Mild cognitive impairment (part 2): biological markers for diagnosis and prediction of dementia in Alzheimer's disease

Objective: To present a critical review of publications reporting on the rationale and clinical implications of the use of biomarkers for the early diagnosis of Alzheimer's disease (AD). Methods: We conducted a systematic search of the PubMed and Web of Science electronic databases, limited t...

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Main Authors: Orestes V. Forlenza, Breno S. Diniz, Antonio L. Teixeira, Florindo Stella, Wagner Gattaz
Format: Article
Language:English
Published: Associação Brasileira de Psiquiatria (ABP) 2013-09-01
Series:Brazilian Journal of Psychiatry
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462013000300284&lng=en&tlng=en
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author Orestes V. Forlenza
Breno S. Diniz
Antonio L. Teixeira
Florindo Stella
Wagner Gattaz
author_facet Orestes V. Forlenza
Breno S. Diniz
Antonio L. Teixeira
Florindo Stella
Wagner Gattaz
author_sort Orestes V. Forlenza
collection DOAJ
description Objective: To present a critical review of publications reporting on the rationale and clinical implications of the use of biomarkers for the early diagnosis of Alzheimer's disease (AD). Methods: We conducted a systematic search of the PubMed and Web of Science electronic databases, limited to articles published in English between 1999 and 2012, and based on the following terms: mild cognitive impairment, Alzheimer's disease OR dementia, biomarkers. We retrieved 1,130 articles, of which 175 were reviews. Overall, 955 original articles were eligible. Results: The following points were considered relevant for the present review: a) rationale for biomarkers research in AD and mild cognitive impairment (MCI); b) usefulness of distinct biomarkers for the diagnosis and prediction of AD; c) the role of multimodality biomarkers for the diagnosis and prediction of AD; d) the role of biomarkers in clinical trials of patients with AD and MCI; and e) current limitations to the widespread use of biomarkers in research and clinical settings. Conclusion: Different biomarkers are useful for the early diagnosis and prediction of AD in at-risk subjects. Nonetheless, important methodological limitations need to be overcome for widespread use of biomarkers in research and clinical settings.
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spelling doaj.art-2eeac9164dd94f70b1062510ba94c6892022-12-22T01:12:19ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2013-09-0135328429410.1590/1516-4446-2012-3505S1516-44462013000300284Mild cognitive impairment (part 2): biological markers for diagnosis and prediction of dementia in Alzheimer's diseaseOrestes V. ForlenzaBreno S. DinizAntonio L. TeixeiraFlorindo StellaWagner GattazObjective: To present a critical review of publications reporting on the rationale and clinical implications of the use of biomarkers for the early diagnosis of Alzheimer's disease (AD). Methods: We conducted a systematic search of the PubMed and Web of Science electronic databases, limited to articles published in English between 1999 and 2012, and based on the following terms: mild cognitive impairment, Alzheimer's disease OR dementia, biomarkers. We retrieved 1,130 articles, of which 175 were reviews. Overall, 955 original articles were eligible. Results: The following points were considered relevant for the present review: a) rationale for biomarkers research in AD and mild cognitive impairment (MCI); b) usefulness of distinct biomarkers for the diagnosis and prediction of AD; c) the role of multimodality biomarkers for the diagnosis and prediction of AD; d) the role of biomarkers in clinical trials of patients with AD and MCI; and e) current limitations to the widespread use of biomarkers in research and clinical settings. Conclusion: Different biomarkers are useful for the early diagnosis and prediction of AD in at-risk subjects. Nonetheless, important methodological limitations need to be overcome for widespread use of biomarkers in research and clinical settings.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462013000300284&lng=en&tlng=enAlzheimer's diseasemild cognitive impairmentbiomarkersneuroimagingamyloid-β proteinTau protein
spellingShingle Orestes V. Forlenza
Breno S. Diniz
Antonio L. Teixeira
Florindo Stella
Wagner Gattaz
Mild cognitive impairment (part 2): biological markers for diagnosis and prediction of dementia in Alzheimer's disease
Brazilian Journal of Psychiatry
Alzheimer's disease
mild cognitive impairment
biomarkers
neuroimaging
amyloid-β protein
Tau protein
title Mild cognitive impairment (part 2): biological markers for diagnosis and prediction of dementia in Alzheimer's disease
title_full Mild cognitive impairment (part 2): biological markers for diagnosis and prediction of dementia in Alzheimer's disease
title_fullStr Mild cognitive impairment (part 2): biological markers for diagnosis and prediction of dementia in Alzheimer's disease
title_full_unstemmed Mild cognitive impairment (part 2): biological markers for diagnosis and prediction of dementia in Alzheimer's disease
title_short Mild cognitive impairment (part 2): biological markers for diagnosis and prediction of dementia in Alzheimer's disease
title_sort mild cognitive impairment part 2 biological markers for diagnosis and prediction of dementia in alzheimer s disease
topic Alzheimer's disease
mild cognitive impairment
biomarkers
neuroimaging
amyloid-β protein
Tau protein
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462013000300284&lng=en&tlng=en
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