Practical Geriatrics ›› 2022, Vol. 36 ›› Issue (12): 1229-1232.doi: 10.3969/j.issn.1003-9198.2022.12.011

Previous Articles     Next Articles

Clinical value of serum amyloid-beta 42 and phosphorylated Tau in elderly patients

ZHENG Qian, TAO Yue, CHEN Yi-qiang, LIU Si-yuan, CHEN De-zhu, PENG Lu, GU Shou-yong, CAI Min-qi, BAI Bing   

  1. ZHENG Qian. Health Management Center; TAO Yue. Department of Laboratory Medicine; CHEN Yi-qiang,LIU Si-yuan,CAI Min-qi, BAI Bing. Center for Precision Medicine; CHEN De-zhu. Department of Nuclear Medicine, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China;
    PENG Lu. Department of Laboratory Medicine, the Affiliated Nanjing Brain Hospital of Nanjing Medical University, Nanjing 210008, China;
    GU Shou-yong. Institute of Geriatric Medicine, Jiangsu Province Geriatric Hospital, Nanjing 210024, China
  • Received:2022-01-19 Online:2022-12-20 Published:2022-11-30

Abstract: Objective To investigate the clinical value of serum amyloid-beta 42(Aβ42) and phosphorylated Tau (p-Tau). Methods A total of 425 elderly cases were enrolled in this study who received the measurement of Aβ42 and p-Tau at the same time. The positive rate of Aβ42 and p-Tau was analyzed in the elderly patients with dementia or other diseases. Results The overall positive rate of serum Aβ42 and p-Tau was 36.2% and 24.7% respectively, and 21.4% of the patients presented with both positive Aβ42 and p-Tau. Among the patients diagnosed as cognitive impairment, dementia and AD, the positive rate of Aβ42 was 23.8%, 44.9%, 50.0% respectively, and the positive rate of p-Tau was 12.4%, 22.4%, 16.7% respectively. However, both of them were positive in 64.7% of the patients with pulmonary infection or inflammation diseases, and they were almost positive simultaneously in a patient. Conclusions The diagnostic values of serum Aβ42 and p-Tau for AD might be limited, but they might be potential indicators of pulmonary infection or inflammation disorders.

Key words: Alzheimer's disease, dementia, cognitive disorder, serum amyloid-beta 42, serum phosphorylated Tau

CLC Number: