Table 2.
Potential applications of biomarkers of oxidative damage and inflammation for Alzheimer’s disease.
Potential uses | Oxidative biomarkers | Inflammation biomarkers |
---|---|---|
Animal models | Explore disease mechanisms and pathways Assess responses to interventions, especially antioxidants |
Explore disease mechanisms and pathways Assess responses to interventions, especially anti-inflammatory drugs |
AD diagnosis | CSF F2-IsoP, in combination with lesion-specific markers such as Aβ42, may help with AD diagnosis |
Several cytokines and chemokines are altered in CSF in AD versus controls The degree of separation appears weaker than for established biomarkers (Aβ42 and tau) Larger studies are required to establish whether these may add to diagnostic accuracy |
Antecedent marker for AD |
Unclear for CSF Initial reports for plasma and urine F2-IsoPs were not reproducible |
Unknown for CSF Plasma levels of some cytokines and of CRP are relatively weak risk factors for AD |
Clinical trials for AD | Assess response to antioxidants | Assessment of inflammatory responses will require a panel of markers because of complex interactions Choice of biomarker panels for specific studies will depend on the nature of the therapeutic target |
Aβ: Amyloid-β; AD: Alzheimer’s disease; CRP: C-reactive protein; CSF: Cerebrospinal fluid; F2-IsoP: F2-isoprostanes.