Alzheimer’s Disease

Biomarkers for researching Alzheimer’s Disease

Alzheimer’s disease is a neurodegenerative disorder that leads to progressive cognitive decline and is the most common cause of dementia. The disease involves the loss of neurons in the brain, which impairs memory, thinking, and behavior. Alzheimer’s disease is a major global health issue, affecting approximately 40-50 million people worldwide, and the number of individuals with the disease is expected to reach 100 million by 2050.

Biomarkers are key to advancing Alzheimer’s research. They enhance diagnosis, predict prognosis, evaluate treatment responses, and identify potential therapeutic targets, driving the development of effective treatments.

Nordic ProteinFingerPrint Technology™ Biomarkers in Alzheimer’s Disease

Alzheimer’s disease is a proteinopathy, meaning it is driven by abnormal protein turnover, leading to the accumulation of pathological proteins and ultimately, neuronal death. The classical cerebrospinal fluid (CSF) biomarkers—P-Tau and Ab1-42—are key indicators of this process, as they accumulate in response to disease progression.

However, Alzheimer’s is not defined by just these two proteins. A vast number of brain-specific proteins undergo pathological modifications, with enzymatic degradation playing a crucial role in the early stages of the disease. This makes Nordic ProteinFingerPrint Technology™ biomarkers critical for Alzheimer’s detection and monitoring. Additionally, the fragmentation of these proteins increases their likelihood of being detected in blood, addressing a major challenge in Alzheimer’s diagnostics.

Identifying Active Neurodegeneration with Serum Biomarkers

Tau-C as a Marker of Acute Neuronal Injury

Tau-C levels were measured in patients following a stroke, an event known to cause significant neuronal injury and loss. As expected, Tau-C levels were highly elevated, confirming its association with active neurodegeneration.

Neuronal damage quantified by assessment of the Tau-C fragment right after a stroke, or 24 hours later when the damage has accumulated.

Serum Biomarkers Predicting Dementia Risk

In a 15-year longitudinal study, serum-based Nordic ProteinFingerPrint Technology™ biomarkers were linked to dementia incidence.

Elevated Tau-C levels at baseline were strongly associated with the future development of dementia, highlighting their potential in early detection and intervention strategies.

Neuronal damage quantified by assessment of the Tau-C fragment at baseline of a 15-year study monitoring incidence of dementia.

About Alzheimer’s Disease

  • Alzheimer’s Disease is the most common cause of dementia, a syndrome affecting today approximately 40-50 million people worldwide and is estimated to reach 100 million in 2050.

  • There is no cure for Alzheimer’s, but symptoms are managed by treatment with Memantine or alike, which stimulate synaptic responses and thereby keep the cognitive abilities active as long as the neurons are still alive. All attempts at the development of a disease-modifying therapy have so far failed.

  • Current diagnosis includes tests of cognition, which assess to what extent the subject is showing signs of neuronal loss. To confirm the diagnosis of Alzheimer’s disease, either measurement of Alzheimer’s disease biomarkers p-Tau and Abeta1-42 in CSF, or assessment of plaque load in the brain by amyloid-PET is needed; however, these tools are complex and are not used in subjects prior to symptom onset, i.e. when it is too late to halt it by treatment.

  • Early symptoms of Alzheimer’s disease include memory loss, difficulty concentrating, confusion with time or place, trouble with language, and changes in mood or behavior. These signs may progress gradually and should prompt further medical evaluation.

  • Alzheimer’s diagnosis traditionally involves clinical assessments and imaging, but biomarkers like P-Tau, Ab1-42, and Tau-C can help detect disease earlier by measuring protein changes associated with neurodegeneration in cerebrospinal fluid and blood.

    Advances in blood-based biomarkers enable detection of active neurodegeneration and can be used to assess risk, monitor disease progression, and support early intervention strategies.

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    Nordic Bioscience’s assays and services are research use only products and services and do not qualify for medical or diagnostic purposes.