title: Ubiquitin as potential cerebrospinal fluid marker of Creutzfeldt-Jakob disease.
abstract: Until today, a definite diagnosis of Creutzfeldt-Jakob disease (CJD) can only be made neuropathologically. At lifetime the early and differential diagnosis is often a problem. With SELDI we analyzed cerebrospinal fluid (CSF) from 32 CJD patients, 32 patients having other dementive diseases and 31 non-demented control subjects for diagnosis-dependent protein pattern differences. In a screening set of patients, peaks that discriminate best between groups were identified. These peaks were subsequently analyzed using an independent validation set of patients. Diagnostic accuracies were compared with established markers like tau protein and 14-3-3-protein. Potential marker proteins were purified and identified by LC-MS/MS. In the validation set only one peak of 8.6 kDa out of ten in the screening set could be confirmed. This protein was identified to be ubiquitin and increased levels in CSF (but not in serum) of CJD patients were confirmed by Western blot. Ubiquitin allows the correct diagnoses of that CJD cases missed by tau protein or 14-3-3-protein. We conclude that ubiquitin is a promising additional CSF biomarker for diagnosis of CJD, especially in differential diagnostically difficult cases. The selective increase of ubiquitin in CSF of CJD patients might point to an involvement of ubiquitin in pathophysiological process.
authors.affiliation: Department of Neurology, University of Ulm, Germany.
authors.forename: Petra
authors.initials: P
authors.lastname: Steinacker
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Rist
authors.forename: Magdalena
authors.initials: M
authors.lastname: Swiatek-de-Lange
authors.forename: Stefan
authors.initials: S
authors.lastname: Lehnert
authors.forename: Sarah
authors.initials: S
authors.lastname: Jesse
authors.forename: Alice
authors.initials: A
authors.lastname: Pabst
authors.forename: Hayrettin
authors.initials: H
authors.lastname: Tumani
authors.forename: Christine A F
authors.initials: CA
authors.lastname: von Arnim
authors.forename: Eva
authors.initials: E
authors.lastname: Mitrova
authors.forename: Hans A
authors.initials: HA
authors.lastname: Kretzschmar
authors.forename: Martin
authors.initials: M
authors.lastname: Lenter
authors.forename: Jens
authors.initials: J
authors.lastname: Wiltfang
authors.forename: Markus
authors.initials: M
authors.lastname: Otto
mesh_terms: D000368:Aged; D015415:Biomarkers / Q000134:cerebrospinal fluid; D015331:Cohort Studies; D007562:Creutzfeldt-Jakob Syndrome / Q000134:cerebrospinal fluid* / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D053719:Tandem Mass Spectrometry; D025801:Ubiquitin / Q000134:cerebrospinal fluid*
chemical_list: D015415:Biomarkers; D025801:Ubiquitin