Albumin ratio
The ratio of albumin protein in the cerebrospinal fluid compared to levels in the plasma or serum was slightly higher in people with Alzheimer’s disease than in controls (effect size = 1.103, p = 0.02564). The effect was marginal. The albumin ratio is considered a measure of blood-brain barrier function.
blood draw, invasive lumbar puncture, discomfort, recovery time in clinic to decrease risk of spinal fluid leakage
physician who can preform a lumbar puncture as well as a clinic designed for this testing, phlebotomist, equipped lab (e.g., centrifuge), a way to measure the peptide (e.g., mass spectrometer, protein assay kit, ELISA, or western blot)
Data collected by multiple groups. Alzforum meta analysis.
-
“Alzheimer's Disease vs Control: albumin ratio (CSF/Serum and/or Plasma)”. Alzbiomarker. https://www.alzforum.org/alzbiomarker/meta-analysis/alzheimers-disease-vs-control-albumin-ratio-csfserum-andor-plasma
-
Chalbot, S., Zetterberg, H., Blennow, K., Fladby, T., Andreasen, N., Grundke-Iqbal, I., & Iqbal, K. (2011). Blood-cerebrospinal fluid barrier permeability in Alzheimer's disease. Journal of Alzheimer's Disease, 25(3), 505-515. https://www.ncbi.nlm.nih.gov/pubmed/21471645
- Olsson, B., Lautner, R., Andreasson, U., Öhrfelt, A., Portelius, E., Bjerke, M., ... & Wu, E. (2016). CSF and blood biomarkers for the diagnosis of Alzheimer's disease: a systematic review and meta-analysis. The Lancet Neurology, 15(7), 673-684. https://www.ncbi.nlm.nih.gov/pubmed/27068280