Determination of tau protein and beta amyloid as possible diagnostic
markers of dementia
Pidrman V.1, Látalová K.1, Mareš J.2, Urbánek K.2, Herzig R.2, Bekárek V.3, Schneiderka P.3, Bouček J.1
1Psychiatrická klinika FN a LF UP Olomouc, 2Neurologická klinika FN a LF Olomouc, 3Oddělení klinické biochemie FN Olomouc |
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Summary:
Background. In recent years, the possibilities of use biochemical markers in diagnosing Alzheimers
dementia (AD) have been the subject of numerous studies. In according to the completed studies,
changes levels of tau protein and beta-amyloid represent suitable marker for early AD diagnosis.Goals.
In pilot study examine tau protein and beta-amyloid levels of patient with dementia. Ascertain, if
obtained biochemical findings correspond to diagnosis ofAD. Assumption.Changes levels of tau protein
(inceasing) and beta-amyliod (decreasing) are suitable markers for early AD diagnosis. Methods. The
levels of tau protein and beta-amyliod in liquor were examined in a group of 21 patients with multiple
sclerosis. Additionally, in patients with dementia genotyping of apolipoprotein E was carried out and
the biochemical and genetic results of the mearusements were compared with clinical findings.Results.
Tau protein levels in liquor were increased in 67 % of patients with AD, in 7 % in patients with vascular
dementia (VD) and 17 % in patients with mixed dementia (MD). Beta-amyloid levels were decreased in
67 % od AD, 33 % of VD and 33 % of MD. Contemporary tau protein increasing and beta-amyloid
decreasing was find in 50 % of AD, 22 % of VD and 0 % od MD. In control set of patients with multiple
sclerosis tau protein levels were increased in any case (in opposite level was decreased in 71 %);
beta-amyloid decreasing was in 81 % cases. On base evaluating of tau protein and beta-amyloid
proportions was possible confirm clinical diagnosis of AD surely in 50 % cases, bordeline in 33 % cases.
Conclusion. Examinations of tau protein and beta-amyloid levels may be suitable for diagnostic AD and
eliminating VD, but next examinations are necerssary.
Key words:
Alzheimer’s disease, vascular dementia, beta-amyloid(1–42), tau protein, apolipoprotein Apo
E, diagnostics
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