NSE (neuron specific enolase)
Despite considerable variability between studies, meta-analysis indicates a significant elevation of neuron specific enolase in the cerebrospinal fluid of people with Alzheimer’s disease (effect size = 1.470, p = 0.01358). This correlation did not hold when analyzing NSE in plasma and serum. Levels of neuron specific enolase do not differ in the plasma and serum between people with Alzheimer’s disease and controls (effect size = 0.999, p = 0.99192).
Invasive lumbar puncture, discomfort, recovery time in clinic to decrease risk of spinal fluid leakage
physican 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: NSE (CSF).” Alzbiomarker. https://www.alzforum.org/alzbiomarker/meta-analysis/alzheimers-disease-vs-control-nse-csf
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“Alzheimer's Disease vs Control: NSE (Plasma and Serum).” Alzbiomarker. https://www.alzforum.org/alzbiomarker/meta-analysis/alzheimers-disease-vs-control-nse-plasma-and-serum
- Schmidt, F. M., Mergl, R., Stach, B., Jahn, I., Gertz, H. J., & Schönknecht, P. (2014). Elevated levels of cerebrospinal fluid neuron-specific enolase (NSE) in Alzheimer's disease. Neuroscience Letters, 570, 81-85. https://www.ncbi.nlm.nih.gov/pubmed/24746933