| Home > Publications Database > Plasma proteome profiling identified biomarkers for the differential diagnosis and molecular staging of neurodegenerative dementias. |
| Journal Article | DZNE-2026-00880 |
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2026
Nature Research
London
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Please use a persistent id in citations: doi:10.1038/s43587-026-01162-7
Abstract: Blood-based biomarkers are emerging as scalable tools for the diagnosis and monitoring of neurodegenerative diseases, but markers enabling differential diagnosis across major dementias remain limited. Here we show that large-scale plasma proteomics identifies disease-associated signatures across Alzheimer's disease, dementia with Lewy bodies and frontotemporal dementia. We analyzed 1,318 plasma samples from well-characterized international cohorts and identified more than 200 dysregulated proteins across disease groups. Glial fibrillary acidic protein showed the strongest increase along the Alzheimer's disease continuum, whereas integrin alpha-V and integrin alpha-M were consistently reduced in Lewy body disorders, including autopsy-confirmed cases. Elevated neurofilament light chain and lower glial fibrillary acidic protein were associated with frontotemporal dementia. We translated these findings into a 21-protein quantitative multiplex panel and validated it in an independent multicenter cohort (n = 805). These findings support plasma proteomics as an approach for biomarker-based differential diagnosis and disease staging across major neurodegenerative dementias.
Keyword(s): Humans (MeSH) ; Biomarkers: blood (MeSH) ; Diagnosis, Differential (MeSH) ; Proteomics: methods (MeSH) ; Proteome: metabolism (MeSH) ; Female (MeSH) ; Male (MeSH) ; Alzheimer Disease: diagnosis (MeSH) ; Alzheimer Disease: blood (MeSH) ; Aged (MeSH) ; Frontotemporal Dementia: diagnosis (MeSH) ; Frontotemporal Dementia: blood (MeSH) ; Neurodegenerative Diseases: diagnosis (MeSH) ; Neurodegenerative Diseases: blood (MeSH) ; Lewy Body Disease: diagnosis (MeSH) ; Lewy Body Disease: blood (MeSH) ; Glial Fibrillary Acidic Protein: blood (MeSH) ; Dementia: diagnosis (MeSH) ; Dementia: blood (MeSH) ; Cohort Studies (MeSH) ; Biomarkers ; Proteome ; Glial Fibrillary Acidic Protein
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