Apolipoprotein B is a novel marker for early tau pathology in Alzheimer's disease
Open accessAbstract
Introduction: We examine the role of brain apolipoprotein B (apoB) as a putative marker of early tau pathology and cognitive decline. Methods: Cerebrospinal fluid (CSF) samples from cognitively normal and Alzheimer's disease (AD) participants were collected to measure protein levels of apoB and AD biomarkers amyloid beta (Aβ), t‐tau and p‐tau, as well as synaptic markers GAP43, SYNAPTOTAGMIN‐1, synaptosome associated protein 25 (SNAP‐25), and NEUROGRANIN. CSF apoB levels were contrasted with positron emission tomography (PET) scan measures of Aβ (18F‐NAV4694) and Tau (flortaucipir) along with cognitive assessment alterations over 6 to 8 years. Results: CSF apoB levels were elevated in AD participants and correlated with t‐tau, p‐tau, and the four synaptic markers in pre‐symptomatic individuals. In the latter, CSF apoB levels correlated with PET flortaucipir‐binding in entorhinal, parahippocampal, and fusiform regions. Baseline CSF apoB levels were associated with longitudinal visuospatial cognitive decline. Discussion: CSF apoB markedly associates with early tau dysregulation in asymptomatic subjects and identifies at‐risk individuals predisposed to develop visuospatial cognitive decline over time.
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Cerebrospinal fluid apoB levels are correlated with tau pathology in pre-symptomatic individuals and elevated in AD patients.
“a recent study has demonstrated that cerebrospinal fluid apoB levels are correlated with tau pathology in pre-symptomatic individuals and elevated in AD patients [11]”
From Characterization of APOE Christchurch carriers in 455,306 UK Biobank participants (2023) · cites this paper as [11]
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- Authors
- Picard, C., Nilsson, N., Labonté, A., Auld, D., Rosa‐Neto, P., Initiative, T. A. D. N., Ashton, N. J., Zetterberg, H., Blennow, K., Breitner, J. C. B., Villeneuve, S., Poirier, J., & for the PREVENT‐AD research group
- Affiliations
- Douglas Mental Health University Institute (CA)
- McGill University (CA)
- Sahlgrenska University Hospital (SE)
- Douglas Mental Health University Institute Montréal Québec Canada
- Corresponding author
- Poirier, Judes
- ORCID
- Venue
- Alzheimer's & Dementia
- Publisher
- Wiley
- Published
- 2021-09-29
- Volume
- 18
- Issue
- 5
- Pages
- 875-887
- ISSN
- 1552-5260 (ISSN-L)
- 1552-5279
- PMC
- PMC9293308
- OpenAlex
- W3202870961
- Cited by
- 66
- References
- 7
- Citations by year
- 2026: 11 · 2025: 10 · 2024: 22 · 2023: 14 · 2022: 7 · 2021: 2
- FWCI
- 7.06
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Alzheimer s & Dementia (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Institutes of Health (5u01ag024904-10)
- Canadian Institutes of Health Research (153287_1)
- National Institute on Aging (U01-AG-024904)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- apolipoprotein B, Alzheimer's disease
- MeSH terms
- Alzheimer Disease, Apolipoproteins, Apolipoproteins B, Humans, Biomarkers, Amyloid beta-Peptides, tau Proteins, Positron-Emission Tomography, Apolipoprotein B-100, Cognitive Dysfunction
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