Internal Medicine; Epidemiology; Medicine (miscellaneous); Public Health, Environmental and Occupational Health; Assessment and Diagnosis
Abstract :
[en] [en] BACKGROUND: Quantification of Amyloid beta (Aβ) oligomers in plasma enables early diagnosis of Alzheimer's Disease (AD) and improves our understanding of underlying pathologies. However, quantification necessitates an extremely sensitive and selective technology because of very low Aβ oligomer concentrations and possible interference from matrix components.
METHODS: In this report, we developed and validated a surface-based fluorescence distribution analysis (sFIDA) assay for quantification of Aβ oligomers in plasma.
RESULTS: The blood-based sFIDA assay delivers a sensitivity of 1.8 fM, an inter- and intra-assay variation below 20% for oligomer calibration standards and no interference with matrix components. Quantification of Aβ oligomers in 359 plasma samples from the DELCODE cohort reveals lower oligomer concentrations in subjective cognitive decline and AD patients than healthy Control participants.
CONCLUSIONS: Correlation analysis between CSF and plasma oligomer concentrations indicates an impaired clearance of Aβ oligomers that is dependent on the ApoE ε4 status. [en] People with Alzheimer’s disease have difficulties with reasoning and communication. In Alzheimer’s disease, small proteins called amyloid beta (Aβ) stick together, forming tiny clusters in the brain that eventually grow larger. In this study, we aimed to measure these clusters in the blood. When we tested our method on blood samples from 359 people, we surprisingly found that people with Alzheimer’s disease and memory problems had fewer clusters of Aβ compared to healthy individuals. Our finding suggests that genetic factors may influence the body’s ability to clear these clusters from the brain.
Disciplines :
Neurology
Author, co-author :
Blömeke, Lara ; Institute of Biological Information Processing (Structural Biochemistry: IBI-7), Forschungszentrum Jülich, 52428, Jülich, Germany ; attyloid GmbH, 40225, Düsseldorf, Germany
Rehn, Fabian ; Institute of Biological Information Processing (Structural Biochemistry: IBI-7), Forschungszentrum Jülich, 52428, Jülich, Germany ; attyloid GmbH, 40225, Düsseldorf, Germany
Pils, Marlene ; Institute of Biological Information Processing (Structural Biochemistry: IBI-7), Forschungszentrum Jülich, 52428, Jülich, Germany ; attyloid GmbH, 40225, Düsseldorf, Germany
Kraemer-Schulien, Victoria ; Institute of Biological Information Processing (Structural Biochemistry: IBI-7), Forschungszentrum Jülich, 52428, Jülich, Germany
Cousin, Anneliese; Institute of Biological Information Processing (Structural Biochemistry: IBI-7), Forschungszentrum Jülich, 52428, Jülich, Germany
Kutzsche, Janine ; Institute of Biological Information Processing (Structural Biochemistry: IBI-7), Forschungszentrum Jülich, 52428, Jülich, Germany
Bujnicki, Tuyen ; Institute of Biological Information Processing (Structural Biochemistry: IBI-7), Forschungszentrum Jülich, 52428, Jülich, Germany
Freiesleben, Silka D ; German Center for Neurodegenerative Diseases (DZNE), 10117, Berlin, Germany ; Department of Psychiatry and Neuroscience, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 12203, Berlin, Germany
Schneider, Luisa-Sophie ; German Center for Neurodegenerative Diseases (DZNE), 10117, Berlin, Germany ; Department of Psychiatry and Neuroscience, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 12203, Berlin, Germany
Preis, Lukas; German Center for Neurodegenerative Diseases (DZNE), 10117, Berlin, Germany ; Department of Psychiatry and Neuroscience, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 12203, Berlin, Germany
Priller, Josef; German Center for Neurodegenerative Diseases (DZNE), 10117, Berlin, Germany ; Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117, Berlin, Germany ; School of Medicine, Technical University of Munich, Department of Psychiatry and Psychotherapy, 81675, Munich, Germany ; University of Edinburgh and UK DRI, Edinburgh, UK
Spruth, Eike J; German Center for Neurodegenerative Diseases (DZNE), 10117, Berlin, Germany ; Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117, Berlin, Germany
Altenstein, Slawek; German Center for Neurodegenerative Diseases (DZNE), 10117, Berlin, Germany ; Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117, Berlin, Germany
Schneider, Anja ; German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Bonn, Germany ; University of Bonn Medical Center, Dept. of Neurodegenerative Disease and Geriatric Psychiatry/Psychiatry, 53127, Bonn, Germany
Fliessbach, Klaus; German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Bonn, Germany ; University of Bonn Medical Center, Dept. of Neurodegenerative Disease and Geriatric Psychiatry/Psychiatry, 53127, Bonn, Germany
Wiltfang, Jens ; German Center for Neurodegenerative Diseases (DZNE), 37075, Goettingen, Germany ; Department of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, 37075, Goettingen, Germany ; Neurosciences and Signaling Group, Institute of Biomedicine (iBiMED), Department of Medical Sciences, University of Aveiro, 3810-193, Aveiro, Portugal
Hansen, Niels ; Department of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, 37075, Goettingen, Germany
Rostamzadeh, Ayda; Department of Psychiatry, University of Cologne, Medical Faculty, 50924, Cologne, Germany
Düzel, Emrah; German Center for Neurodegenerative Diseases (DZNE), 39120, Magdeburg, Germany ; Institute of Cognitive Neurology and Dementia Research (IKND), Otto-von-Guericke University, 39106, Magdeburg, Germany
Glanz, Wenzel; German Center for Neurodegenerative Diseases (DZNE), 39120, Magdeburg, Germany
Incesoy, Enise I ; German Center for Neurodegenerative Diseases (DZNE), 39120, Magdeburg, Germany ; Institute of Cognitive Neurology and Dementia Research (IKND), Otto-von-Guericke University, 39106, Magdeburg, Germany ; Department for Psychiatry and Psychotherapy, University Clinic Magdeburg, 39120, Magdeburg, Germany
Buerger, Katharina; German Center for Neurodegenerative Diseases (DZNE, Munich), 81377, Munich, Germany ; Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, 81377, Munich, Germany
Janowitz, Daniel; Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, 81377, Munich, Germany
Ewers, Michael; German Center for Neurodegenerative Diseases (DZNE, Munich), 81377, Munich, Germany ; Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, 81377, Munich, Germany
Perneczky, Robert; German Center for Neurodegenerative Diseases (DZNE, Munich), 81377, Munich, Germany ; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, 81377, Munich, Germany ; Munich Cluster for Systems Neurology (SyNergy) Munich, 81377, Munich, Germany ; Ageing Epidemiology Research Unit (AGE), School of Public Health, Imperial College London, London, UK
Rauchmann, Boris-Stephan; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, 81377, Munich, Germany ; Sheffield Institute for Translational Neuroscience (SITraN), University of Sheffield, Sheffield, UK ; Department of Neuroradiology, University Hospital LMU, 81377, Munich, Germany
Teipel, Stefan; German Center for Neurodegenerative Diseases (DZNE), 18147, Rostock, Germany ; Department of Psychosomatic Medicine, Rostock University Medical Center, 18147, Rostock, Germany
Kilimann, Ingo; German Center for Neurodegenerative Diseases (DZNE), 18147, Rostock, Germany ; Department of Psychosomatic Medicine, Rostock University Medical Center, 18147, Rostock, Germany
Laske, Christoph; German Center for Neurodegenerative Diseases (DZNE), 72076, Tübingen, Germany ; Section for Dementia Research, Hertie Institute for Clinical Brain Research and Department of Psychiatry and Psychotherapy, University of Tübingen, 72076, Tübingen, Germany
Munk, Matthias H; German Center for Neurodegenerative Diseases (DZNE), 72076, Tübingen, Germany ; Department of Psychiatry and Psychotherapy, University of Tübingen, 72076, Tübingen, Germany
Spottke, Annika; German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Bonn, Germany ; University of Bonn Medical Center, Dept. of Neurodegenerative Disease and Geriatric Psychiatry/Psychiatry, 53127, Bonn, Germany ; University of Bonn Medical Center, Dept. of Neurology, 53217, Bonn, Germany
Roy, Nina; German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Bonn, Germany
Brosseron, Frederic ; German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Bonn, Germany
Wagner, Michael ; German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Bonn, Germany ; University of Bonn Medical Center, Dept. of Neurodegenerative Disease and Geriatric Psychiatry/Psychiatry, 53127, Bonn, Germany
Roeske, Sandra; German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Bonn, Germany
Ramirez, Alfredo ; German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Bonn, Germany ; University of Bonn Medical Center, Dept. of Neurodegenerative Disease and Geriatric Psychiatry/Psychiatry, 53127, Bonn, Germany ; Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, 50931, Cologne, Germany ; Division of Neurogenetics and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50931, Cologne, Germany ; Department of Psychiatry & Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases, San Antonio, TX, USA
Schmid, Matthias; German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Bonn, Germany ; Institute for Medical Biometry, University Hospital Bonn, 53127, Bonn, Germany
Jessen, Frank; German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Bonn, Germany ; Department of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, 37075, Goettingen, Germany ; Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, 50931, Cologne, Germany
Bannach, Oliver; Institute of Biological Information Processing (Structural Biochemistry: IBI-7), Forschungszentrum Jülich, 52428, Jülich, Germany ; attyloid GmbH, 40225, Düsseldorf, Germany
Peters, Oliver; German Center for Neurodegenerative Diseases (DZNE), 10117, Berlin, Germany ; Department of Psychiatry and Neuroscience, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 12203, Berlin, Germany
Willbold, Dieter ; Institute of Biological Information Processing (Structural Biochemistry: IBI-7), Forschungszentrum Jülich, 52428, Jülich, Germany. d.willbold@fz-juelich.de ; attyloid GmbH, 40225, Düsseldorf, Germany. d.willbold@fz-juelich.de ; Institut für Physikalische Biologie, Heinrich-Heine-Universität Düsseldorf, 40225, Düsseldorf, Germany. d.willbold@fz-juelich.de
We thank Dr. Carsten Korth (Institute of Neuropathology, Universit\u00E4tsklinikum D\u00FCsseldorf, 40225 D\u00FCsseldorf, Germany) who kindly provided the IC16 antibody. We thank Dr. Volker Nischwitz (Central Institute of Engineering, Electronics and Analytics (ZEA-3), Forschungszentrum J\u00FClich, 52428 J\u00FClich, Germany) for ICP-MS measurements of silica nanoparticles. We thank Dr. Andrew Dingley for proof-reding the manuscript. This work was supported by the Helmholtz Association [grant number HVF0079].
Cummings, J. et al. Alzheimer’s disease drug development pipeline: 2022. Alzheimers Dement (N Y 8, e12295 (2022).
E.N. Cline M.A. Bicca K.L. Viola W.L. Klein The Amyloid-β Oligomer Hypothesis: Beginning of the Third Decade J Alzheimers Dis 2018 64 S567 s610 29843241 6004937
H. Hampel et al. The Amyloid-β Pathway in Alzheimer’s Disease Molecular Psychiatry 2021 26 5481 5503 34456336 8758495
B. Mroczko M. Groblewska A. Litman-Zawadzka J. Kornhuber P. Lewczuk Amyloid beta oligomers (AbetaOs) in Alzheimer’s disease J Neural Transm (Vienna) 2018 125 177 191 29196815
S.B. Hladky M.A. Barrand Mechanisms of fluid movement into, through and out of the brain: evaluation of the evidence Fluids Barriers CNS 2014 11 26 25678956 4326185
M. Holtta et al. Evaluating amyloid-beta oligomers in cerebrospinal fluid as a biomarker for Alzheimer’s disease PLoS One 2013 8 e66381 23799095 3682966
M.J. Savage et al. A sensitive abeta oligomer assay discriminates Alzheimer’s and aged control cerebrospinal fluid J Neurosci 2014 34 2884 2897 24553930 6608513
A.Z. Herskovits J.J. Locascio E.R. Peskind G. Li B.T. Hyman A Luminex assay detects amyloid beta oligomers in Alzheimer’s disease cerebrospinal fluid PLoS One 2013 8 e67898 23844122 3699502
L. Wang-Dietrich et al. The amyloid-beta oligomer count in cerebrospinal fluid is a biomarker for Alzheimer’s disease J Alzheimers Dis 2013 34 985 994 23313925
S.H. Xin L. Tan X. Cao J.T. Yu L. Tan Clearance of Amyloid Beta and Tau in Alzheimer’s Disease: from Mechanisms to Therapy Neurotox Res 2018 34 733 748 29626319
J. Wang B.J. Gu C.L. Masters Y.J. Wang A systemic view of Alzheimer disease - insights from amyloid-β metabolism beyond the brain Nat Rev Neurol 2017 13 612 623 28960209
L. Liu et al. An ultra-sensitive immunoassay detects and quantifies soluble Aβ oligomers in human plasma Alzheimers Dement 2022 18 1186 1202 34550630
W. Xia et al. A specific enzyme-linked immunosorbent assay for measuring beta-amyloid protein oligomers in human plasma and brain tissue of patients with Alzheimer disease Arch Neurol 2009 66 190 199 19204155 3618974
C. Kurz L. Walker B.S. Rauchmann R. Perneczky Dysfunction of the blood-brain barrier in Alzheimer’s disease: Evidence from human studies Neuropathol Appl Neurobiol 2022 48 34823269 e12782
S.S.A. An et al. Dynamic changes of oligomeric amyloid β levels in plasma induced by spiked synthetic Aβ(42) Alzheimers Res Ther 2017 9 86 29041968 5645921
J.C. Dominguez et al. Multimer Detection System-Oligomerized Amyloid Beta (MDS-OAβ): A Plasma-Based Biomarker Differentiates Alzheimer’s Disease from Other Etiologies of Dementia Int J Alzheimers Dis 2022 2022 35547155 9085320 9960832
A.N. Santos A. Simm V. Holthoff G. Boehm A method for the detection of amyloid-beta1-40, amyloid-beta1-42 and amyloid-beta oligomers in blood using magnetic beads in combination with Flow cytometry and its application in the diagnostics of Alzheimer’s disease J Alzheimers Dis 2008 14 127 131 18560125
Huang, Y. R. & Liu, R. T. The Toxicity and Polymorphism of β-Amyloid Oligomers. Int J Mol Sci21, https://doi.org/10.3390/ijms21124477 (2020).
M. Fändrich Oligomeric intermediates in amyloid formation: structure determination and mechanisms of toxicity J Mol Biol 2012 421 427 440 22248587
X. Meng et al. Association between increased levels of amyloid-β oligomers in plasma and episodic memory loss in Alzheimer’s disease Alzheimers Res Ther 2019 11 89 31651358 6814096
M.J. Wang et al. Oligomeric forms of amyloid-β protein in plasma as a potential blood-based biomarker for Alzheimer’s disease Alzheimers Res Ther 2017 9 98 29246249 5732503
J.C. Lee S.J. Kim S. Hong Y. Kim Diagnosis of Alzheimer’s disease utilizing amyloid and tau as fluid biomarkers Experimental & Molecular Medicine 2019 51 1 10
R. Babapour Mofrad et al. Plasma amyloid-β oligomerization assay as a pre-screening test for amyloid status Alzheimers Res Ther 2021 13 133 34311775 8311929
L. Zhou et al. Plasma amyloid-β oligomers level is a biomarker for Alzheimer’s disease diagnosis Biochem Biophys Res Commun 2012 423 697 702 22704931
D. Shea et al. SOBA: Development and testing of a soluble oligomer binding assay for detection of amyloidogenic toxic oligomers Proc Natl Acad Sci USA 2022 119 36490316 9897489 e2213157119
A. Kulawik H. Heise C. Zafiu D. Willbold O. Bannach Advancements of the sFIDA method for oligomer-based diagnostics of neurodegenerative diseases FEBS Lett 2018 592 516 534 29360176
Y. Herrmann et al. Nanoparticle standards for immuno-based quantitation of alpha-synuclein oligomers in diagnostics of Parkinson’s disease and other synucleinopathies Clin Chim Acta 2017 466 152 159 28088342
M. Hülsemann et al. Biofunctionalized Silica Nanoparticles: Standards in Amyloid-beta Oligomer-Based Diagnosis of Alzheimer’s Disease J Alzheimers Dis 2016 54 79 88 27472876
L. Bloemeke et al. Quantitative detection of alpha-Synuclein and Tau oligomers and other aggregates by digital single particle counting NPJ Parkinsons Dis 2022 8 68
D. Sehlin et al. Interference from heterophilic antibodies in amyloid-beta oligomer ELISAs J Alzheimers Dis 2010 21 1295 1301 21504116
K. Kulenkampff A.-M. Wolf Perez P. Sormanni J. Habchi M. Vendruscolo Quantifying misfolded protein oligomers as drug targets and biomarkers in Alzheimer and Parkinson diseases Nature Reviews Chemistry 2021 5 277 294 37117282
M. Pils et al. Development and Implementation of an Internal Quality Control Sample to Standardize Oligomer-Based Diagnostics of Alzheimer’s Disease Diagnostics 2023 13 1702 37238187 10217173
S. Lohmann et al. Oral and intravenous transmission of α-synuclein fibrils to mice Acta Neuropathol 2019 138 515 533 31230104 6778172
Altendorf, T. et al. Stabilization of Monomeric Tau Protein by All D-Enantiomeric Peptide Ligands as Therapeutic Strategy for Alzheimer’s Disease and Other Tauopathies. Int J Mol Sci24, https://doi.org/10.3390/ijms24032161 (2023).
Y. Herrmann et al. sFIDA automation yields sub-femtomolar limit of detection for Abeta aggregates in body fluids Clin Biochem 2017 50 244 247 27823959
U. Andreasson et al. A Practical Guide to Immunoassay Method Validation Front Neurol 2015 6 179 26347708 4541289
F. Jessen et al. Design and first baseline data of the DZNE multicenter observational study on predementia Alzheimer’s disease (DELCODE) Alzheimers Res Ther 2018 10 15 29415768 5802096
Jessen, F. et al. Subjective cognitive decline and stage 2 of Alzheimer disease in patients from memory centers. Alzheimers Dement, https://doi.org/10.1002/alz.12674 (2022).
S. Janelidze et al. Plasma β-amyloid in Alzheimer’s disease and vascular disease Sci Rep 2016 6 27241045 4886210 26801
L.A. Miles G.A. Crespi L. Doughty M.W. Parker Bapineuzumab captures the N-terminus of the Alzheimer’s disease amyloid-beta peptide in a helical conformation Sci Rep 2013 3 23416764 3575012 1302
M.M. Mohammadi S. Bozorgi Investigating the presence of human anti-mouse antibodies (HAMA) in the blood of laboratory animal care workers Journal of Laboratory Medicine 2019 43 87 91
S.-Y. Hsieh R.-K. Chen Y.-H. Pan H.-L. Lee Systematical evaluation of the effects of sample collection procedures on low-molecular-weight serum/plasma proteome profiling PROTEOMICS 2006 6 3189 3198 16586434
Y.M. Kuo et al. Amyloid-beta peptides interact with plasma proteins and erythrocytes: implications for their quantitation in plasma Biochem Biophys Res Commun 2000 268 750 756 10679277
E. Willemse et al. How to handle adsorption of cerebrospinal fluid amyloid β (1-42) in laboratory practice? Identifying problematic handlings and resolving the issue by use of the Aβ(42)/Aβ(40) ratio Alzheimers Dement 2017 13 885 892 28222302
Blömeke, L. et al. Aβ oligomers peak in early stages of Alzheimer’s disease preceding tau pathology. Alzheimers Dement (Amst 16, e12589 (2024).
M. Gratuze C.E.G. Leyns D.M. Holtzman New insights into the role of TREM2 in Alzheimer’s disease Mol Neurodegener 2018 13 66 30572908 6302500
Y. Yamazaki N. Zhao T.R. Caulfield C.C. Liu G. Bu Apolipoprotein E and Alzheimer disease: pathobiology and targeting strategies Nat Rev Neurol 2019 15 501 518 31367008 7055192
W. Horwitz R. Albert The Horwitz ratio (HorRat): A useful index of method performance with respect to precision J AOAC Int 2006 89 1095 1109 16915851
K.Y. Kim et al. Plasma amyloid-beta oligomer is related to subjective cognitive decline and brain amyloid status Alzheimer’s Research & Therapy 2022 14 162
F. Jessen et al. The characterisation of subjective cognitive decline Lancet Neurol 2020 19 271 278 31958406 7062546
C.R. Jack Jr et al. NIA-AA Research Framework: Toward a biological definition of Alzheimer’s disease Alzheimers Dement 2018 14 535 562 29653606
B. Olsson et al. CSF and blood biomarkers for the diagnosis of Alzheimer’s disease: a systematic review and meta-analysis Lancet Neurol 2016 15 673 684 27068280
O’Bryant, S. E., Petersen, M., Hall, J. & Johnson, L. A. Medical comorbidities and ethnicity impact plasma Alzheimer’s disease biomarkers: Important considerations for clinical trials and practice. Alzheimers Dement, https://doi.org/10.1002/alz.12647 (2022).
Kutzsche, J. et al. Safety and pharmacokinetics of the orally available antiprionic compound PRI-002: A single and multiple ascending dose phase I study. Alzheimers Dement (N Y 6, e12001 (2020).
B.P. Lucey R.J. Bateman Amyloid-β diurnal pattern: possible role of sleep in Alzheimer’s disease pathogenesis Neurobiology of Aging 2014 35 S29 S34 24910393
B.P. Lucey et al. Effect of sleep on overnight cerebrospinal fluid amyloid β kinetics Ann Neurol 2018 83 197 204 29220873 5876097