The cerebrospinal fluid biomarker profile in an HIV-infected subject with Alzheimer's disease

被引:16
作者
Makitalo, Signar [1 ]
Mellgren, Asa [2 ,3 ]
Borgh, Ellen [4 ]
Kilander, Lena [5 ]
Skillback, Tobias [6 ]
Zetterberg, Henrik [6 ,7 ]
Gisslen, Magnus [3 ]
机构
[1] Gavle Cent Hosp, Dept Infect Dis, S-80187 Gavle, Sweden
[2] South Alvsborg Hosp, Clin Infect Dis, Boras, Sweden
[3] Univ Gothenburg, Sahlgrenska Univ Hosp, Dept Infect Dis, Gothenburg, Sweden
[4] Univ Gothenburg, Sahlgrenska Univ Hosp, Dept Resp Med, Gothenburg, Sweden
[5] Uppsala Univ, Dept Publ Hlth & Caring Sci Geriatr, Uppsala, Sweden
[6] Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Clin Neurochem Lab, Molndal, Sweden
[7] UCL Inst Neurol, London, England
基金
瑞典研究理事会;
关键词
Alzheimer's disease; HIV; CSF biomarkers; NEUROFILAMENT PROTEIN NFL; CENTRAL-NERVOUS-SYSTEM; ANTIRETROVIRAL THERAPY; LIFE EXPECTANCY; TAU-PROTEIN; DEMENTIA; CSF; INDIVIDUALS; DIAGNOSIS; MARKER;
D O I
10.1186/s12981-015-0063-x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
It is a challenge to differentiate between HIV-associated neurocognitive disorders (HAND) and other types of neurocognitive disease in the ageing HIV-infected population. Here we describe a 63 year old HIV-infected woman who had a history, neuropsychological test result, and PET examination consistent with characteristic Alzheimer's disease (AD). The cerebrospinal fluid (CSF) biomarker profile was analogous to the profile typically found in AD in HIV-negative patients with increased t-tau and p-tau, a decreased level of A beta 42 and normal levels of CSF neurofilament light protein and sAPP alpha and sAPP beta, distinctly different from findings in HIV-associated dementia (HAD). Assessment of CSF biomarkers may be a valuable tool for clinicians to distinguish between HAD and AD.
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页数:5
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