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    Ronald Petersen, M.D.

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Question

Alzheimer's test: Detection at the earliest stages

I read about an experimental test that can detect early stages of Alzheimer's disease. How does it work?

Answer

from Ronald Petersen, M.D.

Researchers from several Alzheimer's disease research centers have proposed an Alzheimer's test that measures two proteins, beta-amyloid and tau proteins, in cerebrospinal fluid. In a study, these proteins helped identify people with mild Alzheimer's disease and mild cognitive impairment (MCI) who were likely to progress to more-serious forms of the disease.

The Alzheimer's test is done on fluid obtained by a lumbar puncture, also called spinal tap. During a lumbar puncture, a doctor inserts a needle into the spinal canal and removes a small amount of cerebrospinal fluid — the fluid that surrounds the brain and spinal cord. The fluid is examined for evidence of abnormal development of beta-amyloid proteins, which form plaques, and tau proteins, which form tangles. Both plaques and tangles are thought to contribute to the development of Alzheimer's disease.

Early detection and diagnosis of Alzheimer's disease is important for early intervention with medications that may slow the progression of the disease. This Alzheimer's test also may reveal who will develop Alzheimer's disease in the future. However, more research is needed to determine who might benefit from the Alzheimer's test and what the test reveals about the progression of Alzheimer's disease.

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References
  1. Shaw LM, et al. Cerebrospinal fluid biomarker signature in Alzheimer's disease neuroimaging initiative subjects. Annals of Neurology. 2009;65:403.
  2. Petersen RC (expert opinion). Mayo Clinic, Rochester, Minn. April 4, 2009.
  3. Inside the brain: An interactive tour. Alzheimer's Association. http://www.alz.org/alzheimers_disease_4719.asp. Accessed May 5, 2009.

AN01993

Sept. 11, 2009

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