Plasma protein biomarker model for screening Alzheimer disease using multiple reaction monitoring-mass spectrometry

Yeongshin Kim, Jaenyeon Kim, Minsoo Son, Jihyeon Lee, Injoon Yeo, Kyu Yeong Choi, Hoowon Kim, Byeong C. Kim, Kun Ho Lee, Youngsoo Kim

Research output: Contribution to journalArticlepeer-review

Abstract

Alzheimer disease (AD) is a leading cause of dementia that has gained prominence in our aging society. Yet, the complexity of diagnosing AD and measuring its invasiveness poses an obstacle. To this end, blood-based biomarkers could mitigate the inconveniences that impede an accurate diagnosis. We developed models to diagnose AD and measure the severity of neurocognitive impairment using blood protein biomarkers. Multiple reaction monitoring–mass spectrometry, a highly selective and sensitive approach for quantifying targeted proteins in samples, was used to analyze blood samples from 4 AD groups: cognitive normal control, asymptomatic AD, prodromal AD), and AD dementia. Multimarker models were developed using 10 protein biomarkers and apolipoprotein E genotypes for amyloid beta and 10 biomarkers with Korean Mini-Mental Status Examination (K-MMSE) score for predicting Alzheimer disease progression. The accuracies for the AD classification model and AD progression monitoring model were 84.9% (95% CI 82.8 to 87.0) and 79.1% (95% CI 77.8 to 80.5), respectively. The models were more accurate in diagnosing AD, compared with single APOE genotypes and the K-MMSE score. Our study demonstrates the possibility of predicting AD with high accuracy by blood biomarker analysis as an alternative method of screening for AD.

Original languageEnglish
Article number1282
JournalScientific Reports
Volume12
Issue number1
DOIs
StatePublished - Dec 2022

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