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Antonell, Anna; Tort-Merino, Adrià; Ríos, José; Balasa, Mircea; Borrego-Écija, Sergi; Auge, Josep M.; Muñoz-García, Cristina; Bosch, Beatriz; Falgàs, Neus; Rami, Lorena; Ramos-Campoy, Oscar; Blennow, Kaj; Zetterberg, Henrik; Molinuevo, José L.; Lladó, Albert; Sánchez-Valle, Raquel
Alzheimer's & dementia, February 2020, Letnik: 16, Številka: 2Journal Article
Synaptic damage, axonal neurodegeneration, and neuroinflammation are common features in Alzheimer's disease (AD), frontotemporal dementia (FTD), and Creutzfeldt-Jakob disease (CJD). Unicentric cohort of 353 participants included healthy control (HC) subjects, AD continuum stages, genetic AD and FTD, and FTD and CJD. We measured cerebrospinal fluid neurofilament light (NF-L), neurogranin (Ng), 14-3-3, and YKL-40 proteins. Biomarkers showed differences in HC subjects versus AD, FTD, and CJD. Disease groups differed between them except AD versus FTD for YKL-40. Only NF-L differed between all stages within the AD continuum. AD and FTD symptomatic mutation carriers presented differences with respect to HC subjects. Applying the AT(N) system, 96% subjects were positive for neurodegeneration if 14-3-3 was used, 94% if NF-L was used, 62% if Ng was used, and 53% if YKL-40 was used. Biomarkers of synapse and neurodegeneration differentiate HC subjects from neurodegenerative dementias and between AD, FTD, and CJD. NF-L and 14-3-3 performed similar to total tau when AT(N) system was applied. •Neurofilament light (NF-L) levels are increased in neurodegenerative dementias.•14-3-3 protein is increased in Alzheimer's disease (AD) and frontotemporal dementia (FTD).•Neurogranin is decreased in FTD and increased in AD and Creutzfeldt-Jakob disease.•NF-L and 14-3-3 are good neurodegeneration markers when applied in the AT(N) system.•Only cerebrospinal fluid NF-L levels tracked disease progression in AD.
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