Abstract
The past decade has seen tremendous efforts in biomarker discovery and validation for neurodegenerative diseases. The source and type of biomarkers has continued to grow for central nervous system diseases, from biofluid-based biomarkers (blood or cerebrospinal fluid (CSF)), to nucleic acids, tissue, and imaging. While DNA remains a predominant biomarker used to identify familial forms of neurodegenerative diseases, various types of RNA have more recently been linked to familial and sporadic forms of neurodegenerative diseases during the past few years. Imaging approaches continue to evolve and are making major contributions to target engagement and early diagnostic biomarkers. Incorporation of biomarkers into drug development and clinical trials for neurodegenerative diseases promises to aid in the development and demonstration of target engagement and drug efficacy for neurologic disorders. This review will focus on recent advancements in developing biomarkers for clinical utility in Alzheimer’s disease (AD), Parkinson’s disease (PD), and amyotrophic lateral sclerosis (ALS).
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- AD:
-
Alzheimer’s disease
- ADNI:
-
AD neuroimaging initiative
- ALS:
-
Amyotrophic lateral sclerosis
- APOE :
-
Apolipoprotein E gene
- APP:
-
Amyloid precursor protein
- AT1R:
-
Angiotensin-2 type 1 receptor
- Aβ42 :
-
Amyloid-β1-42 peptide
- BBB:
-
Blood–brain barrier
- BDNF:
-
Brain-derived neurotrophic factor
- FDG-PET:
-
18F-fluorodeoxyglucose
- CLIA:
-
Clinical Laboratory Improvement Amendments
- CNS:
-
Central nervous system
- CReATE:
-
Clinical research in ALS and related disorders for therapeutic development
- CSF:
-
Cerebrospinal fluid
- DAT:
-
Dopamine transporter
- DATscan:
-
Dopamine transporter imaging
- DRPs:
-
Dipeptide repeat proteins
- DTI:
-
Diffusion tensor imaging
- EIM:
-
Electrical impedance myography
- ENCALS:
-
European Network for the Cure of ALS
- EOAD:
-
Early onset Alzheimer’s disease
- FDA:
-
Food and Drug Administration
- FTD:
-
Frontotemporal dementia
- FTLD:
-
Frontotemporal lobar degeneration
- GBSC:
-
Global Biomarkers Standardization Committee
- GWAS:
-
Genome-wide association studies
- HD:
-
Huntington’s disease
- IGF-1:
-
Insulin-like growth factor-1
- IVD:
-
In-vitro diagnostics
- LBD:
-
Lewy body disease
- LDT:
-
Laboratory-developed test
- LOAD:
-
Late onset Alzheimer’s disease
- MCI:
-
Mild cognitive impairment
- MRI:
-
Magnetic resonance imaging
- MTL:
-
Mesial temporal lobe
- MUNE:
-
Motor Unit Number Estimation
- NCI:
-
No cognitive impairment
- NEALS:
-
Northeast ALS Consortium
- NFL:
-
Neurofilament light chain
- NFTs:
-
Neurofibrillary tangles
- NIA:
-
National Institute of Aging
- NINDS:
-
Neurological Disorders and Stroke
- p-Tau:
-
Phosphorylated tau
- PD:
-
Parkinson’s disease
- PD:
-
Pharmacodynamic
- PDD:
-
Parkinson’s disease with dementia
- PDBP:
-
Parkinson’s Disease Biomarkers Program
- PET:
-
Positron emission tomography
- PiB:
-
Pittsburgh compound-B
- PPMI:
-
Parkinson’s Progression Markers Initiative
- pNFH:
-
Phosphorylated heavy chain
- RUO:
-
Research-use only
- SBM:
-
Surface-based morphometry
- SN:
-
Substantia nigra
- SOD1:
-
Superoxide dismutase-1
- SOPHIA:
-
Sampling and Biomarker Optimization and Harmonization in ALS and other Motor Neuron Diseases
- SOPs:
-
Standardized operating procedures
- SPECT:
-
Single photon emission computerized tomography
- TCS:
-
Transcranial sonography
- UPDRS:
-
Unified Parkinson’s Disease Rating Scale
- VaD:
-
Vascular dementia
- VBM:
-
Voxel-based morphometry
- wrCRP:
-
Wide-range C-reactive protein
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Acknowledgements
R.B. was supported by National Institutes of Health/National Institutes of Neurological Disorders and Stroke grants NS061867 and NS068179.
Conflict of Interest
R.B. is a founder of Iron Horse Diagnostics, Inc., a biotechnology company focused on diagnostic and prognostic biomarkers for ALS and other neurologic disorders. A.J. is an employee of Iron Horse Diagnostics, Inc.
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Jeromin, A., Bowser, R. (2017). Biomarkers in Neurodegenerative Diseases. In: Beart, P., Robinson, M., Rattray, M., Maragakis, N. (eds) Neurodegenerative Diseases. Advances in Neurobiology, vol 15. Springer, Cham. https://doi.org/10.1007/978-3-319-57193-5_20
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