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KMID : 0620920220540010061
Experimental & Molecular Medicine
2022 Volume.54 No. 1 p.61 ~ p.71
Application of QPLEXTM biomarkers in cognitively normal individuals across a broad age range and diverse regions with cerebral amyloid deposition
Lee Dong-Joon

Park Jong-Chan
Jung Keum-Sim
Kim Ji-Yeong
Jang Ji-Sung
Kwon Sung-Hoon
Byun Min-Soo
Yi Da-Hyun
Byeon Gi-Hwan
Kim Yu-Kyeong
Lee Dong-Young
Han Sun-Ho
Mook-Jung Inhee
Abstract
The deposition of beta-amyloid (A¥â) in the brain precedes the onset of symptoms such as cognitive impairment in Alzheimer¡¯s disease (AD); therefore, the early detection of A¥â accumulation is crucial. We previously reported the applicability of the QPLEXTM Alz plus assay kit for the prescreening of A¥â accumulation. Here, we tested the specific application of the kit in a large cohort of cognitively normal (CN) individuals of varying ages for the early detection of A¥â accumulation. We included a total of 221 CN participants with or without brain A¥â. The QPLEXTM biomarkers were characterized based on age groups (1st?3rd tertile) and across various brain regions with cerebral amyloid deposition. The 3rd tertile group (>65 years) was found to be the most suitable age group for the application of our assay kit. Receiver operating characteristic curve analysis showed that the area under the curve (AUC, discrimination power) was 0.878 with 69.7% sensitivity and 98.4% specificity in the 3rd tertile group. Additionally, specific correlations between biomarkers and cerebral amyloid deposition in four different brain regions revealed an overall correlation with general amyloid deposition, consistent with previous findings. Furthermore, the combinational panel with plasma A¥â1?42 levels maximized the discrimination efficiency and achieved an AUC of 0.921 with 95.7% sensitivity and 67.3% specificity. Thus, we suggest that the QPLEXTM Alz plus assay is useful for prescreening brain A¥â levels in CN individuals, especially those aged >65 years, to prevent disease progression via the early detection of disease initiation.
KEYWORD
Alzheimer's disease, ELISA, Neural ageing
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