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NEUROLOGY 1990;40:1028
© 1990 American Academy of Neurology

Soluble derivatives of the ß amyloid protein precursor in cerebrospinal fluid

Alterations in normal aging and in Alzheimer's disease

M. R. Palmert, BS, M. Usiak, BS, R. Mayeux, MD, M. Raskind, MD, W. W. Tourtellotte, MD and S. G. Younkin, MD, PhD

Division of Neuropathology, Institute of Pathology, and Department of Pharmacology (M.R. Palmert, M. Usiak, and Dr. Younkin), Case Western Reserve University School of Medicine, Cleveland, OH; the Department of Neurology (Dr. Mayeux), Columbia University, College of Physicians and Surgeons, New York, NY; the Department of Psychiatry and Behavioral Sciences (Dr. Raskind), University of Washington, Seattle, WA; and the Neurology and Research Services (Dr. Tourtellotte), VAMC Wadsworth, Los Angeles, CA.

We isolated and sequenced a soluble ~25 kDa amino-terminal derivative of the ß amyloid protein precursor (ßAPP) that is readily detected in human cerebrospinal fluid (CSF). In CSF samples from 24 Alzheimer's disease (AD) patients and 12 controls, we then quantitated this ~25 kDa form as well as the ~125 and ~105 kDa derivatives that we previously identified. Our analysis shows (1) that, in AD, there is a significant decrease in the relative amount of the ~105 kDa form and a corresponding significant increase in the relative amount of the ~25 kDa form; (2) that these changes correlate with the mental status of the AD patients; and (3) that the same changes occur to a lesser extent in elderly as compared with young control patients. These observations indicate that processing of the ßAPP changes in normal individuals as they age and to a greater extent in those who develop AD. The changes in ßAPP derivatives that we have observed in CSF could have major implicataions because they may reflect fundamental mechanisms responsible for amyloid deposition and can be measured in living patients.

Address correspondence and reprint requests to Dr. S.G. Younkin, Institute of Pathology, Case Western Reserve University, Cleveland, OH 44106.

Supported by USPHS grants AG06656 (S.G.Y.), AG02802 (R.M.), MH43444 (S.G.Y.), and 5T32GM0250 (M.R.P.), and grants from the State of Ohio (S.G.Y.) and the Parkinson's Disease Foundation.

Presented in part at the annual meeting of the Society for Neuroscience, Phoenix, AZ, October 1989, and at the annual meeting of the American Association of Neuropathologists, Dallas, TX, June 1989.

Received March 9, 1990. Accepted for publication in final form March 21, 1990.




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