Futurity

Biomarker could lead to CTE diagnosis during life

Currently, only an autopsy can detect the progressive degenerative brain disease CTE, which affects people with a history of repeated head trauma.

A new biomarker could potentially allow for chronic traumatic encephalopathy (CTE) diagnoses in living patients.

CTE, a progressive degenerative brain disease found in people with a history of repeated head trauma, can currently be detected only after death, through an autopsy. Absent being able to diagnose the disease in living patients, researchers cannot develop treatments for CTE.

In the journal PLOS ONE, the researchers report that the biomarker, the protein CCL11, might also help distinguish CTE from Alzheimer’s disease, which often presents with symptoms similar to CTE. Definite diagnoses are only possible for Alzheimer’s after death, as well.

The ability to diagnose CTE in the living would allow not only for the development of possible therapies to treat the disease, but also for research into prevention.

“This is a step forward from our knowledge gained in understanding CTE from brain donations,” says study senior author Ann McKee, a professor of neurology and pathology at Boston University School of Medicine, director of the university’s CTE Center, and chief of neuropathology at the VA Boston Healthcare System.

“It’s a hopeful step. The whole point is to understand as much as we can from the individuals who’ve fallen, so we can apply it to our future veterans and athletes.”

The new research “offers a possible mechanism for distinguishing between CTE and other diseases,” says study first author Jonathan Cherry, a postdoctoral fellow in neurology at the School of Medicine. “By making it possible to distinguish between normal individuals and individuals with Alzheimer’s disease, CTE therapies can become more targeted and hopefully more effective.”

Cherry and the other researchers studied the brains of 23 former college and professional football players. They compared them to the brains of 50 non-athletes with Alzheimer’s disease and 18 non-athlete controls.

They found baseline levels of CCL11 in the brains of the non-athlete controls and the non-athletes with Alzheimer’s disease, but the CCL11 levels were significantly elevated in the brains of people with CTE. They then compared the degree of elevation of CCL11 to the number of years those people played football and found that there was a positive correlation between the CCL11 levels and the number of years played.

The researchers were able to take postmortem samples of the cerebrospinal fluid (CSF) from four of the control individuals, seven of the people with CTE, and four of the people with Alzheimer’s. They found that CCL11 levels in the CSF were similarly normal in the control individuals and people with Alzheimer’s, but elevated in those people with CTE. Cherry says that this suggests that the presence of CCL11 might one day be of assistance in the detection of CTE in the living.

Additional studies are needed, the study authors say, to determine whether increased levels of CCL11 occur early or late in the CTE disease process, and whether CCL11 levels might be able to predict the severity of a person’s disease.

“What’s most likely going to happen is that we’ll end up with a panel of biomarkers—maybe three or four—that will let us diagnose CTE reliably,” Cherry says.

Source: Boston University

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