Clinical reporting following the quantification of cerebrospinal fluid biomarkers in Alzheimer's disease: An international overview

Constance Delaby, Charlotte E Teunissen, Kaj Blennow, Daniel Alcolea, Ivan Arisi, Elodie Bouaziz Amar, Anne Beaume, Aurélie Bedel, Giovanni Bellomo, Edith Bigot-Corbel, Maria Bjerke, Marie-Céline Blanc-Quintin, Mercè Boada, Olivier Bousiges, Miles D Chapman, Mari L DeMarco, Mara D'Onofrio, Julien Dumurgier, Diane Dufour-Rainfray, Sebastiaan EngelborghsHermann Esselmann, Anne Fogli, Audrey Gabelle, Elisabetta Galloni, Clémentine Gondolf, Frédérique Grandhomme, Oriol Grau-Rivera, Melanie Hart, Takeshi Ikeuchi, Andreas Jeromin, Kensaku Kasuga, Ashvini Keshavan, Michael Khalil, Peter Körtvelyessy, Agnieszka Kulczynska-Przybik, Jean-Louis Laplanche, Piotr Lewczuk, Qiao-Xin Li, Alberto Lleó, Catherine Malaplate, Marta Marquié, Colin L Masters, Barbara Mroczko, Léonor Nogueira, Adelina Orellana, Markus Otto, Jean-Baptiste Oudart, Claire Paquet, Federico Paolini Paoletti, Lucilla Parnetti, Armand Perret-Liaudet, Katell Peoc'h, Koen Poesen, Albert Puig-Pijoan, Isabelle Quadrio, Muriel Quillard-Muraine, Benoit Rucheton, Susanna Schraen, Jonathan M Schott, Leslie M Shaw, Marc Suárez-Calvet, Magda Tsolaki, Hayrettin Tumani, Chinedu T Udeh-Momoh, Lucie Vaudran, Marcel M Verbeek, Federico Verde, Lisa Vermunt, Jonathan Vogelgsang, Jens Wiltfang, Henrik Zetterberg, Sylvain Lehmann

Research output: Contribution to journalArticlepeer-review

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Abstract

INTRODUCTION: The current practice of quantifying cerebrospinal fluid (CSF) biomarkers as an aid in the diagnosis of Alzheimer's disease (AD) varies from center to center. For a same biochemical profile, interpretation and reporting of results may differ, which can lead to misunderstandings and raises questions about the commutability of tests.

METHODS: We obtained a description of (pre-)analytical protocols and sample reports from 40 centers worldwide. A consensus approach allowed us to propose harmonized comments corresponding to the different CSF biomarker profiles observed in patients.

RESULTS: The (pre-)analytical procedures were similar between centers. There was considerable heterogeneity in cutoff definitions and report comments. We therefore identified and selected by consensus the most accurate and informative comments regarding the interpretation of CSF biomarkers in the context of AD diagnosis.

DISCUSSION: This is the first time that harmonized reports are proposed across worldwide specialized laboratories involved in the biochemical diagnosis of AD.

Original languageEnglish
Pages (from-to)1868-1879
Number of pages12
JournalAlzheimer's & Dementia
Volume18
Issue number10
Early online date22 Dec 2021
DOIs
Publication statusPublished - Oct 2022

Bibliographical note

Funding Information:
Jean‐Baptiste Oudart is supported by Astrazeneca grant for a research program on EGFR targeted therapy resistance in NSCLC. He received no support for the present manuscript.

Funding Information:
Alberto Lleó is supported by grants from Generalitat de Catalunya (PERIS SLT002/16/00408), Instituto de Salud Carlos III (PI17/01896), Instituto de Salud Carlos III CIBERNED. He received no support for the present manuscript.

Funding Information:
Ashvini Keshavan is supported by the Weston Brain Institute/Selfridges Foundation grant UB170045. She received no support for the present manuscript.

Funding Information:
Jonathan Volgesgang is supported by Clinician Scientist Research Fellowship, German Research Foundation (Deutsche Forschungsgesellschaft, project number: 413501650; 09/01/2019‐02/28/2021); Eric Dorris Memorial Fellowship (McLean Hospital; 07/01/2020‐06/30/2021). He received no support for the present manuscript.

Funding Information:
Marta Marquié is supported by the Instituto de Salud Carlos III (ISCIII) Acción Estratégica en Salud, integrated in the Spanish National RCDCI Plan and financed by ISCIII‐Subdirección General de Evaluación and the Fondo Europeo de Desarrollo Regional (FEDER‐Una manera de hacer Europa) grant PI19/00335. She received no support for the present manuscript.

Funding Information:
Markus Otto is supported by BMBF, Thierry Latran foundation, EU, DFG. He received no support for the present manuscript.

Funding Information:
Katell Peoc'h is supported by contract with Siemens Healthineers. She received no support for the present manuscript.

Funding Information:
Jens Wiltfang is supported by Federal Ministry of Education and Research (BMBF) State of Lower Saxony; He received no support for the present manuscript.

Funding Information:
Marcel M. Verbeek is supported by the BIONIC project (no. 733050822, which has been made possible by ZonMw within the framework of “Memorabel,” the research and innovation program for dementia, as part of the Dutch national “Deltaplan for Dementia”: zonmw.nl/dementiaresearch), and the CAFÉ project (the National Institutes of Health, USA, grant number 5R01NS104147‐02). The BIONIC project is a consortium of Radboudumc, LUMC, ADX Neurosciences, and University of Rhode Island University. MM Verbeek is also supported by a grant from the Selfridges Group Foundation. He received no support for the present manuscript.

Funding Information:
Michael Khalil received unrestricted research grants from Biogen and Novartis. He received no support for the present manuscript.

Funding Information:
Leslie M. Shaw is supported by NIA for ADNI Biomarker Core, UPENN ADRC Biomarker Corr, MJ Fox PPMI for CSF Biomarker measurements, Roche for IIS study of AD biomarkers. He received no support for the present manuscript.

Funding Information:
Sebastiaan Engelborghs received consulting fees from Biogen, Danone, Eisai, icometrix, Pfizer, Novartis, Nutricia, Roche, and received research funding from ADx Neurosciences and Janssen Pharmaceutica. He received fees as an advisory Boards from Biogen, Danone, Eisai, icometrix, Pfizer, Novartis, Nutricia, Roche. He serves as Secretary‐General of Belgian Neurological Society, Vice‐President of Belgian Dementia Council, ExCo member of European Alzheimer Disease Consortium.

Funding Information:
Lisa Vermunt is supported by Alzheimer Nederland. She received no support for the present manuscript.

Funding Information:
Henrik Zetterberg is a Wallenberg Scholar supported by grants from the Swedish Research Council (#2018‐02532), the European Research Council (#681712), Swedish State Support for Clinical Research (#ALFGBG‐720931), the Alzheimer Drug Discovery Foundation (ADDF), USA (#201809‐2016862), the AD Strategic Fund and the Alzheimer's Association (#ADSF‐21‐831376‐C, #ADSF‐21‐831381‐C and #ADSF‐21‐831377‐C), the Olav Thon Foundation, the Erling‐Persson Family Foundation, Stiftelsen för Gamla Tjänarinnor, Hjärnfonden, Sweden (#FO2019‐0228), the European Union's Horizon 2020 research and innovation program under the Marie Skłodowska‐Curie grant agreement No 860197 (MIRIADE), and the UK Dementia Research Institute at UCL. He received no support for the present manuscript.

Funding Information:
Jonathan M. Schott is supported by the Medical Research Council, Alzheimer's Research UK, Weston Brain Institute, British Heart Foundation, Alzheimer's Association. He received no support for the present manuscript.

Funding Information:
Melanie Hart receives UCLH Biomedical Research Centre support from NIHR (Neurosciences). She received no support for the present manuscript.

Funding Information:
Hayrettin Tumani is supported by Alexion, Bayer, Biogen, Celgene, Genzyme‐Sanofi, Merck, Novartis, Roche, Teva. He received no support for the present manuscript.

Funding Information:
Marc Suárez‐Calvet receives funding from the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation program (Grant agreement No. 948677). He also receives funding from the Instituto de Salud Carlos III (PI19/00155) and from the Spanish Ministry of Science, Innovation and Universities (Juan de la Cierva Programme grant IJC2018‐037478‐I). He received no support for the present manuscript.

Funding Information:
Oriol Grau‐Rivera receives grants from the Spanish Ministry of Science, Innovation and Universities (FJCI‐2017‐33437), and from the Alzheimer's Association Research Fellowship Program (2019‐AARF‐644568). He received no support for the present manuscript.

Publisher Copyright:
© 2021 the Alzheimer's Association

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

Keywords

  • Alzheimer's disease
  • cerebrospinal fluid biomarkers
  • clinical report
  • consensus approach
  • harmonization

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