Fluid biomarkers for diagnosing dementia: rationale and the Canadian Consensus on Diagnosis and Treatment of Dementia recommendations for Canadian physicians
Identifieur interne : 000D71 ( Main/Exploration ); précédent : 000D70; suivant : 000D72Fluid biomarkers for diagnosing dementia: rationale and the Canadian Consensus on Diagnosis and Treatment of Dementia recommendations for Canadian physicians
Auteurs : Pedro Rosa-Neto [Canada] ; Ging-Yuek Robin Hsiung [Canada] ; Mario Masellis [Canada]Source :
- Alzheimer's Research & Therapy [ 1758-9193 ] ; 2013.
Abstract
Fluid biomarkers improve the diagnostic accuracy in dementia and provide an objective measure potentially useful as a therapeutic response in clinical trials. The role of fluid biomarkers in patient care is a rapidly evolving field. Here, we provide a review and recommendations regarding the use of fluid biomarkers in clinical practice as discussed at the Fourth Canadian Consensus Conference on the Diagnosis and Treatment of Dementia (CCCDTD4) convened in Montreal, 4 to 5 May 2012. At present, there is no consensus regarding the optimal methodology for conducting quantification of plasma amyloid-beta (Aβ) peptides. In addition, since there is insufficient evidence supporting clinical applications for plasma Aβ-peptide measures, the CCCDTD4 does not recommended plasma biomarkers either for primary care or for specialists. Evidence for CSF Aβ1-42, total tau and phosphorylated tau in the diagnosis of Alzheimer pathology is much stronger, and can be considered at the tertiary care level for selected cases to improve diagnostic certainty, particularly in those cases presenting atypical clinical features.
Url:
DOI: 10.1186/alzrt223
PubMed: 24565514
PubMed Central: 3980280
Affiliations:
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Campbell Cognitive Neurology Research Unit, Brain Sciences Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I5">Department of Medicine, Division of Neurology, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Medicine, Division of Neurology, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario, M4N 3M5</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I6">Neurogenetics Section, Centre for Addiction and Mental Health (Queen and Ossington) 1001 Queen Street West; 30, 40, 50 and 60 White Squirrel Way; 100 and 101 Stokes Street; 80 Workman Way, Toronto, Ontario M6J 1H4, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Neurogenetics Section, Centre for Addiction and Mental Health (Queen and Ossington) 1001 Queen Street West; 30, 40, 50 and 60 White Squirrel Way; 100 and 101 Stokes Street; 80 Workman Way, Toronto, Ontario M6J 1H4</wicri:regionArea><wicri:noRegion>Ontario M6J 1H4</wicri:noRegion></affiliation></author></analytic><series><title level="j">Alzheimer's Research & Therapy</title><idno type="eISSN">1758-9193</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Fluid biomarkers improve the diagnostic accuracy in dementia and provide an objective measure potentially useful as a therapeutic response in clinical trials. The role of fluid biomarkers in patient care is a rapidly evolving field. Here, we provide a review and recommendations regarding the use of fluid biomarkers in clinical practice as discussed at the Fourth Canadian Consensus Conference on the Diagnosis and Treatment of Dementia (CCCDTD4) convened in Montreal, 4 to 5 May 2012. At present, there is no consensus regarding the optimal methodology for conducting quantification of plasma amyloid-beta (Aβ) peptides. In addition, since there is insufficient evidence supporting clinical applications for plasma Aβ-peptide measures, the CCCDTD4 does not recommended plasma biomarkers either for primary care or for specialists. Evidence for CSF Aβ<sub>1-42</sub>, total tau and phosphorylated tau in the diagnosis of Alzheimer pathology is much stronger, and can be considered at the tertiary care level for selected cases to improve diagnostic certainty, particularly in those cases presenting atypical clinical features.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Serrano Pozo, A" uniqKey="Serrano Pozo A">A Serrano-Pozo</name></author><author><name sortKey="Frosch, Mp" uniqKey="Frosch M">MP Frosch</name></author><author><name sortKey="Masliah, E" uniqKey="Masliah E">E Masliah</name></author><author><name sortKey="Hyman, Bt" uniqKey="Hyman B">BT Hyman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blennow, K" uniqKey="Blennow K">K Blennow</name></author><author><name sortKey="Zetterberg, H" uniqKey="Zetterberg H">H Zetterberg</name></author><author><name sortKey="Fagan, Am" uniqKey="Fagan A">AM 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sortKey="Marti, Mj" uniqKey="Marti M">MJ Martí</name></author><author><name sortKey="Ibarretxe Bilbao, N" uniqKey="Ibarretxe Bilbao N">N Ibarretxe-Bilbao</name></author><author><name sortKey="Junque, C" uniqKey="Junque C">C Junqué</name></author><author><name sortKey="Valldeoriola, F" uniqKey="Valldeoriola F">F Valldeoriola</name></author><author><name sortKey="Mu Oz, E" uniqKey="Mu Oz E">E Muñoz</name></author><author><name sortKey="Cho, Mk" uniqKey="Cho M">MK Cho</name></author><author><name sortKey="Rios, J" uniqKey="Rios J">J Ríos</name></author><author><name sortKey="Tolosa, E" uniqKey="Tolosa E">E Tolosa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mollenhauer, B" uniqKey="Mollenhauer B">B Mollenhauer</name></author><author><name sortKey="Bibl, M" uniqKey="Bibl M">M Bibl</name></author><author><name sortKey="Wiltfang, J" uniqKey="Wiltfang J">J Wiltfang</name></author><author><name sortKey="Steinacker, P" uniqKey="Steinacker P">P Steinacker</name></author><author><name sortKey="Ciesielczyk, B" uniqKey="Ciesielczyk B">B Ciesielczyk</name></author><author><name sortKey="Neubert, K" uniqKey="Neubert K">K Neubert</name></author><author><name sortKey="Trenkwalder, C" uniqKey="Trenkwalder C">C Trenkwalder</name></author><author><name sortKey="Otto, M" uniqKey="Otto M">M Otto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bibl, M" uniqKey="Bibl M">M Bibl</name></author><author><name sortKey="Mollenhauer, B" uniqKey="Mollenhauer B">B Mollenhauer</name></author><author><name sortKey="Esselmann, H" uniqKey="Esselmann H">H Esselmann</name></author><author><name sortKey="Lewczuk, P" uniqKey="Lewczuk P">P Lewczuk</name></author><author><name sortKey="Klafki, H W" uniqKey="Klafki H">H-W Klafki</name></author><author><name sortKey="Sparbier, K" uniqKey="Sparbier K">K Sparbier</name></author><author><name sortKey="Smirnov, A" uniqKey="Smirnov A">A Smirnov</name></author><author><name sortKey="Cepek, L" uniqKey="Cepek L">L Cepek</name></author><author><name sortKey="Trenkwalder, C" uniqKey="Trenkwalder C">C Trenkwalder</name></author><author><name sortKey="Ruther, E" uniqKey="Ruther E">E Rüther</name></author><author><name sortKey="Kornhuber, J" uniqKey="Kornhuber J">J Kornhuber</name></author><author><name sortKey="Otto, M" uniqKey="Otto M">M Otto</name></author><author><name sortKey="Wiltfang, J" uniqKey="Wiltfang J">J Wiltfang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Parnetti, L" uniqKey="Parnetti L">L Parnetti</name></author><author><name sortKey="Tiraboschi, P" uniqKey="Tiraboschi P">P Tiraboschi</name></author><author><name sortKey="Lanari, A" uniqKey="Lanari A">A Lanari</name></author><author><name sortKey="Peducci, M" uniqKey="Peducci M">M Peducci</name></author><author><name sortKey="Padiglioni, C" uniqKey="Padiglioni C">C Padiglioni</name></author><author><name sortKey="D Amore, C" uniqKey="D Amore C">C D'Amore</name></author><author><name sortKey="Pierguidi, L" uniqKey="Pierguidi L">L Pierguidi</name></author><author><name sortKey="Tambasco, N" uniqKey="Tambasco N">N Tambasco</name></author><author><name sortKey="Rossi, A" uniqKey="Rossi A">A Rossi</name></author><author><name sortKey="Calabresi, P" uniqKey="Calabresi P">P Calabresi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Otto, M" uniqKey="Otto M">M Otto</name></author><author><name sortKey="Lewczuk, P" uniqKey="Lewczuk P">P Lewczuk</name></author><author><name sortKey="Wiltfang, J" uniqKey="Wiltfang J">J Wiltfang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mattsson, N" uniqKey="Mattsson N">N Mattsson</name></author><author><name sortKey="Blennow, K" uniqKey="Blennow K">K Blennow</name></author><author><name sortKey="Zetterberg, H" uniqKey="Zetterberg H">H Zetterberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mattsson, N" uniqKey="Mattsson N">N Mattsson</name></author><author><name sortKey="Andreasson, U" uniqKey="Andreasson U">U Andreasson</name></author><author><name sortKey="Carrillo, Mc" uniqKey="Carrillo M">MC Carrillo</name></author><author><name sortKey="Persson, S" uniqKey="Persson S">S Persson</name></author><author><name sortKey="Shaw, Lm" uniqKey="Shaw L">LM Shaw</name></author><author><name sortKey="Zegers, I" uniqKey="Zegers I">I Zegers</name></author><author><name sortKey="Zetterberg, H" uniqKey="Zetterberg H">H Zetterberg</name></author><author><name sortKey="Blennow, K" uniqKey="Blennow K">K Blennow</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li><li>Québec</li></region><settlement><li>Montréal</li><li>Toronto</li></settlement><orgName><li>Université McGill</li><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Québec"><name sortKey="Rosa Neto, Pedro" sort="Rosa Neto, Pedro" uniqKey="Rosa Neto P" first="Pedro" last="Rosa-Neto">Pedro Rosa-Neto</name></region><name sortKey="Hsiung, Ging Yuek Robin" sort="Hsiung, Ging Yuek Robin" uniqKey="Hsiung G" first="Ging-Yuek Robin" last="Hsiung">Ging-Yuek Robin Hsiung</name><name sortKey="Masellis, Mario" sort="Masellis, Mario" uniqKey="Masellis M" first="Mario" last="Masellis">Mario Masellis</name><name sortKey="Masellis, Mario" sort="Masellis, Mario" uniqKey="Masellis M" first="Mario" last="Masellis">Mario Masellis</name><name sortKey="Masellis, Mario" sort="Masellis, Mario" uniqKey="Masellis M" first="Mario" last="Masellis">Mario Masellis</name><name sortKey="Rosa Neto, Pedro" sort="Rosa Neto, Pedro" uniqKey="Rosa Neto P" first="Pedro" last="Rosa-Neto">Pedro Rosa-Neto</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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