Diagnostic biomarkers for Alzheimer's disease using non-invasive specimens
File(s)
Author(s)
Paraskevaidi, Maria
Allsop, David
Karim, Salman
Martin, Francis L
Crean, StJohn
Type
Journal Article
Abstract
Studies in the field of Alzheimer’s disease (AD) have shown the emergence of biomarkers in biologic fluids that hold great promise for the diagnosis of the disease. A diagnosis of AD at a presymptomatic or early stage may be the key for a successful treatment, with clinical trials currently investigating this. It is anticipated that preventative and therapeutic strategies may be stage-dependent, which means that they have a better chance of success at a very early stage—before critical neurons are lost. Several studies have been investigating the use of cerebrospinal fluid (CSF) and blood as clinical samples for the detection of AD with a number of established core markers, such as amyloid beta (Aβ), total tau (T-tau) and phosphorylated tau (P-tau), being at the center of clinical research interest. The use of oral samples—including saliva and buccal mucosal cells—falls under one of the least-investigated areas in AD diagnosis. Such samples have great potential to provide a completely non-invasive alternative to current CSF and blood sampling procedures. The present work is a thorough review of the results and analytical approaches, including proteomics, metabolomics, spectroscopy and microbiome analyses that have been used for the study and detection of AD using salivary samples and buccal cells. With a few exceptions, most of the studies utilizing oral samples were performed in small cohorts, which in combination with the existence of contradictory results render it difficult to come to a definitive conclusion on the value of oral markers. Proteins such as Aβ, T-tau and P-tau, as well as small metabolites, were detected in saliva and have shown some potential as future AD diagnostics. Future large-cohort studies and standardization of sample preparation and (pre-)analytical factors are necessary to determine the use of these non-invasive samples as a diagnostic tool for AD.
Date Issued
2020-06-01
Date Acceptance
2020-05-27
Citation
Journal of Clinical Medicine, 2020, 9 (6), pp.1-19
ISSN
2077-0383
Publisher
MDPI AG
Start Page
1
End Page
19
Journal / Book Title
Journal of Clinical Medicine
Volume
9
Issue
6
Copyright Statement
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access
article distributed under the terms and conditions of the Creative Commons Attribution
(CC BY) license (http://creativecommons.org/licenses/by/4.0/).
article distributed under the terms and conditions of the Creative Commons Attribution
(CC BY) license (http://creativecommons.org/licenses/by/4.0/).
License URL
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000554667200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
Alzheimer's disease
diagnostics
biomarkers
early detection
salivary markers
buccal cells
MILD COGNITIVE IMPAIRMENT
BUCCAL CELLS
SALIVARY BIOMARKERS
PROTEOMIC IDENTIFICATION
ASSOCIATION WORKGROUPS
NATIONAL INSTITUTE
TOTAL TAU
ACETYLCHOLINESTERASE
RECOMMENDATIONS
GUIDELINES
Publication Status
Published
Article Number
ARTN 1673
Date Publish Online
2020-06-01