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A Potential New Biomarker for Alzheimer’s

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Alzheimer’s is considered a disease of old age, with most people being diagnosed after 65. But the condition actually begins developing out of sight many years before any symptoms emerge. Tiny proteins, known as amyloid-beta peptides, clump together in the brain to form plaques. These plaques lead to inflammation and eventually cause neuronal cell death.

Exactly what triggers these pathological changes is still unclear. “We’re lacking good diagnostic markers that would allow us to reliably detect the disease at an early stage or make predictions about its course,” said Professor Erich Wanker, head of the Proteomics and Molecular Mechanisms of Neurodegenerative Diseases Lab at the Max Delbrück Center. Wanker and his team are studying brains with Alzheimer’s disease to understand their proteome – the interplay between all the proteins involved in the onset and course of the disease. Writing in Genome Medicine, the researchers now report on a new actor in the pathological process. Their discovery will help scientists understand the mechanisms underlying Alzheimer’s and could also serve as a marker for improved diagnostics.

To analyse changes in the proteome, Wanker’s team studies genetically modified mice. The mice have five mutations that occur in people with familial Alzheimer’s disease. The amyloid-beta plaques develop in the mice’s brains and the animals show typical symptoms, such as dementia.

“During our analyses, we noticed that a protein called Arl8b was building up in mouse brains, along with the amyloid-beta plaques,“ explained Annett Böddrich, lead author of the paper. The researchers also found accumulations of the protein in brain samples from Alzheimer’s patients.

Arl8b is associated with lysosomes, cell organelles that are involved in degrading the protein clumps. A different team of researchers recently made an interesting discovery in the nematode worm: increasing Arl8b production can degrade the plaques, which reduces the damage to nerve cells. Closer study of Arl8b could be the key to better understanding Alzheimer’s disease – and could provide a new target for therapies.

But there’s more: “We can show that Alzheimer’s patients have significantly more Arl8b in their cerebrospinal fluid than healthy controls,” said Böddrich. Unlike brain tissue, cerebrospinal fluid is easily accessible for diagnostic studies. “This means Arl8b is an interesting candidate for a diagnostic marker,” she said.

However, the study only looked at a small group of Alzheimer’s patients, so expectations should be kept in check: “It’s too early to hope for a diagnostic test,” added Wanker. Nevertheless, he is optimistic: “Our work shows that proteomic research can provide crucial information for identifying disease mechanisms and markers, and thereby move research forward. Also, this doesn’t just apply to Alzheimer’s; it’s also relevant to other complex neurodegenerative diseases such as Parkinson’s and Huntington’s.”

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