Performance of the QPLEX™ Alz plus assay, a novel multiplex kit for screening cerebral amyloid deposition

Abstract Background Alzheimer’s disease (AD) is an irreversible neurodegenerative disease characterized by the hallmark finding of cerebral amyloid deposition. Many researchers have tried to predict the existence of cerebral amyloid deposition by using easily accessible blood plasma samples, but the...

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Main Authors: Jong-Chan Park, Keum Sim Jung, Jiyeong Kim, Ji Sung Jang, Sunghoon Kwon, Min Soo Byun, Dahyun Yi, Gihwan Byeon, Gijung Jung, Yu Kyeong Kim, Dong Young Lee, Sun-Ho Han, Inhee Mook-Jung
Format: Article
Language:English
Published: BMC 2021-01-01
Series:Alzheimer’s Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13195-020-00751-x
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author Jong-Chan Park
Keum Sim Jung
Jiyeong Kim
Ji Sung Jang
Sunghoon Kwon
Min Soo Byun
Dahyun Yi
Gihwan Byeon
Gijung Jung
Yu Kyeong Kim
Dong Young Lee
Sun-Ho Han
Inhee Mook-Jung
author_facet Jong-Chan Park
Keum Sim Jung
Jiyeong Kim
Ji Sung Jang
Sunghoon Kwon
Min Soo Byun
Dahyun Yi
Gihwan Byeon
Gijung Jung
Yu Kyeong Kim
Dong Young Lee
Sun-Ho Han
Inhee Mook-Jung
author_sort Jong-Chan Park
collection DOAJ
description Abstract Background Alzheimer’s disease (AD) is an irreversible neurodegenerative disease characterized by the hallmark finding of cerebral amyloid deposition. Many researchers have tried to predict the existence of cerebral amyloid deposition by using easily accessible blood plasma samples, but the effectiveness of such strategies remains controversial. Methods We developed a new multiplex kit, the QPLEX™ Alz plus assay kit, which uses proteomics-based blood biomarkers to prescreen for cerebral amyloid deposition. A total of 300 participants who underwent Pittsburgh compound B (PiB)-positron emission tomography (PET) which allows imaging of cerebral amyloid deposition were included in this study. We compared the levels of QPLEX™ biomarkers between patients who were classified as PiB-negative or PiB-positive, regardless of their cognitive function. Logistic regression analysis followed by receiver operating characteristic (ROC) curve analysis was performed. The kit accuracy was tested using a randomized sample selection method. Results The results obtained using our assay kit reached 89.1% area under curve (AUC) with 80.0% sensitivity and 83.0% specificity. Further validation of the QPLEX™ Alz plus assay kit using a randomized sample selection method showed an average accuracy of 81.5%. Conclusions Our QPLEX™ Alz plus assay kit provides preliminary evidence that it can be used as blood marker to predict cerebral amyloid deposition but independent validation is needed.
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spelling doaj.art-861d8581c821400a9be71d6ffd8879c92022-12-21T16:58:14ZengBMCAlzheimer’s Research & Therapy1758-91932021-01-0113111010.1186/s13195-020-00751-xPerformance of the QPLEX™ Alz plus assay, a novel multiplex kit for screening cerebral amyloid depositionJong-Chan Park0Keum Sim Jung1Jiyeong Kim2Ji Sung Jang3Sunghoon Kwon4Min Soo Byun5Dahyun Yi6Gihwan Byeon7Gijung Jung8Yu Kyeong Kim9Dong Young Lee10Sun-Ho Han11Inhee Mook-Jung12Department of Biochemistry and Biomedical Sciences, College of Medicine, Seoul National UniversityQuantaMatrix Inc.QuantaMatrix Inc.QuantaMatrix Inc.QuantaMatrix Inc.Department of Neuropsychiatry, Seoul National University Bundang HospitalDepartment of Neuropsychiatry, Seoul National University HospitalDepartment of Neuropsychiatry, Seoul National University HospitalDepartment of Neuropsychiatry, Seoul National University HospitalDepartment of Nuclear Medicine, SMG-SNU Boramae Medical CenterDepartment of Neuropsychiatry, Seoul National University HospitalDepartment of Biochemistry and Biomedical Sciences, College of Medicine, Seoul National UniversityDepartment of Biochemistry and Biomedical Sciences, College of Medicine, Seoul National UniversityAbstract Background Alzheimer’s disease (AD) is an irreversible neurodegenerative disease characterized by the hallmark finding of cerebral amyloid deposition. Many researchers have tried to predict the existence of cerebral amyloid deposition by using easily accessible blood plasma samples, but the effectiveness of such strategies remains controversial. Methods We developed a new multiplex kit, the QPLEX™ Alz plus assay kit, which uses proteomics-based blood biomarkers to prescreen for cerebral amyloid deposition. A total of 300 participants who underwent Pittsburgh compound B (PiB)-positron emission tomography (PET) which allows imaging of cerebral amyloid deposition were included in this study. We compared the levels of QPLEX™ biomarkers between patients who were classified as PiB-negative or PiB-positive, regardless of their cognitive function. Logistic regression analysis followed by receiver operating characteristic (ROC) curve analysis was performed. The kit accuracy was tested using a randomized sample selection method. Results The results obtained using our assay kit reached 89.1% area under curve (AUC) with 80.0% sensitivity and 83.0% specificity. Further validation of the QPLEX™ Alz plus assay kit using a randomized sample selection method showed an average accuracy of 81.5%. Conclusions Our QPLEX™ Alz plus assay kit provides preliminary evidence that it can be used as blood marker to predict cerebral amyloid deposition but independent validation is needed.https://doi.org/10.1186/s13195-020-00751-xAlzheimer’s diseasePittsburgh compound BCerebral amyloid depositionBlood-based biomarkerQPLEX™ Alz plus assay
spellingShingle Jong-Chan Park
Keum Sim Jung
Jiyeong Kim
Ji Sung Jang
Sunghoon Kwon
Min Soo Byun
Dahyun Yi
Gihwan Byeon
Gijung Jung
Yu Kyeong Kim
Dong Young Lee
Sun-Ho Han
Inhee Mook-Jung
Performance of the QPLEX™ Alz plus assay, a novel multiplex kit for screening cerebral amyloid deposition
Alzheimer’s Research & Therapy
Alzheimer’s disease
Pittsburgh compound B
Cerebral amyloid deposition
Blood-based biomarker
QPLEX™ Alz plus assay
title Performance of the QPLEX™ Alz plus assay, a novel multiplex kit for screening cerebral amyloid deposition
title_full Performance of the QPLEX™ Alz plus assay, a novel multiplex kit for screening cerebral amyloid deposition
title_fullStr Performance of the QPLEX™ Alz plus assay, a novel multiplex kit for screening cerebral amyloid deposition
title_full_unstemmed Performance of the QPLEX™ Alz plus assay, a novel multiplex kit for screening cerebral amyloid deposition
title_short Performance of the QPLEX™ Alz plus assay, a novel multiplex kit for screening cerebral amyloid deposition
title_sort performance of the qplex™ alz plus assay a novel multiplex kit for screening cerebral amyloid deposition
topic Alzheimer’s disease
Pittsburgh compound B
Cerebral amyloid deposition
Blood-based biomarker
QPLEX™ Alz plus assay
url https://doi.org/10.1186/s13195-020-00751-x
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