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Validation of the LUMIPULSE automated immunoassay for the measurement of core AD biomarkers in cerebrospinal fluid
J. Gobom, L. Parnetti, P. Rosa-Neto, M. Vyhnalek, S. Gauthier, S. Cataldi, O. Lerch, J. Laczo, K. Cechova, M. Clarin, AL. Benet, TA. Pascoal, N. Rahmouni, M. Vandijck, E. Huyck, N. Le Bastard, J. Stevenson, M. Chamoun, D. Alcolea, A. Lleó, U....
Jazyk angličtina Země Německo
Typ dokumentu časopisecké články, práce podpořená grantem
Grantová podpora
MOP-11-51-31
CIHR - Canada
RFN 152985
CIHR - Canada
159815
CIHR - Canada
162303
CIHR - Canada
PubMed
34773730
DOI
10.1515/cclm-2021-0651
Knihovny.cz E-zdroje
- MeSH
- Alzheimerova nemoc * mozkomíšní mok diagnóza MeSH
- amyloidní beta-protein mozkomíšní mok MeSH
- biologické markery mozkomíšní mok MeSH
- imunoanalýza metody MeSH
- lidé MeSH
- peptidové fragmenty mozkomíšní mok MeSH
- proteiny tau mozkomíšní mok MeSH
- reprodukovatelnost výsledků MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
OBJECTIVES: The core cerebrospinal fluid (CSF) biomarkers; total tau (tTau), phospho-tau (pTau), amyloid β 1-42 (Aβ 1-42), and the Aβ 1-42/Aβ 1-40 ratio have transformed Alzheimer's disease (AD) research and are today increasingly used in clinical routine laboratories as diagnostic tools. Fully automated immunoassay instruments with ready-to-use assay kits and calibrators has simplified their analysis and improved reproducibility of measurements. We evaluated the analytical performance of the fully automated immunoassay instrument LUMIPULSE G (Fujirebio) for measurement of the four core AD CSF biomarkers and determined cutpoints for AD diagnosis. METHODS: Comparison of the LUMIPULSE G assays was performed with the established INNOTEST ELISAs (Fujirebio) for hTau Ag, pTau 181, β-amyloid 1-42, and with V-PLEX Plus Aβ Peptide Panel 1 (6E10) (Meso Scale Discovery) for Aβ 1-42/Aβ 1-40, as well as with a LC-MS reference method for Aβ 1-42. Intra- and inter-laboratory reproducibility was evaluated for all assays. Clinical cutpoints for Aβ 1-42, tTau, and pTau was determined by analysis of three cohorts of clinically diagnosed patients, comprising 651 CSF samples. For the Aβ 1-42/Aβ 1-40 ratio, the cutpoint was determined by mixture model analysis of 2,782 CSF samples. RESULTS: The LUMIPULSE G assays showed strong correlation to all other immunoassays (r>0.93 for all assays). The repeatability (intra-laboratory) CVs ranged between 2.0 and 5.6%, with the highest variation observed for β-amyloid 1-40. The reproducibility (inter-laboratory) CVs ranged between 2.1 and 6.5%, with the highest variation observed for β-amyloid 1-42. The clinical cutpoints for AD were determined to be 409 ng/L for total tau, 50.2 ng/L for pTau 181, 526 ng/L for β-amyloid 1-42, and 0.072 for the Aβ 1-42/Aβ 1-40 ratio. CONCLUSIONS: Our results suggest that the LUMIPULSE G assays for the CSF AD biomarkers are fit for purpose in clinical laboratory practice. Further, they corroborate earlier presented reference limits for the biomarkers.
Centro de Investigación Biomédica en Red Enfermedades Neurodegenerativas Madrid Spain
Clinical Neurochemistry Laboratory Sahlgrenska University Hospital Mölndal Sweden
Department of Laboratory Medicine Radboud University Medical Center Nijmegen The Netherlands
Department of Neurodegenerative Disease UCL Institute of Neurology London UK
Department of Neurology 2nd Medical Faculty Charles University Prague Czech Republic
Fujirebio Europe N 5 Ghent Belgium
International Clinical Research Center St Anne's University Hospital Brno Czech Republic
Laboratory of Clinical Neurochemistry Section of Neurology University of Perugia Perugia Italy
Montreal Neurological Institute Montreal QC Canada
Motol University Hospital Prague Czech Republic
Citace poskytuje Crossref.org
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