Novel plasma biomarkers of amyloid plaque pathology and cortical thickness: Evaluation of the NULISA targeted proteomic platform in an ethnically diverse cohort

IF 11.1 1区 医学 Q1 CLINICAL NEUROLOGY Alzheimer's & Dementia Pub Date : 2025-02-24 DOI:10.1002/alz.14535
Xuemei Zeng, Anuradha Sehrawat, Tara K. Lafferty, Yijun Chen, Mahika Rawat, M. Ilyas Kamboh, Victor L. Villemagne, Oscar L. Lopez, Ann D. Cohen, Thomas K. Karikari
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Abstract

INTRODUCTION

Proteomic evaluation of plasma samples could accelerate the identification of novel Alzheimer's disease (AD) biomarkers. We evaluated the novel NUcleic acid Linked Immuno-Sandwich Assay (NULISA) proteomic method in an ethnically diverse cohort.

METHODS

Plasma biomarkers were measured with NULISA in the Human Connectome Project, a predominantly preclinical biracial community cohort in southwestern Pennsylvania. Selected biomarkers were additionally measured using Simoa and Quest immunoassays and compared.

RESULTS

On NULISA, phosphorylated tau (p-tau217, p-tau231, and p-tau181), glial fibrillary acidic protein (GFAP), and microtubule-associated protein tau (MAPT-tau) showed the top significant association with amyloid beta (Aβ) positron emission tomography (PET) status, followed by the neuroinflammation markers C-C motif ligand 2 (CCL2), chitotriosidase 1 (CHIT1) and interleukin-8 (CXCL8), and the synaptic marker neurogranin (NRGN). Biomarkers associated with cortical thickness included astrocytic protein chitinase-3-like protein 1 (CHI3L1), cytokine CD40 ligand (CD40LG), brain-derived neurotrophic factor (BDNF), the Aβ-associated metalloprotein TIMP3 (tissue inhibitor of metalloprotein 3), and ficolin 2 (FCN2). Furthermore, moderate to strong between-platform correlations were observed for various assays.

DISCUSSION

NULISA multiplexing advantage allowed concurrent assessment of established and novel plasma biomarkers of Aβ pathology and neurodegeneration.

Highlights

  • Classical Alzheimer's disease (AD) biomarkers measured using the NUcleic acid Linked Immuno-Sandwich Assay (NULISA) with next-generation sequencing readout (NULISAseq) CNS panel showed strong concordance with those measured using established immunoassay methods from Quanterix and Quest, with glial fibrillary acidic protein (GFAP) and neurofilament light (NfL) exhibiting the strongest correlation.
  • NULISAseq proteomic analysis identified several plasma biomarkers strongly associated with AD pathology in a biracial community cohort of older adults. Notably, phosphorylated tau-217 (p-tau217), GFAP, and p-tau231 displayed the strongest association with amyloid beta (Aβ) pathology, whereas brain-derived neurotrophic factor (BDNF) was strongly associated with neurodegeneration.
  • We demonstrate that plasma biomarker levels could be influenced by age, sex, apolipoprotein E (APOE) genotype, and self-identified race. Specifically, GFAP, NfL, and surfactant protein D (SFTPD) showed a strong association with age; CD63 and S100 calcium-binding protein B (S100B) with self-identified race; synaptosomal-associated protein 25 (SNAP25) with APOE genotype; and serum amyloid A1 (SAA1) and superoxide dismutase 1 (SOD1) with significant sex differences.

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淀粉样斑块病理和皮质厚度的新型血浆生物标志物:在种族多样化队列中评估NULISA靶向蛋白质组学平台
血浆样品的蛋白质组学评估可以加速新的阿尔茨海默病(AD)生物标志物的鉴定。我们在一个不同种族的队列中评估了新型核酸连锁免疫三明治测定(NULISA)蛋白质组学方法。方法:在人类连接组项目(Human Connectome Project)中使用NULISA测量血浆生物标志物,该项目是宾夕法尼亚州西南部一个主要的临床前混血社区队列。选择的生物标志物使用Simoa和Quest免疫测定法进行额外测量和比较。结果在NULISA上,磷酸化的tau蛋白(p-tau217、p-tau231和p-tau181)、胶质纤维酸性蛋白(GFAP)和微管相关蛋白tau (MAPT-tau)与淀粉样蛋白β (Aβ)正电子发射断层扫描(PET)状态的相关性最高,其次是神经炎症标志物C-C基序配体2 (CCL2)、壳三酸苷酶1 (CHIT1)和白细胞介素8 (CXCL8),以及突触标志物神经粒蛋白(NRGN)。与皮质厚度相关的生物标志物包括星形细胞蛋白几丁质酶-3样蛋白1 (CHI3L1)、细胞因子CD40配体(CD40LG)、脑源性神经营养因子(BDNF)、a β相关的金属蛋白TIMP3(金属蛋白3的组织抑制剂)和纤维蛋白2 (FCN2)。此外,在各种分析中观察到中度到强的平台间相关性。NULISA多路复用优势允许同时评估Aβ病理和神经变性的已建立和新的血浆生物标志物。经典的阿尔茨海默病(AD)生物标志物使用核酸连锁免疫夹心试验(NULISA)和下一代测序读取(NULISAseq) CNS面板测量,与使用Quanterix和Quest建立的免疫测定方法测量的结果具有很强的一致性。其中胶质纤维酸性蛋白(GFAP)与神经丝光(NfL)相关性最强。NULISAseq蛋白组学分析在一个老年双种族社区队列中发现了几个与阿尔茨海默病病理密切相关的血浆生物标志物。值得注意的是,磷酸化的tau-217 (p-tau217)、GFAP和p-tau231与淀粉样蛋白(Aβ)病理表现出最强的相关性,而脑源性神经营养因子(BDNF)与神经变性密切相关。我们证明血浆生物标志物水平可能受到年龄、性别、载脂蛋白E (APOE)基因型和自我认定的种族的影响。具体来说,GFAP、NfL和表面活性剂蛋白D (SFTPD)与年龄有很强的相关性;CD63和S100钙结合蛋白B (S100B)与自我识别的种族;带有APOE基因型的突触体相关蛋白25 (SNAP25);血清淀粉样蛋白A1 (SAA1)和超氧化物歧化酶1 (SOD1),性别差异显著。
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来源期刊
Alzheimer's & Dementia
Alzheimer's & Dementia 医学-临床神经学
CiteScore
14.50
自引率
5.00%
发文量
299
审稿时长
3 months
期刊介绍: Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
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