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Soluble TAM receptors sAXL and sTyro3 predict structural and functional protection in Alzheimer's disease

  • the DELCODE study group
  • German Center for Neurodegenerative Diseases (DZNE)
  • University of Bonn and University Hospital Bonn
  • Universitat Internacional de Catalunya
  • National Institute of Health Carlos III
  • University Clinic Tuebingen
  • Charité – Universitätsmedizin Berlin
  • University Medical Center
  • University of Aveiro
  • Leibniz Institute for Neurobiology
  • Ludwig-Maximilians-Universität München
  • Munich Cluster for Systems Neurology (SyNergy)
  • Imperial College London
  • Rostock University Medical Center
  • Otto-von-Guericke University
  • Georg August Universität Göttingen
  • University of Tübingen
  • University of Cologne
  • Amsterdam Neuroscience
  • University College London
  • University of Bonn
  • University of Cologne
  • University Hospital of Cologne
  • the University of Texas Health Science Center at San Antonio
  • University of Luxembourg
  • University of Massachusetts Medical School

Research output: Contribution to journalArticlepeer-review

54 Scopus citations

Abstract

There is an urgent need to improve the understanding of neuroinflammation in Alzheimer's disease (AD). We analyzed cerebrospinal fluid inflammatory biomarker correlations to brain structural volume and longitudinal cognitive outcomes in the DELCODE study and in a validation cohort of the F.ACE Alzheimer Center Barcelona. We investigated whether respective biomarker changes are evident before onset of cognitive impairment. YKL-40; sTREM2; sAXL; sTyro3; MIF; complement factors C1q, C4, and H; ferritin; and ApoE protein were elevated in pre-dementia subjects with pathological levels of tau or other neurodegeneration markers, demonstrating tight interactions between inflammation and accumulating neurodegeneration even before onset of symptoms. Intriguingly, higher levels of ApoE and soluble TAM receptors sAXL and sTyro3 were related to larger brain structure and stable cognitive outcome at follow-up. Our findings indicate a protective mechanism relevant for intervention strategies aiming to regulate neuroinflammation in subjects with no or subjective symptoms but underlying AD pathology profile.

Original languageEnglish
Pages (from-to)1009-1022.e4
JournalNeuron
Volume110
Issue number6
DOIs
StatePublished - 16 Mar 2022

Keywords

  • Alzheimer's disease
  • TAM receptor
  • biomarker
  • neuroinflammation

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