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Alzheimers Dement (Amst). 2021 Feb 10;13(1):e12151. doi: 10.1002/dad2.12151. eCollection 2021.

Aβ misfolding in blood plasma measured by immuno-infrared-sensor as an age-independent risk marker of Alzheimer's disease.

Alzheimer's & dementia (Amsterdam, Netherlands)

Tobias Möllers, Hannah Stocker, Laura Perna, Andreas Nabers, Dan Rujescu, Annette M Hartmann, Bernd Holleczek, Ben Schöttker, Klaus Gerwert, Hermann Brenner

Affiliations

  1. Division of Clinical Epidemiology and Aging Research German Cancer Research Center Heidelberg Germany.
  2. Network Aging Research Heidelberg University Heidelberg Germany.
  3. Medical Faculty Heidelberg University Heidelberg Germany.
  4. Department of Translational Research in Psychiatry, Max Planck Institute of Psychiatry Munich Germany.
  5. Department of Biophysics Ruhr-University Bochum Bochum Germany.
  6. Department of Biophysics Center for Protein Diagnostics (ProDi) Biospectroscopy Ruhr-University Bochum Bochum Germany.
  7. Psychotherapy and Psychosomatics University Clinic and Outpatient Clinic for Psychiatry Martin-Luther-University Halle-Wittenberg Halle/Saale Germany.
  8. Saarland Cancer Registry Saarbrücken Germany.

PMID: 33614887 PMCID: PMC7875190 DOI: 10.1002/dad2.12151

Abstract

INTRODUCTION: Determining potential risk factors of amyloid beta (Aβ) misfolding in blood, a risk marker for clinical Alzheimer's disease (AD), could have important implications for its utility in future research and clinical settings.

METHODS: Participants aged 50 to 75 years attending a general health examination were recruited for a prospective community-based cohort study in Saarland, Germany, in 2000 to 2002. For these analyses, participants with available Aβ misfolding measurements and clinical AD information at 17-year follow-up were included (

RESULTS: Age did not show any association with Aβ misfolding in plasma; however, a strong association of both age and Aβ misfolding with the incidence of clinical AD was evident. Education and cardiovascular diseases were likewise not associated with Aβ misfolding.

DISCUSSION: Structural measurement of Aβ misfolding in blood plasma is an age-independent risk marker of clinical AD among older adults, supporting that risk of clinical AD is already largely determined before older adulthood.

© 2021 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, LLC on behalf of Alzheimer's Association.

Keywords: Alzheimer's disease; age; amyloid beta misfolding; cohort study; risk factors

Conflict of interest statement

The secondary structure‐based, Aβ misfolding marker measured by the iRS is protected by one approved patent (EP3324187B1) and three patent applications (WO 2015121339 A1, WO 2018091743 A1, and WO 2018

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