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Core Alzheimer’s disease cerebrospinal fluid biomarker assays are not affected by aspiration or gravity drip extraction methods

Doecke, J.D., Francois, C., Fowler, C.J., Stoops, E., Bourgeat, P., Rainey-Smith, S.R., Li, Q-X, Masters, C.L., Martins, R.N., Villemagne, V.L., Collins, S.J. and Vanderstichele, H.M. (2021) Core Alzheimer’s disease cerebrospinal fluid biomarker assays are not affected by aspiration or gravity drip extraction methods. Alzheimer's Research & Therapy, 13 (1). Art. 79.

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Abstract

Background

CSF biomarkers are well-established for routine clinical use, yet a paucity of comparative assessment exists regarding CSF extraction methods during lumbar puncture. Here, we compare in detail biomarker profiles in CSF extracted using either gravity drip or aspiration.

Methods

Biomarkers for β-amyloidopathy (Aβ1–42, Aβ1–40), tauopathy (total tau), or synapse pathology (BACE1, Neurogranin Trunc-p75, α-synuclein) were assessed between gravity or aspiration extraction methods in a sub-population of the Australian Imaging, Biomarkers and Lifestyle (AIBL) study (cognitively normal, N = 36; mild cognitive impairment, N = 8; Alzheimer’s disease, N = 6).

Results

High biomarker concordance between extraction methods was seen (concordance correlation > 0.85). Passing Bablock regression defined low beta coefficients indicating high scalability.

Conclusions

Levels of these commonly assessed CSF biomarkers are not influenced by extraction method. Results of this study should be incorporated into new consensus guidelines for CSF collection, storage, and analysis of biomarkers.

Item Type: Journal Article
Murdoch Affiliation(s): Centre for Healthy Ageing
Health Futures Institute
Publisher: Biomed Central
Copyright: © 2021 The Authors.
URI: http://researchrepository.murdoch.edu.au/id/eprint/60608
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