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Table 1 Proteomic approaches, sample size and neuropsychological criteria for the groups used in the studies included

From: A comprehensive systematic review of CSF proteins and peptides that define Alzheimer’s disease

No

Author and year

Proteomic approach

Controls samples

AD samples

Mean age (controls)

Mean age (AD)

Neuropsychological criteria

CSF biomarkers (control)

CSF biomarkers (AD)

1

Whelan CD et al. (2019) [86]

Olink™ ProSeek immunoassay

565

176

72

74.6

NINCDS-ADRDA criteria, MMSE score and CSF biomarkers

Mean Aβ42 [pg/ml(SD)]: 752(253)

Mean Aβ40 [pg/ml(SD)]: 5847(2042)

Aβ42/40 ratio - log2 transformed (SD): 2.05(0.17)

Mean total tau [pg/ml(SD)]: 292(89)

Mean phospho-tau [pg/ml(SD)]: 37(13)

Mean Aβ42 [pg/ml(SD)]: 305(132)

Mean Aβ40 [pg/ml(SD)]: 5470(2179)

Aβ42/40 ratio - log2 transformed (SD): 2.9(0.29)

Mean total tau [pg/ml(SD)]: 649(221)

Mean phospho-tau [pg/ml(SD)]: 123(47)

2

Khoonsari et al. (2019) [87]

Nano LC-MS/MS (7 T hybrid LTQ FT MS)

45

76

88

72

NINCDS-ADRDA criteria, DSM-IV criteria, MMSE and CSF biomarkers

Aβ42 ng/l (Median[range]): 676(337–1343)

p-tau ng/l (Median[range]) 414 (202–1121)

t-tau ng/l (Median[range]): 63 (29-122)

Aβ42 ng/l (Median[range]): 405(160–1160)

p-tau ng/l (Median[range]) 82 (28–220)

t-tau ng/l (Median[range]): 617 (160–1720)

3

Sathe et al. [88]

High-Resolution MS, TMT multiplexing technology and targeted PRM analysis

5

5

71

71.6

CDR, MOCA, CSF biomarkers and NIA-AA criteria

Mean Aβ42 [pg/ml(SD)]: 1185.86(389.29)

Mean Aβ42 [pg/ml(SD)]: 402.11(189.62)

4

Duits et al. (2018) [89]

PRM

40

40

64.5

64.6

MMSE, clinical evaluation, and CSF biomarkers

Mean Aβ42 [pg/ml(SD)]: 1086(161)

Mean total tau [pg/ml(SD)]: 228(64)

Mean phospho-tau [pg/ml(SD)]: 40(9)

Mean Aβ42 [pg/ml(SD)]: 640(91)

Mean total tau [pg/ml(SD)]: 740(433)

Mean phospho-tau [pg/ml(SD)]: 94(47)

5

Dayon et al. (2018) [90]

RP LC-MS/MS

48

72

66

73.7

CDR, APOEa genotype and CSF biomarkers

Mean Aβ42 [pg/ml(SD)]: 957.4(194)

Mean total tau [pg/ml(SD)]: 221.5(82.9)

Mean phospho-tau [pg/ml(SD)]: 45.9(13.3)

Mean phospho-tau (SD)/Aβ42: 0.049(0.015)

Mean Aβ42 [pg/ml(SD)]: 774(281.5)

Mean total tau [pg/ml(SD)]: 471.1(316.6)

Mean phospho-tau [pg/ml(SD)]: 72.7(40.9)

Mean phospho-tau (SD)/Aβ42: 0.114(0.097)

6

Brinkmalm et al. (2018) [14]

PRM-MS analysis and previously nanoflow LC-MS/MS

15

10

64.9

62.7

Clinical evaluation, computer tomography (CT) scan and CSF Aβ42

Mean Aβ42 [pg/ml(SD)]: 877.2(206.3)

Aβ42 < 400 pg/ml;Mean Aβ42 [pg/ml(SD)]: 275.4(106.8)

7

Skillbäck et al. (2017) [45]

Quantification-driven proteomic

40

40

64.5

64

NIA and IWG-2 criteria, CSF biomarkers and MMSE

Information extracted from graphs:

Mean Aβ42 [pg/ml]: 950

Mean total tau [pg/ml]: 260

Mean phospho- tau [pg/ml]: 55

Information extracted from graphs:

Mean Aβ42 [pg/ml]: 450

Mean total tau [pg/ml]: 600

Mean phospho- tau [pg/ml]: 85

8

Wang et al. (2016) [46]

LC-MS/MS and lectin-enrichment chromatography

4

4

74

75.7

Neuropsychological tests

NI

9

Paterson et al. (2016) [91]

Targeted proteomics: MRM-based triple quadrupole mass spectral assay

36

46

58.5

62.9

APOE# genotype and CSF biomarkers

Mean Aβ42 [pg/ml(SD)]: 960(291)

Mean total tau (range): 234.5(174.5–315.5)

Mean phospho-tau [pg/ml(SD)]: 35.5(13.2)

Mean phospho-tau (range)/Aβ42: 0.25(0.19-0.33)

Mean Aβ42 [pg/ml(SD)]: 408(2168)

Mean total tau (range): 947(760–1196-315.5)

Mean phospho-tau [pg/ml(SD)]: 107.5(38.12)

Mean phospho-tau (range)/Aβ42: 2.5(1.8-4.1)

10

Remnestal et al. (2016) [92]

Suspension bead array: HPA antibodies targeting the 280 proteins

38

72

58

77.4

NINCDS-ADRDA criteria and CSF biomarkers

Mean Aβ42 [pg/ml(range)]: 706(559-1192)

Mean total tau (range): 308(171-399)

Mean phospho-tau (range): 47(29-60)

Group AD1: Mean Aβ42 [pg/ml(range)]: 350(160-950)

Mean total tau (range): 600(210–2430)

Mean phospho-tau (range): 78(34–282)Group AD2: Mean Aβ42 [pg/ml(range)]: 453(260–639)

Mean total tau (range): 834(190–3178)

Mean phospho-tau (range): 86(59–179)

11

Khoonsari et al. (2016) [16]

RP nano LC- MS/MS andantibody suspension bead arrrays

10

10

88.2

79.4

Clinical evaluation, CSF biomarkers and MMSE

NI

Mean Aβ42 [ng/l]: 420.1

Mean total tau [ng/l]: 652.1

Mean phospho-tau [ng/l]: 132.2

12

Domenico et al. (2016) [93]**

2-DE - WB - MS (2-DE gel/carbonyl immunoblot)

6

6

NI

NI

NINCDS-ADRDA criteria, neuropsychological test and APOE# genotype

NI

13

Heywood et al. (2015) [94]

Label-free proteomic analyses (2-DE LC-MS) and Targeted proteomics: MRM-based triple quadrupole mass spectral assay

15

16

61

68.1

CSF biomarkers

Mean Aβ42 [pg/ml(SD)]: 905.41(237)

Mean total tau [pg/ml(SD)]:136.58(162)

Mean phospho-tau [pg/ml(SD)]: 19.33(11.11)

Mean Aβ42 [pg/ml(SD)]: 503.68(165.8)

Mean total tau [pg/ml(SD)]:733.77(481.25)

Mean phospho-tau [pg/ml(SD)]: 93.38(31.55)

14

Hendrickson et al. (2015) [20]

RP nano-HPLC coupled to an LTQ-FTMS hybrid mass spectrometer. SRM-MS

30

30

69

70

NINCDS-ADRDA criteria and APOE# genotype

NI

15

Spellman et al. (2015) [95]

LC/MRM-MS

85

66

75.6

75

APOE# genotype, CSF biomarkers and MMSE

Mean Aβ42 [SD]: 207.8(56.26)

Mean phospho-tau (SD): 24.19(12.02)

Mean Aβ42 [SD]: 141.12(37.39)

Mean phospho-tau (SD): 41.95(20.6)

16

Hölttä et al. (2015) [15]

TMT, LC−ESI MS, LC−MALDI MS

8

8

65

77

DSM-IIIRand NINCDS-ADRDA criteria

Mean Aβ42 [pg/ml(range)]: 700(545–817)

Mean total tau (range): 405(330–523)

Mean Aβ42 [pg/ml(range)]: 235(210–298)

Mean total tau (range): 800(717–925)

17

Leung et al. (2015) [96]

MAP-RBM platform (XMAP Luminex platform) /ELISA

325

344

71.7

74

MMSE, CDR, NINDS-ADRDA criteria and CSF biomarkers

Aβ42 > 192 pg/ml

Aβ42 < 192 pg/ml

18

Khan et al. (2015) [97]**

XMAP Luminex platform

88

65

75.8

74.6

APOE# genotype, CSF biomarkers, and MMSE

Mean Aβ42 [(SD)]: 205.7(57.2)

Mean total tau (SD):69.2(27.9)

Mean phospho-tau (SD): 24.9(13.2)

Mean Aβ42 [(SD)]: 140.4(35.3)

Mean total tau (SD):125.9(60.3)

Mean phospho-tau (SD): 42.2(20.7)

19

Oláh et al. (2015) [98]

Master Antibody Microarray and WB

25

25

74.5

72

Clinial evaluation, NINCDS-ADRDA criteria, APOE# genotype and CSF biomarkers

Mean Aβ42 [pg/ml(SD)]: 794(20)

Mean total tau [pg/ml(SD)]: 341(171)

Mean phospho-tau [pg/ml(SD)]: 23(2)

Aβ42 < 500 pg/ml total tau >600 pg/ml phospho-tau>60 pg/ml

20

Alzate et al. (2014) [99]

MS and MS/MS and 2-DE multiplexed WB

7

11

AR: 62.8 to 81.5

AR: 62.8 to 81.5

APOE# genotype

NI

21

Wildsmith et al. (2014)[100]

LC-MS/MS, Targeted LC-MRM and ELISA

10

45

68.5

77.5

MMSE and CSF biomarkers

Information extracted from graphs:

Mean Aβ42 [pg/ml]: 650

Mean total tau [pg/ml]: 60

Mean phospho- tau [pg/ml]: 25

Information extracted from graphs:

Mean Aβ42 [pg/ml]: 400

Mean total tau [pg/ml]: 150Mean phospho- tau [pg/ml]: 60

22

Chakrabarti et al. (2014) [101]

2-DE, MALDI MS Analysis and co-immunoprecipitation

11

11

67

71

NINCDS-ADRDA criteria, DSM-IV criteria, MMSE, CDR and other tests

NI

23

Choi et al. (2013) [49]**

Nano LC-MS/MS and nano LC-MRM/MS and ELISA

3

3

NI

NI

Confirmed by autopsy

NI

24

Wijte et al. (2012) [102]

MALDI TOF/TOF MS

20

20

77.7

75.95

Postmortem neuropathological evaluation

NI

25

Ringman et al. (2012) [103]

MS/MS, 2-DE LC/MS

5

4

37.6

34.2

CDR and FAD mutation carriers (MCs) and related noncarrieres (NCs)Π. APOE# genotype and CSF biomarkers

Mean Aβ42 [pg/ml(SD)]: 618.4(100.1) Mean total tau [pg/ml(SD)]: 50.5(9.4)

Mean phospho-tau [pg/ml(SD)]: 24.6(9.2)

Mean Aβ42 [pg/ml(SD)]: 277.1(162.9) Mean total tau [pg/ml(SD)]: 140(59.9)

Mean phospho-tau [pg/ml(SD)]: 67(29)

26

Manral et al. (2012) [104]

2-DE and Nano LC-ESI-Q-TOF MS/MS system

8

8

60.7

62.6

NINCDS-ADRDA criteria, MMSE score and MRI

NI

27

Vafadar-Isfahani et al. (2012) [105]

nLC-MALDI-TOF MS/MS and MALDI TOF/TOF MS

23

33

NI

NI

NINCDS-ADRDA criteria, DSM-IV and MMSE and clinical evaluation

Information extracted from graphs:

Mean Aβ42 [pg/ml]: 440

Mean Aβ40 [pg/ml]: 5000

Mean total tau [pg/ml]: 500

Information extracted from graphs:

Mean Aβ42 [pg/ml]: 190

Mean Aβ40 [pg/ml]: 3900

Mean total tau [pg/ml]: 2000

28

Jahn et al. (2011) [44]

CE-MS and MS/MS

17

34

58.9

69

NINCDS-ADRDA criteria, CSF biomarkers and MMSE score

NI

Mean Aβ42 [pg/ml]: 300.91

Mean total tau [pg/ml]: 541.21

Mean phospho-tau [pg/ml]: 81.84

29

Craig-Schapiro et al. (2011) [106]**

ELISA (targeted)

242

28+63

71.6

76.8

NINCDS-ADRDA criteria and CDR

NI

30

Perrin et al. (2011) [50]

2-DE DIGE / nano- LC-MS/MS

198

29

71

76.5

CDR, MMSE score and CSF biomarkers

Mean Aβ42 [pg/ml(SD)]: 605(240) Mean total tau [pg/ml(SD)]: 304(161)

Mean phospho-tau [pg/ml(SD)]: 55(25)

Mean Aβ42 [pg/ml(SD)]: 351(118)

Mean total tau [pg/ml(SD)]: 552(263)

Mean phospho-tau [pg/ml(SD)]: 77(38)

31

Hu et al. (2010) [107]**

XMAP Luminex platform

33

66

NI

NI

MMSE, CSF biomarkers and confirmed by autopsy

NI

32

Maarouf et al. (2009) [108]

2-DE DIGE and MS

43

47

84

79

APOE# genotype, CERAD and the NIA-Reagan Institute

NI

33

Yin et al. (2009) [109]

1-DE and LC–MS/MS

6

5

55.3

71

NINCDS-ADRDA criteria

NI

34

Zhang et al. (2008) [110]

Immunobead-based multiplex assays

95

48

63

70

Clinical evaluation

NI

35

Jung et al. (2008) [66]

2-DE, DE-MALDI-TOF MS

30

27

73.2

77.7

NINCDS-ADRDA criteria and CDR

NI

36

Simonsen et al. (2007) [111]

MS

32

85

68.3

69.15

NINCDS-ADRDA criteria, MMSE score and clinical evaluation

NI

37

Hu et al. (2007) [112]**

2-DE DIGE, MS/MS and ELISA

55

19

NI

NI

CSF biomarkers, CDR and clinical evaluation

Information extracted from graphs:

Mean Aβ42 (range): 1(0–2)

Mean total tau (range): 0.9(0–5)Mean phospho- tau (range): 0.8(0–5)

Information extracted from graphs:

Mean Aβ42 (range): 0.6(0–2)

Mean total tau (range): 1.9(0–5)Mean phospho- tau (range): 1.1(0–5)

38

Korolainen et al. (2007) [113]

2-DE and Nano LC-MS/MS

8

11

64.7

73.54

APOE# genotype, NINCDS-ADRDA criteria and MMSE score

NI

39

Finehout et al. (2007) [114]

2-DE and TOF/TOF MS

12

44

NI

NI

Postmortem confirmation

NI

40

Simonsen et al. (2008) [115]

SELDI-TOF MS

72

95

73.1

72.5

NINCDS-ADRDA criteria, MMSE score and CSF biomarkers

Group C1: Mean Aβ42 [pg/ml(SD)]: 876(209.2)

Mean total tau (SD): 295.8 (153.6)

Group C2: Mean Aβ42 [pg/ml(SD)]: 748.9(155.3)

Mean total tau (SD): 332.9 (158.7)

Group AD1: Mean Aβ42 [pg/ml(SD)]: 524.6(170.1)

Mean total tau (SD): 739.1 (300.9)

Group AD2: Mean Aβ42 [pg/ml(SD)]: 464(187.7)

Mean total tau (SD): 657.7 (339.4)

41

Castaño et al. (2006) [116]

2-DE and MALDI-TOF MS

43

43

81

81

Clinical diagnosis, Braak stages, and CERAD

NI

42

Abdi et al. (2006) [52]

iTRAQ labeling and 2-DE LC, MS/MS and WB

10

10

67

72

MMSE, CDR, NINDS-ADRDA criteria and other test

NI

43

Selle et al. (2005) [117]

MALDI-TOF-MS

102

140

62.5

71

ICD-10, NINCDS-ADRDA criteria, DSM-IV and MMSE

NI

44

Zhang et al. (2005) [118]**

LC-MS ICAT

20

32

70.5

71

MMSE and CDR

NI

45

Puchades et al. (2003) [68]

2-DE and MALDI-TOF MS

7

7

66

80

NINCDS-ADRDA criteria and MMSE score

NI

46

Carrette et al. (2003) [119]

SELDI-TOF MS using SAX2 Protein-chip arrays

10

19

78

75

NINCDS-ADRDA criteria

NI

47

Davidsson et al. (2002) [120]

2-DE, SYPRO Ruby staining and MS

12

15

67.3

77.2

NINCDS-ADRDA criteria and MMSE score

NI

   

Total samples (Control)

Total samples (AD)

Average age (Control)

Average age (AD)

   
   

2562

2022

70

73

   
  1. ESI electrospray ionization, MRM multiple reaction monitoring, PRM parallel reaction monitoring, MS mass spectrometry, TMT tandem mass tag, RP-LC MS/MS reversed-phase LC-MS/MS, SRM reaction monitoring, CE-MS capillary electrophoresis mass spectrometry, SELDI-TOF-MS surface enhanced laser desorption/ionization time-of-flight mass spectrometry, WB Western Blot, AR age range, NI not information, CDR Clinical dementia rating scale, MOCA Montreal cognitive assessment, NINCDS-ADRDA National Institute of Neurological and Communicative Disorders and Stroke and the AD and Related Disorders Association, MMSE Mini-menta state exam, DSM Diagnostic and Statistical, FAD familial Alzheimer Disease, CERAD Consortium to Establish a Registry for Alzheimer’s Disease, ICD-10 10th revision of the International Statistical Classification of Diseases and Related Health Problems, IWG-2  International Working Group-2 criteria
  2. #Studies based on APOE genotype
  3. ΠStudy based on PSEN1 and APP mutations (this study was not considered to calculate the average age)
  4. ** Qualitative and not quantitative data