Plasma apolipoprotein J as a potential biomarker for Alzheimer's disease: Australian Imaging, Biomarkers and Lifestyle study of aging

Abstract Introduction For early detection of Alzheimer's disease (AD), the field needs biomarkers that can be used to detect disease status with high sensitivity and specificity. Apolipoprotein J (ApoJ, also known as clusterin) has long been associated with AD pathogenesis through various pathw...

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Main Authors: Veer Bala Gupta, James D. Doecke, Eugene Hone, Steve Pedrini, Simon M. Laws, Madhav Thambisetty, Ashley I. Bush, Christopher C. Rowe, Victor L. Villemagne, David Ames, Colin L. Masters, Stuart Lance Macaulay, Alan Rembach, Stephanie R. Rainey‐Smith, Ralph N. Martins, AIBL Research Group
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Subjects:
Online Access:https://doi.org/10.1016/j.dadm.2015.12.001
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author Veer Bala Gupta
James D. Doecke
Eugene Hone
Steve Pedrini
Simon M. Laws
Madhav Thambisetty
Ashley I. Bush
Christopher C. Rowe
Victor L. Villemagne
David Ames
Colin L. Masters
Stuart Lance Macaulay
Alan Rembach
Stephanie R. Rainey‐Smith
Ralph N. Martins
AIBL Research Group
author_facet Veer Bala Gupta
James D. Doecke
Eugene Hone
Steve Pedrini
Simon M. Laws
Madhav Thambisetty
Ashley I. Bush
Christopher C. Rowe
Victor L. Villemagne
David Ames
Colin L. Masters
Stuart Lance Macaulay
Alan Rembach
Stephanie R. Rainey‐Smith
Ralph N. Martins
AIBL Research Group
author_sort Veer Bala Gupta
collection DOAJ
description Abstract Introduction For early detection of Alzheimer's disease (AD), the field needs biomarkers that can be used to detect disease status with high sensitivity and specificity. Apolipoprotein J (ApoJ, also known as clusterin) has long been associated with AD pathogenesis through various pathways. The aim of this study was to investigate the potential of plasma apoJ as a blood biomarker for AD. Methods Using the Australian Imaging, Biomarkers and Lifestyle (AIBL) study of aging, the present study assayed plasma apoJ levels over baseline and 18 months in 833 individuals. Plasma ApoJ levels were analyzed with respect to clinical classification, age, gender, apolipoprotein E (APOE) ε4 allele status, mini‐mental state examination score, plasma amyloid beta (Aβ), neocortical Aβ burden (as measured by Pittsburgh compound B‐positron emission tomography), and total adjusted hippocampus volume. Results ApoJ was significantly higher in both mild cognitive impairment (MCI) and AD groups as compared with healthy controls (HC; P < .0001). ApoJ significantly correlated with both “standardized uptake value ratio” (SUVR) and hippocampus volume and weakly correlated with the plasma Aβ1–42/Aβ1–40 ratio. Plasma apoJ predicted both MCI and AD from HC with greater than 80% accuracy for AD and greater than 75% accuracy for MCI at both baseline and 18‐month time points. Discussion Mean apoJ levels were significantly higher in both MCI and AD groups. ApoJ was able to differentiate between HC with high SUVR and HC with low SUVR via APOE ε4 allele status, indicating that it may be included in a biomarker panel to identify AD before the onset of clinical symptoms.
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spelling doaj.art-e67ea23dc1304ec49222744d11085b492022-12-21T18:42:53ZengWileyAlzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring2352-87292016-01-0131182610.1016/j.dadm.2015.12.001Plasma apolipoprotein J as a potential biomarker for Alzheimer's disease: Australian Imaging, Biomarkers and Lifestyle study of agingVeer Bala Gupta0James D. Doecke1Eugene Hone2Steve Pedrini3Simon M. Laws4Madhav Thambisetty5Ashley I. Bush6Christopher C. Rowe7Victor L. Villemagne8David Ames9Colin L. Masters10Stuart Lance Macaulay11Alan Rembach12Stephanie R. Rainey‐Smith13Ralph N. Martins14AIBL Research Group15School of Medical Sciences, Edith Cowan UniversityJoondalupWAAustraliaCSIRO Health and BiosecurityBrisbaneAustraliaSchool of Medical Sciences, Edith Cowan UniversityJoondalupWAAustraliaSchool of Medical Sciences, Edith Cowan UniversityJoondalupWAAustraliaSchool of Medical Sciences, Edith Cowan UniversityJoondalupWAAustraliaUnit of Clinical and Translational Neuroscience Laboratory of Behavioral Neuroscience, National Institute on Aging, National Institutes of HealthBaltimoreMDUSACooperative Research Centre for Mental HealthMelbourneAustraliaDepartment of Nuclear Medicine and Centre for PETAustin HealthHeidelbergAustraliaDepartment of Nuclear Medicine and Centre for PETAustin HealthHeidelbergAustraliaNational Ageing Research InstituteParkvilleAustraliaOxidation Biology UnitThe Florey Institute, The University of MelbourneMelbourneAustraliaCSIRO Food and Nutrition FlagshipParkvilleAustraliaOxidation Biology UnitThe Florey Institute, The University of MelbourneMelbourneAustraliaSchool of Medical Sciences, Edith Cowan UniversityJoondalupWAAustraliaSchool of Medical Sciences, Edith Cowan UniversityJoondalupWAAustraliaSchool of Medical Sciences, Edith Cowan UniversityJoondalupWAAustraliaAbstract Introduction For early detection of Alzheimer's disease (AD), the field needs biomarkers that can be used to detect disease status with high sensitivity and specificity. Apolipoprotein J (ApoJ, also known as clusterin) has long been associated with AD pathogenesis through various pathways. The aim of this study was to investigate the potential of plasma apoJ as a blood biomarker for AD. Methods Using the Australian Imaging, Biomarkers and Lifestyle (AIBL) study of aging, the present study assayed plasma apoJ levels over baseline and 18 months in 833 individuals. Plasma ApoJ levels were analyzed with respect to clinical classification, age, gender, apolipoprotein E (APOE) ε4 allele status, mini‐mental state examination score, plasma amyloid beta (Aβ), neocortical Aβ burden (as measured by Pittsburgh compound B‐positron emission tomography), and total adjusted hippocampus volume. Results ApoJ was significantly higher in both mild cognitive impairment (MCI) and AD groups as compared with healthy controls (HC; P < .0001). ApoJ significantly correlated with both “standardized uptake value ratio” (SUVR) and hippocampus volume and weakly correlated with the plasma Aβ1–42/Aβ1–40 ratio. Plasma apoJ predicted both MCI and AD from HC with greater than 80% accuracy for AD and greater than 75% accuracy for MCI at both baseline and 18‐month time points. Discussion Mean apoJ levels were significantly higher in both MCI and AD groups. ApoJ was able to differentiate between HC with high SUVR and HC with low SUVR via APOE ε4 allele status, indicating that it may be included in a biomarker panel to identify AD before the onset of clinical symptoms.https://doi.org/10.1016/j.dadm.2015.12.001BiomarkersApolipoprotein JPlasmaBrain amyloid betaHippocampus volume
spellingShingle Veer Bala Gupta
James D. Doecke
Eugene Hone
Steve Pedrini
Simon M. Laws
Madhav Thambisetty
Ashley I. Bush
Christopher C. Rowe
Victor L. Villemagne
David Ames
Colin L. Masters
Stuart Lance Macaulay
Alan Rembach
Stephanie R. Rainey‐Smith
Ralph N. Martins
AIBL Research Group
Plasma apolipoprotein J as a potential biomarker for Alzheimer's disease: Australian Imaging, Biomarkers and Lifestyle study of aging
Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Biomarkers
Apolipoprotein J
Plasma
Brain amyloid beta
Hippocampus volume
title Plasma apolipoprotein J as a potential biomarker for Alzheimer's disease: Australian Imaging, Biomarkers and Lifestyle study of aging
title_full Plasma apolipoprotein J as a potential biomarker for Alzheimer's disease: Australian Imaging, Biomarkers and Lifestyle study of aging
title_fullStr Plasma apolipoprotein J as a potential biomarker for Alzheimer's disease: Australian Imaging, Biomarkers and Lifestyle study of aging
title_full_unstemmed Plasma apolipoprotein J as a potential biomarker for Alzheimer's disease: Australian Imaging, Biomarkers and Lifestyle study of aging
title_short Plasma apolipoprotein J as a potential biomarker for Alzheimer's disease: Australian Imaging, Biomarkers and Lifestyle study of aging
title_sort plasma apolipoprotein j as a potential biomarker for alzheimer s disease australian imaging biomarkers and lifestyle study of aging
topic Biomarkers
Apolipoprotein J
Plasma
Brain amyloid beta
Hippocampus volume
url https://doi.org/10.1016/j.dadm.2015.12.001
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