Please use this identifier to cite or link to this item: https://hdl.handle.net/10316/106828
Title: Evaluation of Human Cerebrospinal Fluid Malate Dehydrogenase 1 as a Marker in Genetic Prion Disease Patients
Authors: Zerr, Inga
Villar-Piqué, Anna
Schmitz, Vanda Edit
Poleggi, Anna
Pocchiari, Maurizio
Sánchez-Valle, Raquel 
Calero, Miguel
Calero, Olga
Baldeiras, Inês 
Santana, Isabel 
Kovacs, Gabor G.
Llorens, Franc
Schmitz, Matthias
Keywords: cerebrospinal fluid; diagnostic biomarker; genetic prion diseases; PRNP codon 129 MV genotypes; mitochondrial malate dehydrogenase 1
Issue Date: 28-Nov-2019
Publisher: MDPI
Project: Instituto Carlos III (Miguel Servet programme—CP/00041) 
Serial title, monograph or event: Biomolecules
Volume: 9
Issue: 12
Abstract: The exploration of accurate diagnostic markers for differential diagnosis of neurodegenerative diseases is an ongoing topic. A previous study on cerebrospinal fluid (CSF)-mitochondrial malate dehydrogenase 1 (MDH1) in sporadic Creutzfeldt-Jakob disease (sCJD) patients revealed a highly significant upregulation of MDH1. Here, we measured the CSF levels of MDH1 via enzyme-linked immunosorbent assay in a cohort of rare genetic prion disease cases, such as genetic CJD (gCJD) cases, exhibiting the E200K, V210I, P102L (Gerstmann-Sträussler-Scheinker syndrome (GSS)), or D178N (fatal familial insomnia (FFI)) mutations in the PRNP. Interestingly, we observed enhanced levels of CSF-MDH1 in all genetic prion disease patients compared to neurological controls (without neurodegeneration). While E200K and V210I carriers showed highest levels of MDH1 with diagnostic discrimination from controls of 0.87 and 0.85 area under the curve (AUC), FFI and GSS patients exhibited only moderately higher CSF-MDH1 levels than controls. An impact of the PRNP codon 129 methionine/valine (MV) genotype on the amount of MDH1 could be excluded. A correlation study of MDH1 levels with other neurodegenerative marker proteins revealed a significant positive correlation between CSF-MDH1 concentration with total tau (tau) but not with 14-3-3 in E200K, as well as in V210I patients. In conclusion, our study indicated the potential use of MDH1 as marker for gCJD patients which may complement the current panel of diagnostic biomarkers.
URI: https://hdl.handle.net/10316/106828
ISSN: 2218-273X
DOI: 10.3390/biom9120800
Rights: openAccess
Appears in Collections:I&D CNC - Artigos em Revistas Internacionais

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