hFABP
Levels of heart fatty acid binding protein in cerebrospinal fluid are significantly higher in people with Alzheimer’s disease compared with controls (effect size = 1.394, p <0.0001). This effect was consistent across the handful of available studies and highly significant. hFABP is expressed in the brain. Only the case for CSF levels not plasma/serum levels.
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, 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.
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“Alzheimer's Disease vs Control: hFABP (CSF).” Alzbiomarker. https://www.alzforum.org/alzbiomarker/meta-analysis/alzheimers-disease-vs-control-hfabp-csf
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Desikan, R. S., Thompson, W. K., Holland, D., Hess, C. P., Brewer, J. B., Zetterberg, H., ... & Dale, A. M. (2013). Heart fatty acid binding protein and Aβ-associated Alzheimer’s neurodegeneration. Molecular Neurodegeneration, 8(1), 39. https://www.ncbi.nlm.nih.gov/pubmed/24088526
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Guo, L. H., Alexopoulos, P., & Perneczky, R. (2013). Heart-type fatty acid binding protein and vascular endothelial growth factor: cerebrospinal fluid biomarker candidates for Alzheimer’s disease. European archives of psychiatry and clinical neuroscience, 263(7), 553-560. https://www.ncbi.nlm.nih.gov/pubmed/23591828
- Olsson, B., Hertze, J., Ohlsson, M., Nägga, K., Höglund, K., Basun, H., ... & Zetterberg, H. (2013). Cerebrospinal fluid levels of heart fatty acid binding protein are elevated prodromally in Alzheimer's disease and vascular dementia. Journal of Alzheimer's Disease, 34(3), 673-679. https://www.ncbi.nlm.nih.gov/pubmed/23254629