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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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