Abstract
Improved biomarkers would facilitate the diagnosis and treatment of amyotrophic lateral sclerosis (ALS). Muscle content of the neuritic outgrowth inhibitor Nogo-A is increased in patients with ALS and other denervating conditions. Seeking a less invasive diagnostic method, we sought to determine whether or not Nogo increases in the serum of ALS patients. We developed a dissociation-enhanced lanthanide fluorescent immunoassay (DELFIA) protocol to screen serum samples from 172 ALS patients and 172 healthy controls for Nogo-A immunoreactivity. Unexpectedly, there was a trend toward decreased levels of serum Nogo-A in ALS. Mean serum Nogo-A level in ALS patients was 0.71nM (95% confidence interval (CI) 0.421.00), as opposed to 1.15nM (95% CI 0.721.59) in healthy controls. A significantly larger percentage of healthy control sera (11.0% vs 4.7%) displayed markedly elevated levels of Nogo-A. Additional study is required to determine the factors that lead to elevated Nogo-A levels in a subset of both ALS patients and healthy controls.
Original language | English |
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Pages (from-to) | 414-417 |
Number of pages | 4 |
Journal | Biomarkers |
Volume | 14 |
Issue number | 6 |
DOIs | |
State | Published - Sep 2009 |
Externally published | Yes |
Keywords
- ALS
- Biomarker
- DELFIA
- ELISA
- Nogo-A