Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jul 12:13:890638.
doi: 10.3389/fneur.2022.890638. eCollection 2022.

Multi-Omics Interdisciplinary Research Integration to Accelerate Dementia Biomarker Development (MIRIADE)

Affiliations

Multi-Omics Interdisciplinary Research Integration to Accelerate Dementia Biomarker Development (MIRIADE)

Ekaterina Mavrina et al. Front Neurol. .

Abstract

Proteomics studies have shown differential expression of numerous proteins in dementias but have rarely led to novel biomarker tests for clinical use. The Marie Curie MIRIADE project is designed to experimentally evaluate development strategies to accelerate the validation and ultimate implementation of novel biomarkers in clinical practice, using proteomics-based biomarker development for main dementias as experimental case studies. We address several knowledge gaps that have been identified in the field. First, there is the technology-translation gap of different technologies for the discovery (e.g., mass spectrometry) and the large-scale validation (e.g., immunoassays) of biomarkers. In addition, there is a limited understanding of conformational states of biomarker proteins in different matrices, which affect the selection of reagents for assay development. In this review, we aim to understand the decisions taken in the initial steps of biomarker development, which is done via an interim narrative update of the work of each ESR subproject. The results describe the decision process to shortlist biomarkers from a proteomics to develop immunoassays or mass spectrometry assays for Alzheimer's disease, Lewy body dementia, and frontotemporal dementia. In addition, we explain the approach to prepare the market implementation of novel biomarkers and assays. Moreover, we describe the development of computational protein state and interaction prediction models to support biomarker development, such as the prediction of epitopes. Lastly, we reflect upon activities involved in the biomarker development process to deduce a best-practice roadmap for biomarker development.

Keywords: assay development; biomarkers; cerebrospinal fluid; dementia; immunoassays; implementation; mass spectrometry.

PubMed Disclaimer

Conflict of interest statement

SD is an employee of ADx NeuroSciences, Gent, Belgium. SC is an employee of National Measurement Laboratory at LGC, London, UK. CT has a collaboration contract with ADx Neurosciences, Quanterix, and Eli Lilly, performed contract research or received grants from AC-Immune, Axon Neurosciences, Bioconnect, Biogen, Brainstorm Therapeutics, Celgene, EIP Pharma, Eisai, PeopleBio, Quanterix, Roche, Toyama, and Vivoryon. She serves on editorial boards of Medidact Neurologie/Springer, Alzheimer Research and Therapy, Neurology: Neuroimmunology & Neuroinflammation, and is editor of a Neuromethods book Springer. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Biomarker development workflow. ESR, Early stage researcher; MRM-MS, multiple reaction monitoring mass spectrometry; AD, Alzheimer's disease; FTD, frontotemporal dementia; DLB, dementia with Lewy bodies.
Figure 2
Figure 2
Schematic representation of the steps taken for biomarker selection in MIRIADE. CSF, cerebrospinal fluid.

Similar articles

Cited by

References

    1. Nichols E, Steinmetz JD, Vollset SE, Fukutaki K, Chalek J, Abd-Allah F, et al. . Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019. Lancet Public Health. (2022) 7:e105–25. 10.1002/alz.051496 - DOI - PMC - PubMed
    1. Teunissen CE, Otto M, Engelborghs S, Herukka SK, Lehmann S, Lewczuk P, et al. . White paper by the Society for CSF Analysis and Clinical Neurochemistry: Overcoming barriers in biomarker development and clinical translation. Alzheimer's Res Ther. (2018) 10:1–8. 10.1186/s13195-018-0359-x - DOI - PMC - PubMed
    1. Uhlén M, Fagerberg L, Hallström BM, Lindskog C, Oksvold P, Mardinoglu A, et al. . Tissue-based map of the human proteome. Science. (2015) 347:1260419. 10.1126/science.1260419 - DOI - PubMed
    1. Swiner DJ, Jackson S, Burris BJ, Badu-Tawiah AK. Applications of mass spectrometry for clinical diagnostics: the influence of turnaround time. Anal Chem. (2019) 92:183–202. 10.1021/acs.analchem.9b04901 - DOI - PMC - PubMed
    1. Lehmann S, Hirtz C, Vialaret J, Ory M, Combes GG, Corre ML, et al. . In Vivo large-scale mapping of protein turnover in human cerebrospinal fluid. Anal Chem. (2019) 91:15500–8. 10.1021/acs.analchem.9b03328 - DOI - PubMed