α-synuclein
Levels of α-synuclein in the CSF were marginally higher in people with Alzheimer’s disease compared with controls (effect size = 1.169, p = 0.00853).
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: α-synuclein (CSF).” Alzbiomarker. https://www.alzforum.org/alzbiomarker/meta-analysis/alzheimers-disease-vs-control-synuclein-csf
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Korff, A., Liu, C., Ginghina, C., Shi, M., Zhang, J., & Alzheimer's Disease Neuroimaging Initiative. (2013). α-Synuclein in cerebrospinal fluid of Alzheimer's disease and mild cognitive impairment. Journal of Alzheimer's Disease, 36(4), 679-688. https://www.ncbi.nlm.nih.gov/pubmed/23603399
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Öhrfelt, A., Grognet, P., Andreasen, N., Wallin, A., Vanmechelen, E., Blennow, K., & Zetterberg, H. (2009). Cerebrospinal fluid α-synuclein in neurodegenerative disorders—a marker of synapse loss? Neuroscience letters, 450(3), 332-335. https://www.ncbi.nlm.nih.gov/pubmed/19022350
- Twohig, D., Rodriguez-Vieitez, E., Sando, S. B., Berge, G., Lauridsen, C., Møller, I., ... & Benzinger, T. L. (2018). The relevance of cerebrospinal fluid α-synuclein levels to sporadic and familial Alzheimer’s disease. Acta neuropathologica communications, 6(1), 130. https://www.ncbi.nlm.nih.gov/pubmed/30477568