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Annals of Clinical & Laboratory Science 36:151-156 (2006)
© 2006 Association of Clinical Scientists

Increased ALZ-50 Immunoreactivity in CSF of Pseudotumor Cerebri Patients

Jeng-Hsiung F. Peng, Fei-Tau Kung1, Warner Peng2 and Joseph C. Parker, Jr3
1 University of Missouri-Kansas City School of Medicine, Kansas City, MO; 2 University of Kansas School of Medicine, Kansas City, KS; 3 University of Louisville School of Medicine, Louisville, KY, USA

Address correspondence to Jeng-Hsiung F. Peng, Ph.D., Dept. Mol. Biol. and Biochem., National Chiayi University, Chiayi, Taiwan 60004, ROC; tel 886 5 271 7797; fax 886 5 271 7780; e-mail: jhfpeng{at}yahoo.com.

Pseudotumor cerebri (PTC) is characterized by increased intracranial pressure and papilledema without a mass lesion. PTC predominantly affects obese women. Currently, the pathogenesis of PTC is obscure. Since cytoskeletal abnormalities are found in many neurodegenerative diseases, we hypothesized that some cytoskeletal protein might be involved in the pathophysiology of PTC. Western blotting with specific antibody probes was employed to evaluate ALZ-50 immunoreactive protein, cytoskeletal microtubule-associated protein (MAP), and glial fibrillary acidic protein (GFAP) in cerebrospinal fluid (CSF) samples from 8 PTC patients and 6 controls. Immunoblotting of ALZ-50 in CSF revealed intense staining of 50 kDa protein bands in 7 of 8 PTC patients, while weak staining was found in 4 of 6 controls. Moderate staining of ALZ-50 was seen in 1 of 8 PTC patients and in 2 of 6 controls. CSF blots with anti-ALZ-50 antibody also showed intense staining of a 65 kDa protein band in 3 of the 8 patients but in none of the controls. In anti-MAP CSF blots of the PTC patients and controls, weak staining of the MAP 60 kDa and 50 kDa protein bands was observed. Weak staining of 60 kDa bands was also observed in anti-GFAP CSF blots of all PTC patients and controls. In CSF blots reacted with anti-GFAP antibody, 65 kDa and 32 kDa bands were evident in some PTC patients, but in none of the controls. This study indicates that ALZ-50 immunoreactivity is elevated in CSF of PTC patients. The ALZ-50 immunoreactive protein, either normal tau protein or its phosphorylated variant, may be useful as a biomarker for the diagnosis of PTC. Since the ALZ-50 monoclonal antibody was generated against brain homogenate from Alzheimer’s disease (AD) patients, this study suggests a possible link between PTC and AD.

Keywords: CSF, tau protein, glial fibrillary acidic protein, microtubule-associated protein, ALZ-50







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