CSF proteomic analysis in patients with normal pressure hydrocephalus selected for the shunt: CSF biomarkers of response to surgical treatment.

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
Antonio ScollatoNicola Di Lorenzo

Abstract

The aim of our pilot study was to investigate, by a proteomic approach, the expressed differences in cerebrospinal fluid (CSF) protein patterns in order to aid in the diagnosis and treatment of normal pressure hydrocephalus (NPH). Seventeen patients with NPH, selected by Intracranial-Pressure monitoring (ICPmo), underwent implantation of a shunt and after 6 months were clinically re-evaluated. Thirteen patients improved, whereas four did not. During ICPmo CSF was collected and its proteoma was analyzed by 2D gel electrophoresis and mass spectrometry. The over-expression of alpha2HS glycoprotein, alpha1 antichimotrypsin and alpha1beta glycoprotein and the under-expression of glial fibrillary acidic protein, apolipoproteins (AIV, J and E), complement C3c, anti-thrombin, alpha2 antiplasmin and albumin seem to be associated with a positive response to surgery. Most of these proteins have been reported to be altered in Alzheimer disease, supporting the hypothesis of a possible link between these two nosological entities.

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Citations

Feb 24, 2016·Frontiers in Genetics·Nicoleta StoiceaSergio D Bergese
Mar 5, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·T A CageN Gupta
Jun 11, 2011·International Journal of Alzheimer's Disease·Ville LeinonenPeter M Black
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Mar 8, 2012·Clinical & Experimental Ophthalmology·Narelle L Jay, Mark Gillies
Dec 10, 2014·Proteomics. Clinical Applications·Damiana PieragostinoPiero Del Boccio
Oct 17, 2020·Neurological Research·Karol MiglioratiMarco Maria Fontanella
Nov 17, 2020·Frontiers in Cellular Neuroscience·Arie HorowitzVianney Gilard
Apr 19, 2019·Developmental Neuroscience·Marcelo Volpon SantosRicardo Santos de Oliveira

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