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Home > Cerebrospinal Fluid and Plasma Levels of Inflammation Differentially Relate to CNS Markers of Alzheimer's Disease Pathology and Neuronal Damage.

TitleCerebrospinal Fluid and Plasma Levels of Inflammation Differentially Relate to CNS Markers of Alzheimer's Disease Pathology and Neuronal Damage.
Publication TypeJournal Article
Year of Publication2018
AuthorsBettcher, BM, Johnson, SC, Fitch, R, Casaletto, KB, Heffernan, KS, Asthana, S, Zetterberg, H, Blennow, K, Carlsson, CM, Neuhaus, J, Bendlin, BB, Kramer, JH
JournalJ Alzheimers Dis
Volume62
Issue1
Pagination385-397
Date Published2018
ISSN1875-8908
Abstract

Inflammatory markers have been shown to predict neurocognitive outcomes in aging adults; however, the degree to which peripheral markers mirror the central nervous system remains unknown. We investigated the association between plasma and cerebrospinal fluid (CSF) markers of inflammation, and explored whether these markers independently predict CSF indicators of Alzheimer's disease (AD) pathology or neuronal damage. Plasma and CSF samples were analyzed for inflammatory markers in a cohort of asymptomatic older adults (n = 173). CSF samples were analyzed for markers of AD pathology (Aβ42, phosphorylated tau [p-tau], sAβPPβ) or neuronal damage (total tau; neurofilament light chain) (n = 147). Separate linear models for each analyte were conducted with CSF and plasma levels entered simultaneously as predictors and markers of AD pathology or neuronal damage as outcome measures. Strong associations were noted between CSF and plasma MIP-1β levels, and modest associations were observed for remaining analytes. With respect to AD pathology, higher levels of plasma and CSF IL-8, CSF MIP-1β, and CSF IP-10 were associated with higher levels of p-tau. Higher levels of CSF IL-8 were associated with higher levels of CSF Aβ42. Higher CSF sAβPPβ levels were associated with higher plasma markers only (IL-8; MCP-1). In terms of neuronal injury, higher levels of plasma and CSF IL-8, CSF IP-10, and CSF MIP-1β were associated with higher levels of CSF total tau. Exploratory analyses indicated that CSF Aβ42 modifies the relationship between plasma inflammatory levels and CSF tau levels. Results suggest that both plasma and CSF inflammatory markers independently relay integral information about AD pathology and neuronal damage.

DOI10.3233/JAD-170602
Alternate JournalJ. Alzheimers Dis.
PubMed ID29439331
PubMed Central IDPMC6007886
Grant ListR01 AG037639 / AG / NIA NIH HHS / United States
P50 AG023501 / AG / NIA NIH HHS / United States
R01 AG048234 / AG / NIA NIH HHS / United States
R01 AG027161 / AG / NIA NIH HHS / United States
R01 AG021155 / AG / NIA NIH HHS / United States
K23 AG058752 / AG / NIA NIH HHS / United States
K23 AG042492 / AG / NIA NIH HHS / United States
R01 AG032289 / AG / NIA NIH HHS / United States
P50 AG033514 / AG / NIA NIH HHS / United States
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Source URL: https://www.j-alz.com/content/cerebrospinal-fluid-and-plasma-levels-inflammation-differentially-relate-cns-markers