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High content, multi-parameter analyses in buccal cells to identify Alzheimer's Disease

François, Maxime
Fenech, Michael F.
Thomas, Philip
Hor, Maryam
Savage, Greg
Martins, Ralph N.
Rainey-Smith, Stephanie R.
Masters, Colin L.
Ames, David
Rowe, Christopher C.
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Abstract
Alzheimer’s disease (AD) is a degenerative brain disorder and is the most common form of dementia. Minimally invasive approaches are required that combine biomarkers to identify individuals who are at risk of developing mild cognitive impairment (MCI) and AD, to appropriately target clinical trials for therapeutic discovery as well as lifestyle strategies aimed at prevention. Buccal mucosa cells from the Australian Imaging, Biomarkers and Lifestyle Flagship Study of Ageing cohort (n=60) were investigated for cytological markers that could be used to identify both MCI and AD individuals. Visual scoring of the buccal cytome demonstrated a significantly lower frequency of basal and karyorrhectic cells in the MCI group compared with controls. A high content, automated assay was developed using laser scanning cytometry to simultaneously measure cell types, nuclear DNA content and aneuploidy, neutral lipid content, putative Tau and amyloid-β (Aβ) in buccal cells. DNA content, aneuploidy, neutral lipids and Tau were similar in all groups. However, there was significantly lower Tau protein in both basal and karyolytic buccal cell types compared with differentiated buccal cells. Aβ, as measured by frequency of cells containing Aβ signal, as well as area and integral of Aβ signal, was significantly higher in the AD group compared with the control group. Buccal cell Aβ was correlated with mini-mental state examination (MMSE) scores (r = -0.436, P=0.001) and several blood-based biomarkers. Combining newly identified biomarkers from buccal cells with those already established may offer a potential route for more specific biomarker panels which may substantially increase the likelihood of better predictive markers for earlier diagnosis of AD.
Keywords
Alzheimer's disease, DNA content, amyloid, buccal cells, laser scanning cytometry, mild cognitive impairment, neutral lipids
Date
2016
Type
Journal article
Journal
Current Alzheimer Research
Book
Volume
13
Issue
7
Page Range
787-799
Article Number
ACU Department
School of Allied Health
Faculty of Health Sciences
Relation URI
DOI
Event URL
Open Access Status
License
File Access
Controlled
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