Search strategy and selection criteriaSearch of Pubmed on: 'Alzheimer's Disease' AND 'biomarker(s)' AND 'plasma' OR 'serum' OR 'blood'.Results from 2016, and older papers were included only if deemed needed to understand the subject under discussion. Papers that are published or under review or in press co-authored by the authors are also included.Rationale: Many publications on this subject are published in the past five years and traceable on Pubmed.
Early diagnosis of neurodegenerative disorders such as Alzheimer's (AD) or Parkinson's disease (PD) is needed to slow down or halt the disease at the earliest stage. Cerebrospinal fluid (CSF) biomarkers can be a good tool for early diagnosis. However, their use in clinical practice is challenging due to the high variability found between centers in the concentrations of both AD CSF biomarkers (Aβ42, total tau and phosphorylated tau) and PD CSF biomarker (α-synuclein). Such a variability has been partially attributed to different preanalytical procedures between laboratories, thus highlighting the need to establish standardized operating procedures. Here, we merge two previous consensus guidelines for preanalytical confounding factors in order to achieve one exhaustive guideline updated with new evidence for Aβ42, total tau and phosphorylated tau, and α-synuclein. The proposed standardized operating procedures are applicable not only to novel CSF biomarkers in AD and PD, but also to biomarkers for other neurodegenerative disorders.
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