Logo Logo
Hilfe
Hilfe
Switch Language to English

Bräuer, Stefan ORCID logoORCID: https://orcid.org/0000-0003-2449-5530; Sondermann, Verena; Schniewind, Iñaki; Hähnel, Tom; Dinter, Elisabeth; Kleineidam, Luca ORCID logoORCID: https://orcid.org/0009-0006-3309-6856; Stark, Melina ORCID logoORCID: https://orcid.org/0009-0005-3812-023X; Schmid, Matthias; Sodenkamp, Sebastian; Laske, Christoph ORCID logoORCID: https://orcid.org/0009-0009-3434-936X; Spruth, Eike; Priller, Josef ORCID logoORCID: https://orcid.org/0000-0001-7596-0979; Janowitz, Daniel ORCID logoORCID: https://orcid.org/0009-0003-4090-547X; Bürger, Katharina; Kilimann, Ingo ORCID logoORCID: https://orcid.org/0000-0002-3269-4452; Teipel, Stefan ORCID logoORCID: https://orcid.org/0000-0002-3586-3194; Storch, Alexander; Hansen, Niels ORCID logoORCID: https://orcid.org/0000-0001-5785-9594; Wiltfang, Jens ORCID logoORCID: https://orcid.org/0000-0003-1492-5330; Glanz, Wenzel ORCID logoORCID: https://orcid.org/0000-0002-5865-4176; Düzel, Emrah ORCID logoORCID: https://orcid.org/0000-0002-0139-5388; Preis, Lukas ORCID logoORCID: https://orcid.org/0000-0001-7601-6410; Peters, Oliver ORCID logoORCID: https://orcid.org/0000-0003-0568-2998; Hellmann‐Regen, Julian; Wagner, Michael ORCID logoORCID: https://orcid.org/0000-0003-2589-6440; Bernhardt, Alexander ORCID logoORCID: https://orcid.org/0000-0002-2572-5062; Levin, Johannes ORCID logoORCID: https://orcid.org/0000-0001-5092-4306; Petzold, Gabor C. ORCID logoORCID: https://orcid.org/0000-0002-0145-8641; Kronmüller, Marie; Gamez, Anna; Spottke, Annika ORCID logoORCID: https://orcid.org/0000-0001-9854-2972; Brosseron, Frederic ORCID logoORCID: https://orcid.org/0000-0003-3137-7516; Rostamzadeh, Ayda ORCID logoORCID: https://orcid.org/0000-0001-5189-134X; Jessen, Frank ORCID logoORCID: https://orcid.org/0000-0003-1067-2102; Hermann, Andreas; Fliessbach, Klaus ORCID logoORCID: https://orcid.org/0000-0002-0183-7510; Schneider, Anja ORCID logoORCID: https://orcid.org/0000-0001-9540-8700 und Falkenburger, Björn H. ORCID logoORCID: https://orcid.org/0000-0002-2387-526X (2026): Alpha‐synuclein quantitative seed amplification assay predicts conversion to dementia. In: Alzheimer's & Dementia, Bd. 22, Nr. 1, e71167 [PDF, 598kB]

[thumbnail of Alzheimer_s___Dementia_-_2026_-_Braeuer_-_Alpha‐synuclein_quantitative_seed_amplification_assay_predicts_conversion_to.pdf]
Vorschau
Creative Commons: Namensnennung 4.0 (CC-BY)
Veröffentlichte Version

Abstract

INTRODUCTION:

The alpha-synuclein seed amplification assay (SAA) has shown excellent performance in the detection of Lewy body pathology in cerebrospinal fluid (CSF). Lewy body pathology is prognostically relevant in patients at risk for dementia. Current assays only provide binary results, so there is a need to quantify the extent of pathology in living patients.

METHODS:

In addition to the “standard” SAA, we developed a quantitative SAA (qnSAA) and measured 432 CSF samples (216 baseline–follow-up pairs).

RESULTS:

qnSAA results correlated with cognitive performance. Seventy-five percent of participants with fast qnSAA kinetics converted to dementia in the observed interval. Overall, participants with fast qnSAA kinetics accounted for 27.3% of dementia converters in the entire cohort.

DISCUSSION:

Findings demonstrate promising properties of qnSAA measurements in a cohort of patients at risk for dementia. qnSAA results showed improved prognostic relevance and have potential to measure target engagement of therapies against Lewy body pathology.

Dokument bearbeiten Dokument bearbeiten