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Clinical Study of a Urinary Competitve ELISA for Neural Thread Protein in Alzheimer Disease

Michael Munzar
Suzanna Levy
Robert Rush
Paul Averback

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Published: July 2001

AD7C-NTP (neural thread protein)is a ~41 kD brain protein that is selectively elevated in Alzheimer disease (AD). AD7C-NTP is associated with the pathologic changes of AD, and over expression of the AD7C-NTP gene is asso- ciated with cell death similar to that found in the AD brain. A newly developed competitive ELISA (enzyme-linked immunosorbent assay)was tested in urine samples from patients with AD, patients with non-AD dementia, and healthy normal individuals. Mean assay measurement in the AD group (30.1 ± 10.8)was significantly higher than in the non-AD dementia control group (13.4 ± 3.4)and in the nondementia control group (14.8 ± 5.2)(P <0.001). Mean assay measurement in early-AD cases (25.3 ± 7.6)was significantly lower than in other AD cases (33.9 ± 11.4). Levels of more than 18 units were found in 89% of overall AD cases and in 10% of overall controls. The results further validate urinary AD7C-NTP as a biochemical marker for AD and indicate that the competitive ELISA-format AD7C-NTP test in urine is an accurate method for determining AD7C-NTP levels in AD.

Keywords: botulinum toxin type A (BoNT/A), antibodies, cervical dystonia (CD), therapy


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