2015
DOI: 10.1523/eneuro.0080-15.2015
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CSF and Blood Levels of GFAP in Alexander Disease

Abstract: Alexander disease is a rare, progressive, and generally fatal neurological disorder that results from dominant mutations affecting the coding region of GFAP, the gene encoding glial fibrillary acidic protein, the major intermediate filament protein of astrocytes in the CNS. A key step in pathogenesis appears to be the accumulation of GFAP within astrocytes to excessive levels. Studies using mouse models indicate that the severity of the phenotype correlates with the level of expression, and suppression of GFAP… Show more

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Cited by 36 publications
(31 citation statements)
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“…As we already described in the Introduction above, a number of previous studies support that GFAP is correlated to specific conditions in patients with various neurodegenerative diseases ( 11 15 , 18 , 19 , 30 ). Additionally, GFAP levels considerably increased in CSF from patients suffering from Alexander disease ( 30 ), a genetic disorder caused by mutations in the GFAP gene, leading to myelin abnormalities in the midbrain and cerebellum ( 31 ). These studies support the idea that GFAP could be classified as a diagnostic biomarker in patients with neurological disease conditions.…”
Section: Discussionsupporting
confidence: 55%
“…As we already described in the Introduction above, a number of previous studies support that GFAP is correlated to specific conditions in patients with various neurodegenerative diseases ( 11 15 , 18 , 19 , 30 ). Additionally, GFAP levels considerably increased in CSF from patients suffering from Alexander disease ( 30 ), a genetic disorder caused by mutations in the GFAP gene, leading to myelin abnormalities in the midbrain and cerebellum ( 31 ). These studies support the idea that GFAP could be classified as a diagnostic biomarker in patients with neurological disease conditions.…”
Section: Discussionsupporting
confidence: 55%
“…Thus the genetic evidence suggests a critical role of elevations in total GFAP levels in the disease pathogenesis. Indeed, increased GFAP levels were consistently found in AxD patients both when measured in brain parenchyma (Walker et al ., 2014) and in cerebrospinal fluid (Jany et al ., 2015). The accumulation of GFAP that is found in AxD results in part from increased mRNA synthesis (Hagemann et al ., 2005), and there is a spontaneous increase in the activity of the GFAP promoter (Jany et al ., 2013).…”
Section: Introductionmentioning
confidence: 99%
“…Although the absolute biomarker levels were different compared to in vivo conditions, the ratio of circulation:chamber levels was comparable to human blood:CSF ratios [48][49][50][51][52] . Thus, our model offers the potential to study how specific protein levels correlate in "brain" to "blood" compartments to understand the dependence and independence among biomarkers.…”
Section: Discussionmentioning
confidence: 99%