Table 3. Examples of Biomarkers for Early Diagnosis of Neurodegenerative Diseases.
| biomarker | biomarker type | diagnostic test | sample type | technique | sensitivity | limit of detection | sample volume | test time | cost | ref |
|---|---|---|---|---|---|---|---|---|---|---|
| tau | protein | ELISA | cerebrospinal fluid | immunoassay | 90–100% | 0.013 ng/mL | 150 μL | 4 h | $300–$500 | (135, 136) |
| beta-amyloid 42 | protein | ELISA | cerebrospinal fluid | immunoassay | 80–90% | 23.9 pg/mL | 200 μL | 4–6 h | $250–$400 | (137, 138) |
| alpha-synuclein | protein | ELISA | cerebrospinal fluid | immunoassay | 83–96% | 0.02 ng/mL | 200 μL | 5 h | $350–$500 | (127, 139−141) |
| neurofilament light chain | protein | ELISA | blood | immunoassay | 90–100% | 5.1 pg/mL | 200 μL | 2–3 h | $150–$300 | (142−145) |
| glial fibrillary acidic protein | protein | ELISA | blood | immunoassay | 80–95% | 2.4 ng/mL | 200 μL | 4 h | $200–$400 | (146, 147) |
| ubiquitin C-terminal hydrolase L1 | protein | ELISA | blood | immunoassay | 85–95% | 0.005 ng/mL | 100 μL | 2 h | $200–$300 | (148, 149) |
| amyloid beta 1–40 | protein | ELISA | cerebrospinal fluid | immunoassay | 80–90% | 10 pg/mL | 200 μL | 4–6 h | $250–$400 | (150, 151) |
| phosphorylated tau | protein | ELISA | cerebrospinal fluid | immunoassay | 80–90% | 0.8 pg/mL | 150 μL | 4 h | $300–$500 | (152, 153) |
| total tau | protein | ELISA | blood | immunoassay | 90–100% | 4.4 pg/mL | 200 μL | 3–4 h | $150–$300 | (154, 155) |
| neurogranin | protein | ELISA | cerebrospinal fluid | immunoassay | 80–90% | 0.1 ng/mL | 200 μL | 5–6 h | $350–$500 | (156, 157) |
| chitinase-3-like protein 1 | protein | ELISA | blood | immunoassay | 80–90% | 0.12 ng/mL | 200 μL | 3–4 h | $200–$400 | (158−160) |
| beta-secretase 1 | protein | ELISA | cerebrospinal fluid | immunoassay | 85–95% | 0.5 pg/mL | 200 μL | 5 h | $300–$500 | (161, 162) |