Combined assessment of DYRK1A, BDNF and homocysteine levels as diagnostic marker for Alzheimer's disease

Transl Psychiatry. 2017 Jun 20;7(6):e1154. doi: 10.1038/tp.2017.123.

Abstract

Early identification of Alzheimer's disease (AD) risk factors would aid development of interventions to delay the onset of dementia, but current biomarkers are invasive and/or costly to assess. Validated plasma biomarkers would circumvent these challenges. We previously identified the kinase DYRK1A in plasma. To validate DYRK1A as a biomarker for AD diagnosis, we assessed the levels of DYRK1A and the related markers brain-derived neurotrophic factor (BDNF) and homocysteine in two unrelated AD patient cohorts with age-matched controls. Receiver-operating characteristic curves and logistic regression analyses showed that combined assessment of DYRK1A, BDNF and homocysteine has a sensitivity of 0.952, a specificity of 0.889 and an accuracy of 0.933 in testing for AD. The blood levels of these markers provide a diagnosis assessment profile. Combined assessment of these three markers outperforms most of the previous markers and could become a useful substitute to the current panel of AD biomarkers. These results associate a decreased level of DYRK1A with AD and challenge the use of DYRK1A inhibitors in peripheral tissues as treatment. These measures will be useful for diagnosis purposes.

MeSH terms

  • Aged
  • Alzheimer Disease / blood*
  • Alzheimer Disease / diagnosis
  • Alzheimer Disease / immunology
  • Animals
  • Antibodies, Monoclonal / metabolism
  • Antibodies, Monoclonal / pharmacology
  • Biomarkers / blood
  • Brain-Derived Neurotrophic Factor / blood*
  • Dyrk Kinases
  • Female
  • Homocysteine / blood*
  • Humans
  • Male
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Middle Aged
  • Protein Serine-Threonine Kinases / blood*
  • Protein Serine-Threonine Kinases / immunology
  • Protein-Tyrosine Kinases / blood*
  • Protein-Tyrosine Kinases / immunology
  • ROC Curve

Substances

  • Antibodies, Monoclonal
  • Biomarkers
  • Brain-Derived Neurotrophic Factor
  • Homocysteine
  • BDNF protein, human
  • Protein-Tyrosine Kinases
  • Protein Serine-Threonine Kinases