocytoma patients. J Proteome Res. 2007, 6 (2): 559-570. 10.1021/pr060240z.CrossRefPubMedPubMedCentral Khwaja FW, Reed MS, Olson JJ, Schmotzer BJ, Gillespie GY, Guha A, Groves MD, Kesari S, Pohl J, Meir EG: Proteomic identification of biomarkers in the cerebrospinal fluid (CSF) of astrocytoma patients. J Proteome Res. 2007, 6 (2): 559-570. 10.1021/pr060240z.CrossRefPubMedPubMedCentral
20.
go back to reference Andreasen N, Minthon L, Davidsson P, Vanmechelen E, Vanderstichele H, Winbald B, Blennow K: Evaluation of CSF-tau and CSF-Abeta42 as diagnostic markers for Alzheimer disease in clinical practice. Arch Neurol. 2001, 58 (3): 373-379. 10.1001/archneur.58.3.373.CrossRefPubMed Andreasen N, Minthon L, Davidsson P, Vanmechelen E, Vanderstichele H, Winbald B, Blennow K: Evaluation of CSF-tau and CSF-Abeta42 as diagnostic markers for Alzheimer disease in clinical practice. Arch Neurol. 2001, 58 (3): 373-379. 10.1001/archneur.58.3.373.CrossRefPubMed
21.
go back to reference Blennow K, Davidsson P, Wallin A, Gottfries CG, Svennerholm L: Ubiquitin in cerebrospinal fluid in Alzheimer's disease and vascular dementia. Int Psychogeriatr. 1994, 6 (1): 13-22. 10.1017/S1041610294001584.CrossRefPubMed Blennow K, Davidsson P, Wallin A, Gottfries CG, Svennerholm L: Ubiquitin in cerebrospinal fluid in Alzheimer's disease and vascular dementia. Int Psychogeriatr. 1994, 6 (1): 13-22. 10.1017/S1041610294001584.CrossRefPubMed
22.
go back to reference Hu YY, He SS, Wang XC, Duan QH, Khatoon S, Iqbal K, Grundke-Iqbal , Wang JZ: Elevated levels of phosphorylated neurofilament proteins in cerebrospinal fluid of Alzheimer disease patients. Neurosci Lett. 2002, 320 (3): 156-160. 10.1016/S0304-3940(02)00047-2.CrossRefPubMed Hu YY, He SS, Wang XC, Duan QH, Khatoon S, Iqbal K, Grundke-Iqbal , Wang JZ: Elevated levels of phosphorylated neurofilament proteins in cerebrospinal fluid of Alzheimer disease patients. Neurosci Lett. 2002, 320 (3): 156-160. 10.1016/S0304-3940(02)00047-2.CrossRefPubMed
23.
go back to reference Vanmechelen E, Blennow K, Davidsson P, Cras P, Van de Voorde A: Combination of tau/phospho-tau with other biochemical markers for Alzheimer CSF diagnosis and tau in CSF as marker for neurodegeneration. Alzheimer's disease: biology, diagnosis and therapeutics. Edited by: Iqbal K, Winblad B, Nishimura T, Takeda M, Wisniewski HM. 1997, UK: Wiley Ltd., Chichester, 197-203. Vanmechelen E, Blennow K, Davidsson P, Cras P, Van de Voorde A: Combination of tau/phospho-tau with other biochemical markers for Alzheimer CSF diagnosis and tau in CSF as marker for neurodegeneration. Alzheimer's disease: biology, diagnosis and therapeutics. Edited by: Iqbal K, Winblad B, Nishimura T, Takeda M, Wisniewski HM. 1997, UK: Wiley Ltd., Chichester, 197-203.
24.
go back to reference Sjögren M, Minthon L, Davidsson P, Granerus A-K, Clarberg A, Vanderstichele H, Vanmechelen E, Wallin A, Blenow K: CSF levels of tau, amyloid1–42 and GAP-43 in frontotemporal dementia, other types of dementia andnormal aging. J Neural Transm. 2000, 107 (5): 563-579. 10.1007/s007020070079.CrossRefPubMed Sjögren M, Minthon L, Davidsson P, Granerus A-K, Clarberg A, Vanderstichele H, Vanmechelen E, Wallin A, Blenow K: CSF levels of tau, amyloid1–42 and GAP-43 in frontotemporal dementia, other types of dementia andnormal aging. J Neural Transm. 2000, 107 (5): 563-579. 10.1007/s007020070079.CrossRefPubMed
25.
go back to reference de la Monte SM, Volicer L, Hauser SL, Wands JR: Increased levels of neuronal thread protein in cerebrospinal fluid of patients with Alzheimer's disease. Ann Neurol. 1992, 32 (6): 733-742. 10.1002/ana.410320606.CrossRefPubMed de la Monte SM, Volicer L, Hauser SL, Wands JR: Increased levels of neuronal thread protein in cerebrospinal fluid of patients with Alzheimer's disease. Ann Neurol. 1992, 32 (6): 733-742. 10.1002/ana.410320606.CrossRefPubMed
26.
go back to reference Monte SM, Ghanbari K, Frey WH, Beheshti I, Averback P, Hauser SL, Ghanbari HA, Wands JR: Characterization of the AD7C-NTP cDNA expression in Alzheimer's disease and measurement of a 41-kD protein in cerebrospinal fluid. J Clin Invest. 1997, 100 (12): 3093-3104.CrossRefPubMedPubMedCentral Monte SM, Ghanbari K, Frey WH, Beheshti I, Averback P, Hauser SL, Ghanbari HA, Wands JR: Characterization of the AD7C-NTP cDNA expression in Alzheimer's disease and measurement of a 41-kD protein in cerebrospinal fluid. J Clin Invest. 1997, 100 (12): 3093-3104.CrossRefPubMedPubMedCentral
27.
go back to reference Ghanbari K, Ghanbari H: A sandwich enzyme immunoassay for measuring AD7C-NTP as an Alzheimer's disease marker: AD7C test. J Clin Lab Anal. 1998, 12 (4): 223-226. 10.1002/(SICI)1098-2825(1998)12:4<223::AID-JCLA6>3.0.CO;2-8.CrossRefPubMed Ghanbari K, Ghanbari H: A sandwich enzyme immunoassay for measuring AD7C-NTP as an Alzheimer's disease marker: AD7C test. J Clin Lab Anal. 1998, 12 (4): 223-226. 10.1002/(SICI)1098-2825(1998)12:4<223::AID-JCLA6>3.0.CO;2-8.CrossRefPubMed
28.
29.
go back to reference Mosesson MW: Fibrinogen γ chain functions. J Thromb Haemost. 2003, 1 (2): 231-238. 10.1046/j.1538-7836.2003.00063.x.CrossRefPubMed Mosesson MW: Fibrinogen γ chain functions. J Thromb Haemost. 2003, 1 (2): 231-238. 10.1046/j.1538-7836.2003.00063.x.CrossRefPubMed
30.
go back to reference Yarnell JW, Baker IA, Sweetnam PM, Bainton D, O'Brien JR, Whitehead PJ, Elwood PC: Fibrinogen, viscosity and white cell count are major risk factors for ischemic heart disease. Circulation. 1991, 83 (3): 836-844.CrossRefPubMed Yarnell JW, Baker IA, Sweetnam PM, Bainton D, O'Brien JR, Whitehead PJ, Elwood PC: Fibrinogen, viscosity and white cell count are major risk factors for ischemic heart disease. Circulation. 1991, 83 (3): 836-844.CrossRefPubMed
31.
go back to reference Heinrich J, Balleisen L, Schulte H, Assmann G, van de Loo J: Fibrinogen and factor VII in the prediction of coronary risk: results from the PROCAM study in healthy men. Arterioscler Thromb. 1994, 14 (1): 54-59.CrossRefPubMed Heinrich J, Balleisen L, Schulte H, Assmann G, van de Loo J: Fibrinogen and factor VII in the prediction of coronary risk: results from the PROCAM study in healthy men. Arterioscler Thromb. 1994, 14 (1): 54-59.CrossRefPubMed
32.
go back to reference Stott DJ, Spilg E, Campbell AM, Rumley A, Mansoor MA, Lowe GD: Hemostasis in ischemic stroke and vascular disease. Blood Coagul Fibrinolysis. 2001, 12 (8): 651-657. 10.1097/00001721-200112000-00006.CrossRefPubMed Stott DJ, Spilg E, Campbell AM, Rumley A, Mansoor MA, Lowe GD: Hemostasis in ischemic stroke and vascular disease. Blood Coagul Fibrinolysis. 2001, 12 (8): 651-657. 10.1097/00001721-200112000-00006.CrossRefPubMed
33.
go back to reference Gupta A, Watkins A, Thomas P, Majer R, Habubi R, Morris G, Pansari K: Coagulation and inflammatory markers in Alzheimer's and vascular dementia. Int J Clin Pract. 2005, 59 (1): 52-57. 10.1111/j.1742-1241.2004.00143.x.CrossRefPubMed Gupta A, Watkins A, Thomas P, Majer R, Habubi R, Morris G, Pansari K: Coagulation and inflammatory markers in Alzheimer's and vascular dementia. Int J Clin Pract. 2005, 59 (1): 52-57. 10.1111/j.1742-1241.2004.00143.x.CrossRefPubMed
34.
go back to reference Van Oijen M, Witteman JC, Hofman A, Koudstaal PJ, Breteler MM: Fibrinogen is associated with increased risk of Alzheimer disease and vascular dementia. Stroke. 2005, 36 (12): 2637-2641. 10.1161/01.STR.0000189721.31432.26.CrossRefPubMed Van Oijen M, Witteman JC, Hofman A, Koudstaal PJ, Breteler MM: Fibrinogen is associated with increased risk of Alzheimer disease and vascular dementia. Stroke. 2005, 36 (12): 2637-2641. 10.1161/01.STR.0000189721.31432.26.CrossRefPubMed
Metadata
Title
Fibrinogen gamma-A chain precursor in CSF: a candidate biomarker for Alzheimer's disease
Authors
Joung Wook Lee
Hong Namkoong
Hyun Kee Kim
Sanghee Kim
Dong Whi Hwang
Hae Ri Na
Seon-Ah Ha
Jae-Ryong Kim
Jin Woo Kim
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2007
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/1471-2377-7-14

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