Beta Amyloid in Alzheimer's Disease: Increased Deposition in Brain Is Reflected in Reduced Concentration in Cerebrospinal Fluid
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Background A decreased concentration of beta amyloid (1-42) (Abeta42) has consistently been found in the cerebrospinal fluid (CSF) of patients with Alzheimer's disease (AD) and is considered a diagnostic biomarker. However, it is not clear to which extent CSF Abeta42 levels are reflective of cerebral pathology in AD. The aim of the study was to determine the association between cerebral amyloid plaque load, as measured by means of the positron emission tomography (PET) tracer carbon-11-labeled Pittsburgh Compound B ([11C]PiB) and CSF Abeta42 in AD.Methods A group of 30 patients with probable AD, as defined by established clinical criteria and by an AD-typical pattern of tracer uptake in fluorine-18-labeled fluorodeoxyglucose ([18F]FDG) PET, were included. In all patients, [11C]PiB PET and CSF analysis were performed. The association between amyloid load and CSF Abeta42 levels was examined in three different ways: by linear regression analysis using an overall [11C]PiB value for the entire cerebrum, by correlation analyses using [11C]PiB measurements in anatomically defined regions of interest, and by voxel-based regression analyses.Results All patients showed a positive [11C]PiB scan demonstrating amyloid deposition. Linear regression analysis revealed a significant inverse correlation between the overall [11C]PiB uptake and CSF Abeta42 levels. Voxel-based regression and regional correlation analyses did not attain statistical significance after correction for multiple comparisons. Numerically, correlation coefficients were higher in brain regions adjacent to CSF spaces.Conclusions The study demonstrates a moderate linear negative association between cerebral amyloid plaque load and CSF Abeta42 levels in AD patients in vivo and suggests possible regional differences of the association.
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CSF collection followed a standardized protocol across all studies.
“CSF in all studies was collected in a standardized manner12,64–67.”
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- Authors
- Grimmer, T., Riemenschneider, M., Förstl, H., Henriksen, G., Klunk, W. E., Mathis, C. A., Shiga, T., Wester, H.-J., Kurz, A., & Drzezga, A.
- Affiliations
- TUM Klinikum (DE)
- University of Pittsburgh (US)
- Hokkaido University (JP)
- Corresponding author
- Grimmer, Timo
- ORCID
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 65
- Issue
- 11
- Pages
- 927-934
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC2700302
- OpenAlex
- W1987096559
- Cited by
- 278
- References
- 49
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 10 · 2023: 9 · 2022: 15 · 2021: 18 · 2020: 16 · 2019: 16 · 2018: 18 · 2017: 15 · 2016: 16 · 2015: 16 · 2014: 28 · 2013: 20 · 2012: 19
- FWCI
- 14.02
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Funders
- National Institute on Aging (R01AG018402, P01AG025204, RF1AG025516, P50AG005133, R01AG020226, K02AG001039, R37AG025516)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Cerebrospinal fluid and hydrocephalus
- Keywords
- Alzheimer's disease, amyloid-beta, amyloid-beta 42, cerebrospinal fluid biomarkers, 11C-PiB PET, Pittsburgh compound B, amyloid PET
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Aniline Compounds, Apolipoproteins E, Brain, Brain Mapping, Carbon Radioisotopes, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Peptide Fragments, Thiazoles, Linear Models, Amyloid beta-Peptides, Fluorodeoxyglucose F18, Positron-Emission Tomography, Benzothiazoles
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