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Fluid biomarkers in multiple system atrophy: A review of the MSA Biomarker Initiative.

Identifieur interne : 000061 ( France/Analysis ); précédent : 000060; suivant : 000062

Fluid biomarkers in multiple system atrophy: A review of the MSA Biomarker Initiative.

Auteurs : Brice Laurens [France] ; Radu Constantinescu [Suède] ; Roy Freeman [États-Unis] ; Alexander Gerhard [Royaume-Uni] ; Kurt Jellinger [Autriche] ; Andreas Jeromin [États-Unis] ; Florian Krismer [Autriche] ; Brit Mollenhauer [Allemagne] ; Michael G. Schlossmacher [Canada] ; Leslie M. Shaw ; Marcel M. Verbeek [Pays-Bas] ; Gregor K. Wenning [Autriche] ; Kristian Winge [Danemark] ; Jing Zhang [États-Unis] ; Wassilios G. Meissner [France]

Source :

RBID : pubmed:25982836

English descriptors

Abstract

Despite growing research efforts, no reliable biomarker currently exists for the diagnosis and prognosis of multiple system atrophy (MSA). Such biomarkers are urgently needed to improve diagnostic accuracy, prognostic guidance and also to serve as efficacy measures or surrogates of target engagement for future clinical trials. We here review candidate fluid biomarkers for MSA and provide considerations for further developments and harmonization of standard operating procedures. A PubMed search was performed until April 24, 2015 to review the literature with regard to candidate blood and cerebrospinal fluid (CSF) biomarkers for MSA. Abstracts of 1760 studies were retrieved and screened for eligibility. The final list included 60 studies assessing fluid biomarkers in patients with MSA. Most studies have focused on alpha-synuclein, markers of axonal degeneration or catecholamines. Their results suggest that combining several CSF fluid biomarkers may be more successful than using single markers, at least for the diagnosis. Currently, the clinically most useful markers may comprise a combination of the light chain of neurofilament (which is consistently elevated in MSA compared to controls and Parkinson's disease), metabolites of the catecholamine pathway and proteins such as α-synuclein, DJ-1 and total-tau. Beyond future efforts in biomarker discovery, the harmonization of standard operating procedures will be crucial for future success.

DOI: 10.1016/j.nbd.2015.05.004
PubMed: 25982836


Affiliations:


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Le document en format XML

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<country xml:lang="fr">France</country>
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<title level="j">Neurobiology of disease</title>
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<term>Animals</term>
<term>Biomarkers (blood)</term>
<term>Biomarkers (cerebrospinal fluid)</term>
<term>Brain (metabolism)</term>
<term>Catecholamines (analysis)</term>
<term>Humans</term>
<term>Intermediate Filaments (metabolism)</term>
<term>Multiple System Atrophy (blood)</term>
<term>Multiple System Atrophy (cerebrospinal fluid)</term>
<term>Multiple System Atrophy (diagnosis)</term>
<term>Nerve Degeneration (metabolism)</term>
<term>alpha-Synuclein (analysis)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en">
<term>Catecholamines</term>
<term>alpha-Synuclein</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en">
<term>Biomarkers</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="cerebrospinal fluid" xml:lang="en">
<term>Biomarkers</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Multiple System Atrophy</term>
</keywords>
<keywords scheme="MESH" qualifier="cerebrospinal fluid" xml:lang="en">
<term>Multiple System Atrophy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Multiple System Atrophy</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Brain</term>
<term>Intermediate Filaments</term>
<term>Nerve Degeneration</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Animals</term>
<term>Humans</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Despite growing research efforts, no reliable biomarker currently exists for the diagnosis and prognosis of multiple system atrophy (MSA). Such biomarkers are urgently needed to improve diagnostic accuracy, prognostic guidance and also to serve as efficacy measures or surrogates of target engagement for future clinical trials. We here review candidate fluid biomarkers for MSA and provide considerations for further developments and harmonization of standard operating procedures. A PubMed search was performed until April 24, 2015 to review the literature with regard to candidate blood and cerebrospinal fluid (CSF) biomarkers for MSA. Abstracts of 1760 studies were retrieved and screened for eligibility. The final list included 60 studies assessing fluid biomarkers in patients with MSA. Most studies have focused on alpha-synuclein, markers of axonal degeneration or catecholamines. Their results suggest that combining several CSF fluid biomarkers may be more successful than using single markers, at least for the diagnosis. Currently, the clinically most useful markers may comprise a combination of the light chain of neurofilament (which is consistently elevated in MSA compared to controls and Parkinson's disease), metabolites of the catecholamine pathway and proteins such as α-synuclein, DJ-1 and total-tau. Beyond future efforts in biomarker discovery, the harmonization of standard operating procedures will be crucial for future success.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Autriche</li>
<li>Canada</li>
<li>Danemark</li>
<li>France</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>Suède</li>
<li>États-Unis</li>
</country>
<region>
<li>Angleterre</li>
<li>Aquitaine</li>
<li>Grand Manchester</li>
<li>Gueldre</li>
<li>Hovedstaden</li>
<li>Massachusetts</li>
<li>Nouvelle-Aquitaine</li>
<li>Tyrol (Land)</li>
</region>
<settlement>
<li>Bordeaux</li>
<li>Boston</li>
<li>Copenhague</li>
<li>Innsbruck</li>
<li>Manchester</li>
<li>Nimègue</li>
</settlement>
<orgName>
<li>Université de Manchester</li>
<li>Université de médecine d'Innsbruck</li>
</orgName>
</list>
<tree>
<noCountry>
<name sortKey="Shaw, Leslie M" sort="Shaw, Leslie M" uniqKey="Shaw L" first="Leslie M" last="Shaw">Leslie M. Shaw</name>
</noCountry>
<country name="France">
<region name="Nouvelle-Aquitaine">
<name sortKey="Laurens, Brice" sort="Laurens, Brice" uniqKey="Laurens B" first="Brice" last="Laurens">Brice Laurens</name>
</region>
<name sortKey="Meissner, Wassilios G" sort="Meissner, Wassilios G" uniqKey="Meissner W" first="Wassilios G" last="Meissner">Wassilios G. Meissner</name>
</country>
<country name="Suède">
<noRegion>
<name sortKey="Constantinescu, Radu" sort="Constantinescu, Radu" uniqKey="Constantinescu R" first="Radu" last="Constantinescu">Radu Constantinescu</name>
</noRegion>
</country>
<country name="États-Unis">
<region name="Massachusetts">
<name sortKey="Freeman, Roy" sort="Freeman, Roy" uniqKey="Freeman R" first="Roy" last="Freeman">Roy Freeman</name>
</region>
<name sortKey="Jeromin, Andreas" sort="Jeromin, Andreas" uniqKey="Jeromin A" first="Andreas" last="Jeromin">Andreas Jeromin</name>
<name sortKey="Zhang, Jing" sort="Zhang, Jing" uniqKey="Zhang J" first="Jing" last="Zhang">Jing Zhang</name>
</country>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Gerhard, Alexander" sort="Gerhard, Alexander" uniqKey="Gerhard A" first="Alexander" last="Gerhard">Alexander Gerhard</name>
</region>
</country>
<country name="Autriche">
<noRegion>
<name sortKey="Jellinger, Kurt" sort="Jellinger, Kurt" uniqKey="Jellinger K" first="Kurt" last="Jellinger">Kurt Jellinger</name>
</noRegion>
<name sortKey="Krismer, Florian" sort="Krismer, Florian" uniqKey="Krismer F" first="Florian" last="Krismer">Florian Krismer</name>
<name sortKey="Wenning, Gregor K" sort="Wenning, Gregor K" uniqKey="Wenning G" first="Gregor K" last="Wenning">Gregor K. Wenning</name>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Mollenhauer, Brit" sort="Mollenhauer, Brit" uniqKey="Mollenhauer B" first="Brit" last="Mollenhauer">Brit Mollenhauer</name>
</noRegion>
</country>
<country name="Canada">
<noRegion>
<name sortKey="Schlossmacher, Michael G" sort="Schlossmacher, Michael G" uniqKey="Schlossmacher M" first="Michael G" last="Schlossmacher">Michael G. Schlossmacher</name>
</noRegion>
</country>
<country name="Pays-Bas">
<region name="Gueldre">
<name sortKey="Verbeek, Marcel M" sort="Verbeek, Marcel M" uniqKey="Verbeek M" first="Marcel M" last="Verbeek">Marcel M. Verbeek</name>
</region>
</country>
<country name="Danemark">
<region name="Hovedstaden">
<name sortKey="Winge, Kristian" sort="Winge, Kristian" uniqKey="Winge K" first="Kristian" last="Winge">Kristian Winge</name>
</region>
</country>
</tree>
</affiliations>
</record>

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