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Article type: Research Article
Authors: Xu, Guang-Yua; 1 | Liu, Yu-Haoa; 1 | Zeng, Xiao-Qina | Chen, Dong-Wana | Zeng, Gui-Huaa | Fan, Dong-Yua; b; * | Liu, Yu-Huia; c; * | Wang, Yan-Jianga; c; d; *
Affiliations: [a] Department of Neurology and Centre for Clinical Neuroscience, Daping Hospital, Third Military Medical University, Chongqing, China | [b] Shigatse Branch, Xinqiao Hospital, Third Military Medical University, Shigatse, China | [c] Key Laboratory of Aging and Brain Disease, Chongqing, China | [d] Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai, China
Correspondence: [*] Correspondence to: Dong-Yu Fan, MD, PhD; Yu-Hui Liu, MD, PhD; and Yan-Jiang Wang, MD, PhD, Third Military Medical University, Chongqing, China. E-mails: dyfan2013@foxmail.com; yuhuiliu@tmmu.edu.cn and yanjiang_wang@tmmu.edu.cn.
Note: [1] These authors contributed equally to this work.
Abstract: Background:The profile of naturally occurring antibodies to amyloid-β (NAbs-Aβ) is altered in patients with Alzheimer’s disease (AD). However, the diagnostic potential of NAbs-Aβ for AD is not clear yet. Objective:This study aims to investigate the diagnostic capacities of NAbs-Aβ for AD. Methods:A total of 40 AD patients and 40 cognitively normal (CN) controls were enrolled in this study. Levels of NAbs-Aβ were detected by ELISA. The correlations of NAbs-Aβ levels with cognitive function and AD-associated biomarkers were examined by Spearman correlation analysis. Diagnostic abilities of NAbs-Aβ were evaluated by the receiver operating characteristic (ROC) curve analyses. The integrative diagnostic models were established by logistic regression models. Results:We found that NAbs-Aβ7-18 had the highest diagnostic capability (AUC = 0.72) among all single NAbs-Aβ. The combined model (NAbs-Aβ7-18, NAbs-Aβ19-30, and NAbs-Aβ25-36) had a noticeable improvement (AUC = 0.84) in the diagnostic capacity compared with each single NAbs-Aβ. Conclusion:NAbs-Aβs are promising in the diagnosis of AD. Further investigations are needed to confirm the translational potential of this diagnostic strategy.
Keywords: Alzheimer’s disease, amyloid-β, autoantibodies, biomarkers, diagnosis
DOI: 10.3233/JAD-230252
Journal: Journal of Alzheimer's Disease, vol. 94, no. 2, pp. 537-546, 2023
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