Association of tear fluid amyloid and tau levels with disease severity and neurodegeneration

Abstract There has been increasing interest in finding non-invasive biomarkers for neurodegenerative diseases such as Alzheimer’s disease (AD). This observational study investigated AD-specific biomarkers in tear fluid. Tear fluid was collected from a total of 65 subjects, including 23 patients with...

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Main Authors: Marlies Gijs, Inez H. G. B. Ramakers, Pieter Jelle Visser, Frans R. J. Verhey, Marjo P. H. van de Waarenburg, Casper G. Schalkwijk, Rudy M. M. A. Nuijts, Carroll A. B. Webers
Format: Article
Language:English
Published: Nature Portfolio 2021-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-01993-x
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author Marlies Gijs
Inez H. G. B. Ramakers
Pieter Jelle Visser
Frans R. J. Verhey
Marjo P. H. van de Waarenburg
Casper G. Schalkwijk
Rudy M. M. A. Nuijts
Carroll A. B. Webers
author_facet Marlies Gijs
Inez H. G. B. Ramakers
Pieter Jelle Visser
Frans R. J. Verhey
Marjo P. H. van de Waarenburg
Casper G. Schalkwijk
Rudy M. M. A. Nuijts
Carroll A. B. Webers
author_sort Marlies Gijs
collection DOAJ
description Abstract There has been increasing interest in finding non-invasive biomarkers for neurodegenerative diseases such as Alzheimer’s disease (AD). This observational study investigated AD-specific biomarkers in tear fluid. Tear fluid was collected from a total of 65 subjects, including 23 patients with subjective cognitive decline (SCD), 22 patients with mild cognitive impairment (MCI), 11 dementia patients and 9 healthy controls (HC). Levels of amyloid-beta peptides (AB38, AB40, AB42), total-tau (t-tau) and phosphorylated-tau (p-tau) were determined using multiplex immunoassays. Levels of AB40 and t-tau were detectable in the vast majority (> 94%) of tear fluid samples. Cerebrospinal fluid (CSF) was available from a subset of patients. In this group, tear t-tau levels were significantly higher in people with dementia compared to SCD patients. Tear t-tau levels were elevated in patients with neurodegeneration (classified according to the A/T/N system) compared to patients without neurodegeneration. Negative correlations were found between CSF AB42 and CSF t-tau, and between CSF AB42 and tear t-tau. In summary, this study shows the potential of tau proteins in tear fluid to be associated with disease severity and neurodegeneration.
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spelling doaj.art-0259775b371840b5a3af84478f3ec5982022-12-21T22:54:39ZengNature PortfolioScientific Reports2045-23222021-11-011111810.1038/s41598-021-01993-xAssociation of tear fluid amyloid and tau levels with disease severity and neurodegenerationMarlies Gijs0Inez H. G. B. Ramakers1Pieter Jelle Visser2Frans R. J. Verhey3Marjo P. H. van de Waarenburg4Casper G. Schalkwijk5Rudy M. M. A. Nuijts6Carroll A. B. Webers7University Eye Clinic Maastricht, Maastricht University Medical Center (MUMC+), School for Mental Health and Neuroscience, Maastricht UniversityDepartment of Psychiatry and Neuropsychology, Alzheimer Center Limburg, School for Mental Health and Neuroscience, Maastricht UniversityDepartment of Psychiatry and Neuropsychology, Alzheimer Center Limburg, School for Mental Health and Neuroscience, Maastricht UniversityDepartment of Psychiatry and Neuropsychology, Alzheimer Center Limburg, School for Mental Health and Neuroscience, Maastricht UniversityDepartment of Internal Medicine, School for Cardiovascular Diseases (CARIM), Maastricht University Medical CenterDepartment of Internal Medicine, School for Cardiovascular Diseases (CARIM), Maastricht University Medical CenterUniversity Eye Clinic Maastricht, Maastricht University Medical Center (MUMC+), School for Mental Health and Neuroscience, Maastricht UniversityUniversity Eye Clinic Maastricht, Maastricht University Medical Center (MUMC+), School for Mental Health and Neuroscience, Maastricht UniversityAbstract There has been increasing interest in finding non-invasive biomarkers for neurodegenerative diseases such as Alzheimer’s disease (AD). This observational study investigated AD-specific biomarkers in tear fluid. Tear fluid was collected from a total of 65 subjects, including 23 patients with subjective cognitive decline (SCD), 22 patients with mild cognitive impairment (MCI), 11 dementia patients and 9 healthy controls (HC). Levels of amyloid-beta peptides (AB38, AB40, AB42), total-tau (t-tau) and phosphorylated-tau (p-tau) were determined using multiplex immunoassays. Levels of AB40 and t-tau were detectable in the vast majority (> 94%) of tear fluid samples. Cerebrospinal fluid (CSF) was available from a subset of patients. In this group, tear t-tau levels were significantly higher in people with dementia compared to SCD patients. Tear t-tau levels were elevated in patients with neurodegeneration (classified according to the A/T/N system) compared to patients without neurodegeneration. Negative correlations were found between CSF AB42 and CSF t-tau, and between CSF AB42 and tear t-tau. In summary, this study shows the potential of tau proteins in tear fluid to be associated with disease severity and neurodegeneration.https://doi.org/10.1038/s41598-021-01993-x
spellingShingle Marlies Gijs
Inez H. G. B. Ramakers
Pieter Jelle Visser
Frans R. J. Verhey
Marjo P. H. van de Waarenburg
Casper G. Schalkwijk
Rudy M. M. A. Nuijts
Carroll A. B. Webers
Association of tear fluid amyloid and tau levels with disease severity and neurodegeneration
Scientific Reports
title Association of tear fluid amyloid and tau levels with disease severity and neurodegeneration
title_full Association of tear fluid amyloid and tau levels with disease severity and neurodegeneration
title_fullStr Association of tear fluid amyloid and tau levels with disease severity and neurodegeneration
title_full_unstemmed Association of tear fluid amyloid and tau levels with disease severity and neurodegeneration
title_short Association of tear fluid amyloid and tau levels with disease severity and neurodegeneration
title_sort association of tear fluid amyloid and tau levels with disease severity and neurodegeneration
url https://doi.org/10.1038/s41598-021-01993-x
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