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Published in: Neurological Sciences 5/2016

01-05-2016 | Review

Rethinking on the concept of biomarkers in preclinical Alzheimer’s disease

Authors: Valentina Berti, Cristina Polito, Gemma Lombardi, Camilla Ferrari, Sandro Sorbi, Alberto Pupi

Published in: Neurological Sciences | Issue 5/2016

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Abstract

The neuropathological processes eventually leading to Alzheimer’s disease (AD) are thought to start decades before the appearance of clinical symptoms and the clinical diagnosis of AD dementia. The term “preclinical AD” has been recently introduced to identify this “silent stage” of AD, when the disease is already present, but symptoms are not yet clinically evident. Advances in AD biomarkers have dramatically improved the ability to detect AD pathological processes in vivo in cognitively intact subjects, thus demonstrating the presence of AD pathology in the preclinical phase. This review focuses on the recent advances in the field of neuroimaging and CSF AD biomarkers specifically in the preclinical phase of AD, and aims to discuss the significance that such biomarkers could have in cognitively intact subjects. Even though the use of such biomarkers in AD preclinical phase has contributed to improve our understanding of AD early pathological processes, it raised also a number of new challenges that still remain to be overcome, such as a better definition of the clinical and individual significance of currently known biomarkers in preclinical stages and the development of novel biomarkers of different early AD-related events.
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Metadata
Title
Rethinking on the concept of biomarkers in preclinical Alzheimer’s disease
Authors
Valentina Berti
Cristina Polito
Gemma Lombardi
Camilla Ferrari
Sandro Sorbi
Alberto Pupi
Publication date
01-05-2016
Publisher
Springer Milan
Published in
Neurological Sciences / Issue 5/2016
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-016-2477-1

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