Table 1 Summary of studies for YKL-40.

From: Neuroinflammatory fluid biomarkers in patients with Alzheimer’s disease: a systematic literature review

Study no.

Study

Groups analyzed

Outcome measure

Magnitude of measure: mean (SD) or median (IQR)

Statistical analysis

1

Abu-Rumeileh et al. [56]

Control (n = 28)

AD (n = 38)

CSF YKL-40 level

Control (147 [116–158]) ng/mL

AD (240 [177–289])

p < 0.001

Kruskal–Wallis test

2

Abu-Rumeileh et al. [55]

Control (n = 40)

AD (n = 40)

CSF YKL-40 level

Control (145 [115–161]) ng/mL

AD (240 [176–293])

p < 0.001

Kruskal–Wallis test

3

Antonell et al. [54]

Healthy control (n = 50)

Preclinical AD (n = 21)

CSF YKL-40 level

Control (217.23 [153.86–271.37]) ng/mL

Preclinical AD (325.14 [237.24–363.73])

Preclinical AD vs. control (p = 0.726)

MCI due to AD (n = 56)

MCI due to AD (347.24 [257.71–397.06])

MCI due to AD vs. control (p = 0.025)

AD dementia (n = 108)

AD dementia (305.12 [247.33–396.56])

AD dementia vs. control (p = 0.010)

4

Brosseron et al. [61]

Control (n = 74)

SCD (n = 99)

Serum levels of YKL-40

Control (83 ± 151 [23–1020]) ng/mL

SCD (78 ± 332 [27–3178])

Kruskal–Wallis test followed by ANCOVA

p = 0.108

MCI (n = 75)

MCI (111 ± 100 [17–488])

AD dementia (n = 38)

AD dementia (138 ± 112 [22–514])

5

Janelidze et al. [57]

Control–Aβ− (n = 362)

MCI–Aβ− (n = 114)

CSF levels of YKL-40

Compared with the control–Aβ− group, the CSF levels of YKL-40 were increased in all groups with pathologic Aβ+ status (control–Aβ+a, MCI–Aβ+b, and AD dementiac)

Furthermore, YKL-40 levels were higher in AD dementia than in control–Aβ+d and MCI–Aβ+e

One-way ANOVA

ap < 0.001

bp = 0.005

cp < 0.001

dp = 0.003

ep ≤ 0.001

Control–Aβ+ (n = 146)

MCI–Aβ+ (n = 142)

 

AD dementia (n = 57)

6

Olsson et al. [59]

Control (n = 65)

AD dementia (n = 96)

CSF levels of YKL-40

Control (194,622 ± 76,326 ng/L)

AD dementia (241,582 ± 100,701 ng/L)

ANOVA

p < 0.01

MCI due to AD (n = 61)

MCI due to AD (209,077 ± 74,859 ng/L)

 

Stable MCI (n = 81)

Stable MCI (171,687 ± 68,367 ng/L)

 

7

Pereira et al. [58]

Cognitively unimpaired Aβ− (n = 217)

Cognitively impaired Aβ+ (n = 78)

CSF levels of YKL-40

Cognitively unimpaired Aβ− (162.0 [38.3–458.2] ng/mL)

Cognitively impaired Aβ+ (220.3 [63.9–523.5] ng/mL)

Kruskal–Wallis test

p < 0.001

Cognitively unimpaired Aβ+ (n = 71)

Cognitively impaired Aβ− (n = 63)

Cognitively unimpaired Aβ+ (211.2 [80.9–374.8] ng/mL)

Cognitively impaired Aβ− (184.6 [68.1–371.0] ng/mL)

8

Prins et al. [62]

Aβ+ (n = 50)

Aβ− (n = 50)

Plasma levels of YKL-40

Aβ− (82,947.1 ± 83,418.38 pg/mL for n = 49)

Aβ+ (54,662.3 ± 39,697.31 pg/mL for n = 49)

Independent t-test

p = 0.397

9

Teitsdottir et al. [60]

CSF non-AD profile (n = 24)

CSF AD profile (n = 28)

CSF levels of YKL-40

Non-AD profile (165 (83–399) ng/mL)

AD profile (203 [124–367] ng/mL)

Mann–Whitney U test

p = 0.12

  1. The term “MCI” is “all-cause MCI”, unless otherwise stated.
  2. amyloid-beta pathology, AD Alzheimer’s disease, ANCOVA analysis of covariance, ANOVA analysis of variance, CSF cerebrospinal fluid, IQR interquartile range, MCI mild cognitive impairment, SCD subjective cognitive decline, SD standard deviation, YKL-40 chitinase-3-like protein 1.