P-tau231 as a diagnostic biomarker for Alzheimer's Disease and mild cognitive impairment: A systematic review and meta-analysis

Objective: Some previous studies have shown that cerebrospinal fluid (CSF) levels of p-tau231 were significantly higher in patients with Alzheimer's disease (AD) compared to that in patients with mild cognitive impairment (MCI) and normal control (NC), whereas some other studies did not. Due to...

Full description

Bibliographic Details
Main Authors: Fardin Nabizadeh, Negin Salehi, Elham Ramezannezhad, Shaghayegh Sadeghmousavi, Elham Khalili
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2022;volume=25;issue=5;spage=845;epage=851;aulast=Nabizadeh
_version_ 1798018756617699328
author Fardin Nabizadeh
Negin Salehi
Elham Ramezannezhad
Shaghayegh Sadeghmousavi
Elham Khalili
author_facet Fardin Nabizadeh
Negin Salehi
Elham Ramezannezhad
Shaghayegh Sadeghmousavi
Elham Khalili
author_sort Fardin Nabizadeh
collection DOAJ
description Objective: Some previous studies have shown that cerebrospinal fluid (CSF) levels of p-tau231 were significantly higher in patients with Alzheimer's disease (AD) compared to that in patients with mild cognitive impairment (MCI) and normal control (NC), whereas some other studies did not. Due to contradictory results, we aimed to conduct a systematic review and meta-analysis study on previous investigations to examine the potential role of CSF p-tau231 as a biomarker of AD and MCI. Method: PubMed, Scopus, and Web of Science were searched in March 2021 for studies on the CSF level of p-tau231 in AD, MCI, and NC. The statistical analysis was performed via standardized mean difference (SMD) methodology with a 95% confidence interval. Results: A total of 10 studies including 1141 subjects were included. The present study showed that CSF level of p-tau231 was significantly higher in AD patients compared to that in MCI patients (SMD = 160.94 [11.11, 310.78], P = 0.04) and NC patients (SMD = 436.21 [164.88, 707.54], P < 0.00). Moreover, comparison of MCI and NC showed a significantly higher level of CSF p-tau231 in MCI compared to NC (SMD = 341.44 [59.73, 623.14], P = 0.02). Conclusion: P-tau231 showed to be a valuable biomarker of discrimination AD, MCI, and NC based on our findings. This meta-analysis showed that the CSF p-tau231 can reliably differentiate AD patients from MCI and NC patients. Furthermore, based on our findings the level of CSF p-tau231 was significantly higher in MCI compared to NC. Therefore, p-tau231 can be added to the list of potential biomarkers for the diagnosis of AD and MCI in further studies. However, further investigations are needed to confirm our findings.
first_indexed 2024-04-11T16:29:38Z
format Article
id doaj.art-b5f90f219e484cab998da80aa48b141f
institution Directory Open Access Journal
issn 0972-2327
1998-3549
language English
last_indexed 2024-04-11T16:29:38Z
publishDate 2022-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Annals of Indian Academy of Neurology
spelling doaj.art-b5f90f219e484cab998da80aa48b141f2022-12-22T04:14:05ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492022-01-0125584585110.4103/aian.aian_77_22P-tau231 as a diagnostic biomarker for Alzheimer's Disease and mild cognitive impairment: A systematic review and meta-analysisFardin NabizadehNegin SalehiElham RamezannezhadShaghayegh SadeghmousaviElham KhaliliObjective: Some previous studies have shown that cerebrospinal fluid (CSF) levels of p-tau231 were significantly higher in patients with Alzheimer's disease (AD) compared to that in patients with mild cognitive impairment (MCI) and normal control (NC), whereas some other studies did not. Due to contradictory results, we aimed to conduct a systematic review and meta-analysis study on previous investigations to examine the potential role of CSF p-tau231 as a biomarker of AD and MCI. Method: PubMed, Scopus, and Web of Science were searched in March 2021 for studies on the CSF level of p-tau231 in AD, MCI, and NC. The statistical analysis was performed via standardized mean difference (SMD) methodology with a 95% confidence interval. Results: A total of 10 studies including 1141 subjects were included. The present study showed that CSF level of p-tau231 was significantly higher in AD patients compared to that in MCI patients (SMD = 160.94 [11.11, 310.78], P = 0.04) and NC patients (SMD = 436.21 [164.88, 707.54], P < 0.00). Moreover, comparison of MCI and NC showed a significantly higher level of CSF p-tau231 in MCI compared to NC (SMD = 341.44 [59.73, 623.14], P = 0.02). Conclusion: P-tau231 showed to be a valuable biomarker of discrimination AD, MCI, and NC based on our findings. This meta-analysis showed that the CSF p-tau231 can reliably differentiate AD patients from MCI and NC patients. Furthermore, based on our findings the level of CSF p-tau231 was significantly higher in MCI compared to NC. Therefore, p-tau231 can be added to the list of potential biomarkers for the diagnosis of AD and MCI in further studies. However, further investigations are needed to confirm our findings.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2022;volume=25;issue=5;spage=845;epage=851;aulast=Nabizadehalzheimer's diseasebiomarkermild cognitive impairmentp-tau231
spellingShingle Fardin Nabizadeh
Negin Salehi
Elham Ramezannezhad
Shaghayegh Sadeghmousavi
Elham Khalili
P-tau231 as a diagnostic biomarker for Alzheimer's Disease and mild cognitive impairment: A systematic review and meta-analysis
Annals of Indian Academy of Neurology
alzheimer's disease
biomarker
mild cognitive impairment
p-tau231
title P-tau231 as a diagnostic biomarker for Alzheimer's Disease and mild cognitive impairment: A systematic review and meta-analysis
title_full P-tau231 as a diagnostic biomarker for Alzheimer's Disease and mild cognitive impairment: A systematic review and meta-analysis
title_fullStr P-tau231 as a diagnostic biomarker for Alzheimer's Disease and mild cognitive impairment: A systematic review and meta-analysis
title_full_unstemmed P-tau231 as a diagnostic biomarker for Alzheimer's Disease and mild cognitive impairment: A systematic review and meta-analysis
title_short P-tau231 as a diagnostic biomarker for Alzheimer's Disease and mild cognitive impairment: A systematic review and meta-analysis
title_sort p tau231 as a diagnostic biomarker for alzheimer s disease and mild cognitive impairment a systematic review and meta analysis
topic alzheimer's disease
biomarker
mild cognitive impairment
p-tau231
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2022;volume=25;issue=5;spage=845;epage=851;aulast=Nabizadeh
work_keys_str_mv AT fardinnabizadeh ptau231asadiagnosticbiomarkerforalzheimersdiseaseandmildcognitiveimpairmentasystematicreviewandmetaanalysis
AT neginsalehi ptau231asadiagnosticbiomarkerforalzheimersdiseaseandmildcognitiveimpairmentasystematicreviewandmetaanalysis
AT elhamramezannezhad ptau231asadiagnosticbiomarkerforalzheimersdiseaseandmildcognitiveimpairmentasystematicreviewandmetaanalysis
AT shaghayeghsadeghmousavi ptau231asadiagnosticbiomarkerforalzheimersdiseaseandmildcognitiveimpairmentasystematicreviewandmetaanalysis
AT elhamkhalili ptau231asadiagnosticbiomarkerforalzheimersdiseaseandmildcognitiveimpairmentasystematicreviewandmetaanalysis