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. 2022 Oct;18(10):1868-1879.
doi: 10.1002/alz.12545. Epub 2021 Dec 22.

Clinical reporting following the quantification of cerebrospinal fluid biomarkers in Alzheimer's disease: An international overview

Constance Delaby  1   2 Charlotte E Teunissen  3 Kaj Blennow  4 Daniel Alcolea  2 Ivan Arisi  5 Elodie Bouaziz Amar  6 Anne Beaume  7 Aurélie Bedel  8 Giovanni Bellomo  9 Edith Bigot-Corbel  10 Maria Bjerke  11   12 Marie-Céline Blanc-Quintin  13 Mercè Boada  14   15 Olivier Bousiges  16 Miles D Chapman  17 Mari L DeMarco  18 Mara D'Onofrio  5 Julien Dumurgier  6 Diane Dufour-Rainfray  19 Sebastiaan Engelborghs  12   20 Hermann Esselmann  21 Anne Fogli  22 Audrey Gabelle  1 Elisabetta Galloni  23 Clémentine Gondolf  24 Frédérique Grandhomme  24 Oriol Grau-Rivera  25   26   27   28 Melanie Hart  17 Takeshi Ikeuchi  29 Andreas Jeromin  30 Kensaku Kasuga  29 Ashvini Keshavan  31 Michael Khalil  32 Peter Körtvelyessy  33 Agnieszka Kulczynska-Przybik  34 Jean-Louis Laplanche  6 Piotr Lewczuk  34   35 Qiao-Xin Li  36 Alberto Lleó  2 Catherine Malaplate  37 Marta Marquié  14   15 Colin L Masters  36 Barbara Mroczko  34 Léonor Nogueira  38 Adelina Orellana  14   15 Markus Otto  39 Jean-Baptiste Oudart  40 Claire Paquet  6 Federico Paolini Paoletti  9 Lucilla Parnetti  9 Armand Perret-Liaudet  41 Katell Peoc'h  42 Koen Poesen  43 Albert Puig-Pijoan  26   27 Isabelle Quadrio  41 Muriel Quillard-Muraine  44 Benoit Rucheton  45 Susanna Schraen  46 Jonathan M Schott  31 Leslie M Shaw  47 Marc Suárez-Calvet  25   26   27   28 Magda Tsolaki  48 Hayrettin Tumani  39 Chinedu T Udeh-Momoh  49 Lucie Vaudran  50 Marcel M Verbeek  51 Federico Verde  52   53 Lisa Vermunt  3 Jonathan Vogelgsang  21   54 Jens Wiltfang  21   55   56 Henrik Zetterberg  4   57   58   59 Sylvain Lehmann  1
Affiliations

Clinical reporting following the quantification of cerebrospinal fluid biomarkers in Alzheimer's disease: An international overview

Constance Delaby et al. Alzheimers Dement. 2022 Oct.

Abstract

Introduction: The current practice of quantifying cerebrospinal fluid (CSF) biomarkers as an aid in the diagnosis of Alzheimer's disease (AD) varies from center to center. For a same biochemical profile, interpretation and reporting of results may differ, which can lead to misunderstandings and raises questions about the commutability of tests.

Methods: We obtained a description of (pre-)analytical protocols and sample reports from 40 centers worldwide. A consensus approach allowed us to propose harmonized comments corresponding to the different CSF biomarker profiles observed in patients.

Results: The (pre-)analytical procedures were similar between centers. There was considerable heterogeneity in cutoff definitions and report comments. We therefore identified and selected by consensus the most accurate and informative comments regarding the interpretation of CSF biomarkers in the context of AD diagnosis.

Discussion: This is the first time that harmonized reports are proposed across worldwide specialized laboratories involved in the biochemical diagnosis of AD.

Keywords: Alzheimer's disease; cerebrospinal fluid biomarkers; clinical report; consensus approach; harmonization.

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Conflict of interest statement

Charlotte Teunissen's institution received consulting fees from Roche and received Kits for blood‐based biomarkers from Quanterix and ADx Neurosciences. She leads the Global Biomarker Standardisation Consortium, Blood based Biomarker PIA, CSF Society.

Kaj Blennow has served as a consultant (and received fees), at advisory boards, or at data monitoring committees for Abcam, Axon, Biogen, JOMDD/Shimadzu, Julius Clinical, Lilly, MagQu, Novartis, Roche Diagnostics, and Siemens Healthineers, and is a co‐founder of Brain Biomarker Solutions in Gothenburg AB (BBS), which is a part of the GU Ventures Incubator Program, all outside the present work.

Daniel Alcoléa participated in advisory boards from Fujirebio‐Europe and Roche Diagnostics and received speaker honoraria from Fujirebio‐Europe, Roche Diagnostics, Nutricia, Krka Farmacéutica S.L., and Esteve Pharmaceuticals S.A. Dr Alcolea declares a filed patent application (WO2019175379 A1 Markers of synaptopathy in neurodegenerative disease).

Elodie Bouaziz‐Amar received fees from Roche Pharma/Roche Diagnostics France (Board Alzheimer 23 octobre 2019).

Giovanni Bellomo received fees form Innuvatech srl.

Mercè Boada received consulting fees form Roche, Grifols, Araclon, Biogen, Merck, Lilly, Nutricia, Cotexyme, Renew Research.

Olivier Bousigues received consulting fees from KeyQuest Health Ltd, Azure Knowledge Corporation, and benefited from manuscript writing fees from Spectra diagnostic and Revue francophone des laboratoires.

Miles D. Chapman is a member of UK NEQAS SAG Committee.

Sebastiaan Engelborghs received consulting fees from Biogen, Danone, Eisai, icometrix, Pfizer, Novartis, Nutricia, Roche, and received research funding from ADx Neurosciences and Janssen Pharmaceutica. He received fees as an advisory Boards from Biogen, Danone, Eisai, icometrix, Pfizer, Novartis, Nutricia, Roche. He serves as Secretary‐General of Belgian Neurological Society, Vice‐President of Belgian Dementia Council, ExCo member of European Alzheimer Disease Consortium.

Melanie Hart is member of the Royal College of Pathologists Special Advisory Board for Immunology—clinical scientist representative.

Takeshi Ikeuchi received a honoraria for lectures from the following pharmaceutical companies: Eisai, Takeda, Novartis, Roche, Daichi‐Sankyo, Ono, Chugai.

Andreas Jeromin, has served as an advisor to Quanterix Corp and holds stock options.

Michael Khalil has received speaker honoraria from Bayer, Novartis, Merck, Biogen Idec, and Teva Pharmaceutical Industries Ltd. He serves on scientific advisory boards for Biogen Idec, Merck Serono, Roche, Novartis, Bristol‐Myers Squibb, and Gilead.

Agnieszka Kulczynska‐Przybik received a consulting and/or lecture honoraria from Roche company.

Piotr Lewczuk received consulting and/or lecture honoraria from IBL International, Fujirebio Europe, AJ Roboscreen, and Roche.

Alberto Lleó has served as a consultant or at advisory boards and received fees from Roche, Biogen, Nutricia, Zambon, MassConsultoria, SEMNIM. In addition, Dr. Lleó has a patent WO2019175379 A1 Markers of synaptopathy in neurodegenerative disease issued. He received royalties from a European Patent licensed.

Barbara Mroczko has received consulting and/or lecture honoraria from Abbott, Wiener, Roche, Cormay and Biameditek.

Léonor Nogueira is a co‐author of a patent concerning the detection of antibodies toward citrullinated protein for the diagnosis of Rheumatoid Arthritis.

Adelina Orellana has submitted MMP‐10 CSF biomarker in the European Patent Office (Patent number 21382305 7, priority date April 9th 2021)

Markus Otto received fees as consultant or advisory board from Axon, Roche, Axon, Biogen. He is a member of the CSF Society.

Jean‐Baptiste Oudart received fees as an expert advisory board for Osimertinib (Astrazeneca).

Claire Paquet received fees as a consultant from Pharmaceutical laboratories Biogen and Roche concerning anti‐AD treatments, as a lecturer for Roche, as advisory board member from Biogen and Roche.

Armand Perret‐Liaudet received consulting fees from QUADRANT consulting (Paris), support from Fujirebio company for attending meetings.

Katell Peoc'h received consulting fees from Vifor France.

Albert Puig‐Pijoan received support from Nutricia (payment of inscription fees to attend meetings).

Jonathan M. Schott received royalties from Oxford University Press, Henry Stewart Talks, Alzheimer's Research and Therapy, consulting fees from Eli Lilly, Biogen, GE, Roche, Alzheimer's Research UK, UK Dementia Research Institute Ltd and as advisory board from Axon Neuroscience SE. He serves as Chair ISTAART Advisory Council.

Leslie M. Shaw received fees from Biogen teaching program.

Marc Suárez‐Calvet received fees as a consultant and at advisory boards for Roche Diagnostics International Ltd, as a lecturer in symposia sponsored by Roche Diagnostics, S.L.U and Roche Farma, S.A. and as member of advisory boards for Roche Diagnostics International Ltd.

Magda Tsolaki is member of Alzheimer Hellas Greek Alzheimer's Disease Federation.

Hayrettin Tumani received fees or honoraria for lectures and advisory boards from Alexion, Bayer, Biogen, Celgene, Genzyme‐Sanofi, Merck, Novartis, Roche, Teva. He is member of DGLN (German Society of CSF Diagnostics and Clinical Neurochemistry).

Chinedu T Udeh‐Momoh received support (travel grant) from Alzheimer's Association and British society for neuroendocrinology. He is trustee for British society for neuroendocrinology.

Lisa Vermunt received support (travel grant) from the Alzheimer Association.

Jens Wiltfang received fees as a consultant from Roche Pharma GmbH, Boehringer Ingelheim, Immungenetics AG, MSD Sharp & Dohm, Abbott AG, Biogen, as a lecturer from Pfizer, Janssen‐Cilag GmbH, med Update GmbH, AGNP e. V., CSF Society, Roche Pharma, Vitos Klinikum Kurhessen, AWO Psychiatrie Akademie, Actelion Pharmaceuticals, Amgen, Fachverband Rheumatologische Fachass., Neuroakademie e. V., Guangzhou Glorylen Medical Technology Co. (China), Beijing Yibai Science and Technology Ltd. He has Patents (no.: EP1270592B1; patent no.: US 6,849,416 B2; patent no.: EP2095128B1; EP3105589 A1). He is member of AGNP.

Henrik Zetterberg is a co‐founder of Brain Biomarker Solutions in Gothenburg AB (BBS), which is a part of the GU Ventures Incubator Program, which holds licenses (unrelated to the current submission). He served at scientific advisory boards for Eisai, Denali, Roche Diagnostics, Wave, Samumed, Siemens Healthineers, Pinteon Therapeutics, Nervgen, AZTherapies, and CogRx. He has given lectures in symposia sponsored by Cellectricon, Fujirebio, Alzecure, and Biogen. He is chair of the Alzheimer's Association Global Biomarker Standardization Consortium and the Alzheimer's Association Biofluid‐Based Biomarker Professional Interest Area.

Sylvain Lehmann received consulting fees from Fujirebio, Euroimmun, and Roche diagnostics.

All other authors declare that they have no competing interests and nothing to disclose.

References

    1. Scheltens P, De Strooper B, Kivipelto M, et al. Alzheimer's disease. Lancet. 2021;397:1577‐1590. S0140673620322054. 10.1016/S0140-6736(20)32205-4. - DOI - PMC - PubMed
    1. Dubois B, Feldman HH, Jacova C, et al. Advancing research diagnostic criteria for Alzheimer's disease: the IWG‐2 criteria. Lancet Neurol. 2014;13:614‐629. 10.1016/S1474-4422(14)70090-0. - DOI - PubMed
    1. McKhann GM, Knopman DS, Chertkow H, et al. The diagnosis of dementia due to Alzheimer's disease: recommendations from the National Institute on Aging‐Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease. Alzheimers Dement. 2011;7:263‐269. 10.1016/j.jalz.2011.03.005. - DOI - PMC - PubMed
    1. Shaw LM, Arias J, Blennow K, et al. Appropriate use criteria for lumbar puncture and cerebrospinal fluid testing in the diagnosis of Alzheimer's disease. Alzheimers Dement. 2018;14:1505‐1521. 10.1016/j.jalz.2018.07.220. - DOI - PMC - PubMed
    1. Lehmann S, Dumurgier J, Ayrignac X, et al. Cerebrospinal fluid A beta 1‐40 peptides increase in Alzheimer's disease and are highly correlated with phospho‐tau in control individuals. Alzheimers Res Ther. 2020;12:123. 10.1186/s13195-020-00696-1. - DOI - PMC - PubMed

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