From: Novel CSF β-synuclein-specific assays signal early synaptic degeneration in Alzheimer’s disease
Proof of concept cohort | |||||
Clinical groups | Control | AD-dem | p . value | ||
Count, N (50 total) | 25 | 25 | - | ||
Sex F/M | 10/15 | 16/9 | 0.157 | ||
Age (years), mean (SD) | 63 (9) | 68 (8) | 0.047 | ||
CSF Ab42 (pg/mL), median (IQR) | 1213 (1062—1585) | 491 (433—623) | < 0.001 | ||
CSF Tau (pg/mL), median (IQR) | 208 (166—234) | 449 (340—527) | < 0.001 | ||
CSF pTau181 (pg/mL), median (IQR) | 17.5 (13.8 – 19.6) | 41.9 (33.5 – 53.4) | < 0.001 | ||
CSF N-terminus β-syn (pg/mL), median (IQR) | 174 (138–217) | 317 (262–389) | < 0.001 | ||
CSF mid-region β-syn (pg/mL), median (IQR) | 36 (28–47) | 73 (56–86) | < 0.001 | ||
CSF C-terminus β-syn (pg/mL), median (IQR) | 79 (56–106) | 177 (148–243) | < 0.001 | ||
Clinical cohort | |||||
Clinical groups | Control | SCD-AD | MCI-AD | AD-dem | p. value |
Count, N (160 total) | 41 | 39 | 40 | 40 | - |
Sex F/M | 23/18 | 17/22 | 20/20 | 20/20 | 0.741 |
Age (years), mean (SD) | 64 (3) | 66 (3) | 66 (3) | 65 (3) | 0.021 |
MMSE-score, mean (SD) | 27.9 (1.7) | 28.1 (1.4) | 26.6 (2.2) | 19.9 (5.2) | < 0.001 |
TMT A, median (IQR) | 37.0 (33.5 – 41.0) | 38.0 (29.5 – 44.0) | 42.5 (30.8 – 49.0) | 55.5 (37.5 – 87.8) | 0.001 |
TMT B, median (IQR) | 90.5 (69.5 – 123.0) | 90.0 (76.5 – 132.0) | 107.0 (88.0 – 144.0) | 208.0 (99.0 – 252.0) | < 0.001 |
TMT B / TMT A, median (IQR) | 2.5 (2.1 – 3.0) | 2.6 (2.2 – 3.2) | 2.6 (2.2 – 3.4) | 4.8 (2.9 – 6.1) | < 0.001 |
TMT B – TMT B, median (IQR) | 57.0 (39.5 78.8) | 53.0 (42.0 – 79.0) | 72.0 (43.5 – 102.0) | 167.0 (63.0 – 220) | < 0.001 |
APOE e4 carriers, % | 27% | 69% | 77.5% | 65% | < 0.001 |
CSF Aβ42 (pg/mL), median (IQR) | 1679 (1256–1700) | 815 (545–926) | 786 (575–916) | 581 (472–717) | < 0.001 |
CSF Tau (pg/mL), median (IQR) | 165 (134–235) | 248 (186–313) | 287 (224–361) | 356 (280—539) | < 0.001 |
CSF pTau181 (pg/mL), median (IQR) | 15.7 (11.0–20.1) | 24.7 (18.6—33.9) | 29.9 (22.0 – 39.4) | 39.3 (26.5 – 53.8) | < 0.001 |
CSF N-terminus β-syn (pg/mL), median (IQR) | 162 (109—223) | 249 (179—356) | 254 (170—330) | 268 (158—456) | < 0.001 |
CSF mid-region β-syn (pg/mL), median (IQR) | 36 (27—49) | 52 (44—56) | 58 (47—86) | 62 (46—81) | < 0.001 |
CSF C-terminus β-syn (pg/mL), median (IQR) | 83 (53—129) | 152 (79—207) | 153 (110—225) | 152 (99—233) | < 0.001 |