iScience (Apr 2024)

Lumbar puncture increases Alzheimer’s disease biomarker levels in cerebrospinal fluid of rhesus monkeys

  • Jianglei Xu,
  • Hao Li,
  • Yingzhou Hu,
  • Shihao Wu,
  • Liping Wu,
  • Xiaoguang Lei,
  • Longbao Lv,
  • Yi Lu,
  • Jing Wu,
  • Juanjuan Li,
  • Bingyin Shi,
  • Jiali Li,
  • Christoph W. Turck,
  • Wenchao Wang,
  • Xintian Hu

Journal volume & issue
Vol. 27, no. 4
p. 109436

Abstract

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Summary: Cerebrospinal fluid (CSF) samples are commonly collected via lumbar puncture (LP) in both clinical and research settings for measurement of biomarkers of Alzheimer’s disease (AD). To determine the effects of LP on CSF AD biomarkers, we collected CSF samples at seven different time points after an LP in rhesus monkeys. We find that amyloid-beta (Aβ) and Tau levels increased significantly on day 1, peaked on day 3, and returned to baseline on day 10 after LP. The NFL levels increased significantly on day 5, peaked on day 10, and returned to baseline after day 30. The increased AD biomarker levels were mainly due to CSF outflow and deep intrathecal invasion during LP. Therefore, if LPs are repeated within a short period of time, prior LP can affect Aβ and Tau levels within 10 days and NFL levels within 30 days, which may lead to clinical misdiagnosis or incorrect scientific conclusions.

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