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Sex Hormone-Binding Globulin (SHBG) in Cerebrospinal Fluid Does Not Discriminate between the Main FTLD Pathological Subtypes but Correlates with Cognitive Decline in FTLD Tauopathies

  • Marta Del Campo*
  • , Yolande A.L. Pijnenburg
  • , Alice Chen-Plotkin
  • , David J. Irwin
  • , Murray Grossman
  • , Harry A.M. Twaalfhoven
  • , William T. Hu
  • , Lieke H. Meeter
  • , John van Swieten
  • , Lisa Vermunt
  • , Frans Martens
  • , Annemieke C. Heijboer
  • , Charlotte E. Teunissen
  • *Corresponding author for this work
  • Vrije Universiteit Amsterdam
  • CEU Universities
  • UPenn School of Medicine
  • Emory University School of Medicine
  • Rutgers - The State University of New Jersey, New Brunswick
  • Amsterdam UMC

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Abstract: Biomarkers to discriminate the main pathologies underlying frontotemporal lobar degeneration (FTLD-Tau, FTLD-TDP) are lacking. Our previous FTLD cerebrospinal fluid (CSF) proteome
study revealed that sex hormone-binding globulin (SHBG) was specifically increased in FTLD-Tau
patients. Here we investigated the potential of CSF SHBG as a novel biomarker discriminating the
main FTLD pathological subtypes. SHBG was measured in CSF samples from patients with FTLDTau (n = 23), FTLD-TDP (n = 29) and controls (n = 33) using an automated electro-chemiluminescent
immunoassay. Differences in CSF SHBG levels across groups, as well as its association with CSF
YKL40, pTau181/total-Tau ratio and cognitive function were analyzed. CSF SHBG did not differ
across groups, though a trend towards elevated levels in FTLD-Tau cases compared to FTLD-TDP
and controls was observed. CSF SHBG levels were not associated with either CSF YKL40 or the
p/tTau ratio. They, however, inversely correlated with the MMSE score (r = −0.307, p = 0.011), an
association likely driven by the FTLD-Tau group (r FTLD-Tau = −0.38; r FTLD-TDP = −0.02). CSF
SHBG is not a suitable biomarker to discriminate FTLD-Tau from FTLD-TDP
Original languageEnglish
Article number1484
JournalBiomolecules
Volume11
Issue number10
DOIs
Publication statusPublished - 8 Oct 2021

Bibliographical note

Funding Information:
Funding: M.d.C. is supported by the attraction talent fellowship of Comunidad de Madrid (2018-T2/BMD-11885) and San Pablo CEU University. D.I. is supported by NIH grants P01-AG066597, P30-AG010124. Roche Diagnostics International Ltd. supported the measurements and analysis of CSF SHBG and the APC.

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

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