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@ARTICLE{Vogelgsang:140732,
author = {Vogelgsang, Jonathan and Vukovich, Ruth and Wedekind, Dirk
and Wiltfang, Jens},
title = {{H}igher {L}evel of {M}ismatch in {APOE}ε4 {C}arriers for
{A}myloid-{B}eta {P}eptide {A}lzheimer's {D}isease
{B}iomarkers in {C}erebrospinal {F}luid.},
journal = {ASN NEURO},
volume = {11},
issn = {1759-0914},
address = {London},
publisher = {Sage Publishing},
reportid = {DZNE-2020-07054},
pages = {175909141984552},
year = {2019},
abstract = {Cerebrospinal fluid (CSF) biomarkers are widely used in the
diagnosis of dementia. Even though there is a causal
correlation between apolipoprotein E ( APOE) genotype and
amyloid-beta (Aβ), the determination of APOE is currently
not supported by national or international guidelines. We
compared parallel measured CSF biomarkers of two independent
laboratories from 126 patients who underwent clinical
dementia diagnostics regarding the APOE genotype. APOE ε4
reduces Aβ1-42 (Aβ42) and Aβ42 to Aβ 1-40 ratio
(Aβ42/40) but not total Tau or phospho-181 Tau CSF levels.
Higher discordance rates were observed for Aβ42 and
subsequently for Aβ42/40 in APOE ε4 carriers compared with
noncarriers, and the correlation between the two
laboratories was significantly lower for Aβ42 in APOE ε4
positive patients compared with patients without APOE ε4.
These observations demonstrate that the evaluation of CSF
Aβ biomarkers needs to be interpreted carefully in the
clinical context. Different immunoassays, disparate cutoff
values, and APOE should be respected.},
keywords = {Aged / Aged, 80 and over / Alzheimer Disease: cerebrospinal
fluid / Alzheimer Disease: genetics / Amyloid beta-Protein
Precursor: cerebrospinal fluid / Apolipoproteins E: genetics
/ Biomarkers: cerebrospinal fluid / Female / Genotype /
Heterozygote / Humans / Male / Middle Aged},
cin = {AG Wiltfang},
ddc = {610},
cid = {I:(DE-2719)1410006},
pnm = {342 - Disease Mechanisms and Model Systems (POF3-342)},
pid = {G:(DE-HGF)POF3-342},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31104469},
pmc = {pmc:PMC6535906},
doi = {10.1177/1759091419845524},
url = {https://pub.dzne.de/record/140732},
}