Cerebrospinal fluid tau, Aβ, and sTREM2 in Former National Football League Players: Modeling the relationship between repetitive head impacts, microglial activation, and neurodegeneration.
Cerebrospinal fluid tau, Aβ, and sTREM2 in Former National Football League Players: Modeling the relationship between repetitive head impacts, microglial activation, and neurodegeneration.
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DOI:
10.1016/j.jalz.2018.05.004
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发表时间:
2018-09
期刊:
影响因子:
--
通讯作者:
Stern RA
中科院分区:
文献类型:
--
作者:
Alosco ML;Tripodis Y;Fritts NG;Heslegrave A;Baugh CM;Conneely S;Mariani M;Martin BM;Frank S;Mez J;Stein TD;Cantu RC;McKee AC;Shaw LM;Trojanowski JQ;Blennow K;Zetterberg H;Stern RA
Cerebrospinal fluid (CSF) protein analysis may facilitate detection and elucidate mechanisms of neurological consequences from repetitive head impacts (RHI), such as chronic traumatic encephalopathy (CTE). We examined CSF concentrations of total tau (t-tau), phosphorylated tau (p-tau), and Aβ1–42, and their association with RHI in former National Football League (NFL) players. The role of microglial activation (using sTREM2) was examined as a pathogenic mechanism of CTE. Sixty-eight former NFL players and 21 controls underwent lumbar puncture to quantify t-tau, p-tau181, Aβ1–42, and sTREM2 in the CSF using immunoassays. The cumulative head impact index (CHII) estimated RHI. No between group differences for CSF analytes emerged. In the former NFL players, the CHII predicted higher t-tau concentrations (p=0.041) and higher sTREM2 levels were associated with higher t-tau concentrations (p=0.009). In this sample of former NFL players, greater RHI and increased microglial activation were associated with higher CSF t-tau concentrations.
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