Table 1 Utility of new fluid biomarkers in Alzheimer’s disease.

From: New fluid biomarkers tracking non-amyloid-β and non-tau pathology in Alzheimer’s disease

 

Early diagnosis

Specific diagnosis

Prediction

Correlation

Neurodegeneration-related

Chromogranin-A (CSF)

↑MCI vs. CON

↓/→AD vs. CON

NA

NA

? Brain atrophy

Contactin-2 (CSF)

↑MCI vs. CON

↑/↓AD vs. CON

NA

NA

? Cognition

Myelin basic protein (CSF)

↑AD vs. CON

NA

NA

NA

Neurofascin (CSF)

↑MCI vs. CON

↓AD vs CON

NA

NA

NA

Neurofilament light (CSF)

↑Preclinical AD vs. CON

↑MCI vs. CON

↑AD vs. CON

Not specific

Cognitive decline

Brain atrophy

Cognition

Brain atrophy & hypometabolism

Neurofilament light (blood)

↑preclinical AD vs. CON

↑preclinical MC vs. NC

↑MCI vs. CON

↑AD vs. CON

Not specific

Cognitive decline

Brain atrophy

Cognition

Brain atrophy

Neurogranin (CSF)

↑preclinical AD vs. CON

↑MCI vs. CON

↑AD vs. CON

Specific to AD

Cognitive decline

Brain atrophy

Cognition

Brain atrophy

Neurogranin

(NDE in blood)

↓/→AD vs. CON

? Not specific

? Cognitive decline in MCI

NA

Neuronal pentraxin 1 (CSF)

↑MCI vs. CON

↓AD vs. CON

NA

NA

NA

Secretogranin-2 (CSF)

↑MCI vs. CON

↓AD vs. CON

NA

? Cognitive decline in MCI

NA

SNAP-25 (CSF)

↑MCI-Aβ (+) vs. CON

↑AD vs. CON

NA

NA

NA

VILIP-1 (CSF)

↑MCI vs. CON in most

↑AD vs. CON in most

Possible

Cognitive decline

Brain atrophy

Inflammation-related

β2-microglobulin (CSF)

↑MCI vs. CON

NA

? Cognitive decline in MCI

NA

ICAM1 (CSF)

↑ preclinical AD vs. CON

↑MCI vs. CON

↑AD vs. CON

NA

? Cognitive decline & its rapidity

Cognition

Progranulin (CSF)

↑MC vs. NC

↑AD vs. preclinical AD

Not specific

NA

Cognition

Brain atrophy

Brain hypometabolism

Osteopontin (CSF)

↑MCI vs. CON

↑AD vs. CON

Controversial

Cognitive decline

? Acuteness of cognitive dysfunction

sTREM2 (CSF)

↑/→ preclinical AD vs. CON

↑MCI vs. CON

↑peak at MCI > AD > CON

↑AD vs. CON

Not specific

NA

Age

No association with cognitive function

YKL-40 (CSF)

↑preclinical AD vs. CON

↑MCI vs. CON

↑AD vs. CON

↑AD vs. MCI

Not specific

Maybe cognitive decline

Maybe cognition

Gray matter atrophy

Advancement of disease stage

YKL-40 (blood)

↑AD vs. CON

Not specific

NA

? Cognition

Age

Lipid metabolism-related

Apolipoprotein E (CSF)

↓/↑AD vs. CON

↓AD vs. MCI

Controversial

Cognitive decline in APOEε4 noncarriers

Brain atrophy in APOEε4 noncarriers

FABP3 (CSF)

↑MCI vs. CON

↑AD vs. CON

Controversial

Cognitive decline in MCI

Cognition

Brain atrophy

Protein clearance-related

Clusterin (CSF)

↑AD vs. CON

? Not specific

NA

? Cognition

Clusterin (blood)

→ AD vs. CON

NA

NA

? Cognition & brain atrophy

Orexin (CSF)

↑MCI vs. CON

↑/→AD vs. CON

? Possible

NA

NA

Transthyretin (CSF)

↑/→AD vs. CON

Controversial

NA

NA

Transthyretin (blood)

↓AD vs. CON

NA

NA

? Rapidity & severity of cognitive decline

  1. AD Alzheimer’s disease, CON control, CSF cerebrospinal fluid, FABP-3 fatty acid binding protein, heart, ICAM1 intercellular adhesion molecule 1, MC mutation carrier, MCI mild cognitive impairment, NA not applicable due to lack of evidence, NC noncarrier, NDE neuron-derived exosome, SNAP-25 synaptosomal-associated protein 25, sTREM2 soluble triggering receptor expressed on myeloid cells 2, VILIP-1 visinin-like protein 1, YKL-40 chitinase-3-like protein 1.
  2. ↑, increased protein level; ↓, decreased protein level; →, no change in protein level; ?, not sure due to insufficient number of studies.