Table 3 Summary of studies for GFAP.

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)/median (IQR)

Statistical analysis

1

Abu-Rumeileh et al. [55]

Control (n = 40)

AD (n = 40)

CSF GFAP level

Control: 0.665 (0.409–0.978) ng/mL (median)

AD (1.081 [0.534–1.422] ng/mL) (median)

Kruskal–Wallis test

p = 0.002

2

Teitsdottir et al. [60]

CSF non-AD profile (n = 24)

CSF AD profile (n = 28)

CSF levels of GFAP

Non-AD profile (1.0 [0.1–7.1] ng/mL)

AD profile (1.3 [0.5–21.3] ng/mL)

Mann–Whitney U test

p = 0.09

3

Prins et al. [62]

Aβ+ (n = 50)

Aβ− (n = 50)

Plasma levels of GFAP

Aβ− (134.0 ± 50.71 pg/mL)

Aβ+ (195.1 ± 87.13 pg/mL)

Independent t-test

p < 0.001

4

Pereira et al. [58]

Cognitively unimpaired Aβ–  (n = 217)

Cognitively impaired Aβ+ (n = 78)

CSF and plasma levels of GFAP

Cognitively unimpaired Aβ− plasma (179.6 [31.1–534.9] pg/mL); CSF (13.5 [4.3–34.6] pg/mL)

Cognitively impaired Aβ+: plasma (262.6 [94.0–650.7] pg/mL); CSF: (17.7 [5.5–35.6] pg/mL)

Kruskal–Wallis test

plasma: p < 0.001

Cognitively unimpaired Aβ+ (n = 71)

Cognitively impaired Aβ− (n = 63)

Cognitively unimpaired Aβ+ plasma (252.1 [86.1–672.9] pg/mL); CSF: (16.1 [5.8–35.1] pg/mL)

Cognitively impaired Aβ−: plasma (166.9 [24.5–476.0] pg/mL); CSF: (14.7 [5.4–31.2] pg/mL)

Kruskal–Wallis test

CSF: p < 0.001

5

Chatterjee et al. [69]

Cognitively normal Aβ− (n = 63)

Cognitively normal Aβ+ (n = 33)

Plasma levels of GFAP

Aβ− (151.42 ± 58.49 pg/mL)

Aβ+ (240.12 ± 124.88 pg/mL)

Student’s t-test

p ≤ 0.0001

6

Katsipis et al. [73]

Control (n = 20)

MCI (n = 20)

Saliva levels of GFAP

Controls

(dot-blot: 11.88 ± 2.42; ELISA: 13.35 ± 3.03, both in terms of ng/mg of total protein)

MCI

(dot-blot: 6.50 ± 1.30a; ELISA: 6.82 ± 2.10a, both in terms of ng/mg of total protein)

avs. control:

p < 0.0001

bvs. MCI:

p < 0.001

cvs. MCI:

p < 0.0001

AD dementia (n = 20)

AD dementia

(dot-blot: 4.57 ± 1.79a,b; ELISA: 3.56 ± 2.24a,c, both in terms of ng/mg of total protein)

7

Oeckl et al. [72]

Control (n = 129)

MCI-AD (n = 111)

Serum levels of GFAP

Control (167 [108–234] pg/mL)

MCI-AD (300 [232–433] pg/mL)

p < 0.001

AD dementia (n = 230)

AD dementia (375 [276–505] pg/mL)

p < 0.001

8

Oeckl et al. [68]

Control (n = 34)

AD (n = 28)

CSF and serum levels of GFAP

Control (serum: 157 [126–218]; CSF: 826 [628–1041] pg/mL)

AD (serum: 376 [294–537]; CSF: 1396 [1007–2842] pg/mL)

p < 0.001

9

Parvizi et al. [67]

Control (n = 44; n = 36 for CSF)

MCI-AD (n = 63; n = 30 for CSF)

Plasma and CSF levels of GFAP

Control (plasma: 79 [53.7–120.6]; CSF in 36 patients: 11,145.3 [6980.5–14,373.8] pg/mL)

MCI-AD (plasma: 167.5 [93.8–256.3]; CSF in 30 patients: 8946.2 [7028.8–13,842.7] pg/mL)

p < 0.001 for plasma;

p < 0.01 for CSF

AD dementia (n = 60; n = 37 for CSF)

AD dementia (plasma: 181.9 [129.6–269.6]; CSF in 37 patients: 13,663.5 [9945.4–21,059.1] pg/mL)

10

Pontecorvo et al. [71]

Placebo (n = 126)

Donanemab (n = 131)

Plasma levels of GFAP at week 76 of treatment

Placebo (242.25 [87.293]) for 78 patients pg/mL

Donanemab (189.99 [83.675]) for 83 patients pg/mL

p < 0.001 vs. placebo

11

Stocker et al. [70]

Control (n = 507)

AD dementia (0–9 years’ follow-up; n = 51)

Plasma levels of GFAP

Control (78.2 [13.3–529.0] pg/mL for 504 subjects)

AD dementia (0–9 years) 151.4 ± 122.1 pg/mL

p < 0.0001 vs. controls

AD dementia (9–17 years’ follow-up; n = 94)

AD dementia (9–17 years) 123.6 ± 56.2 pg/mL

p < 0.0001 vs. controls

AD dementia (0–17 years’ follow-up; n = 145)

AD dementia (0–17 years) 133.3 ± 86.0 pg/mL

p < 0.0001 vs. controls

  1. The term “MCI” is “all-cause MCI”, unless otherwise stated.
  2. amyloid-β pathology, AD Alzheimer’s disease, CSF cerebrospinal fluid, ELISA enzyme-linked immunosorbent assay, GFAP glial fibrillary acidic protein, IQR interquartile range, MCI mild cognitive impairment, MCI-AD MCI due to AD, SD standard deviation.