{"id":50733,"date":"2017-09-26T14:58:22","date_gmt":"2017-09-26T18:58:22","guid":{"rendered":"http:\/\/www.bumc.bu.edu\/busm\/?p=50733"},"modified":"2017-09-29T10:05:01","modified_gmt":"2017-09-29T14:05:01","slug":"researchers-id-possible-biomarker-for-diagnosing-cte-during-life","status":"publish","type":"post","link":"https:\/\/www.bumc.bu.edu\/camed\/2017\/09\/26\/researchers-id-possible-biomarker-for-diagnosing-cte-during-life\/","title":{"rendered":"Researchers ID Possible Biomarker for Diagnosing CTE During Life"},"content":{"rendered":"<h4>MED\u2019s Ann McKee calls findings a hopeful step<\/h4>\n<figure id=\"attachment_50737\" aria-describedby=\"caption-attachment-50737\" style=\"width: 646px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" src=\"\/camed\/files\/2017\/09\/COM-BU-Today-ann-mckee-jonathan-cherry-995x664-17-1849-CTE-020-636x424.jpg\" alt=\"Ann McKee (left), director of BU\u2019s CTE Center, and Jonathan Cherry, a School of Medicine postdoctoral fellow, have written a study, published Tuesday, reporting that a new chronic traumatic encephalopathy biomarker has been discovered that could potentially allow diagnosis of the disease during life. Photo by Cydney Scott\" class=\"size-medium wp-image-50737\" width=\"636\" height=\"424\" srcset=\"https:\/\/www.bumc.bu.edu\/camed\/files\/2017\/09\/COM-BU-Today-ann-mckee-jonathan-cherry-995x664-17-1849-CTE-020-636x424.jpg 636w, https:\/\/www.bumc.bu.edu\/camed\/files\/2017\/09\/COM-BU-Today-ann-mckee-jonathan-cherry-995x664-17-1849-CTE-020-768x513.jpg 768w, https:\/\/www.bumc.bu.edu\/camed\/files\/2017\/09\/COM-BU-Today-ann-mckee-jonathan-cherry-995x664-17-1849-CTE-020.jpg 995w\" sizes=\"(max-width: 636px) 100vw, 636px\" \/><figcaption id=\"caption-attachment-50737\" class=\"wp-caption-text\">Ann McKee (left), director of BU\u2019s CTE Center, and Jonathan Cherry, a School of Medicine postdoctoral fellow, have written a study, published Tuesday, reporting that a new chronic traumatic encephalopathy biomarker has been discovered that could potentially allow diagnosis of the disease during life. Photo by Cydney Scott<\/figcaption><\/figure>\n<p>Chronic traumatic encephalopathy (CTE), a progressive degenerative brain disease found in people with a history of repeated head trauma, can currently be detected only after death, through an autopsy. Absent being able to diagnose the disease in living patients, researchers cannot develop treatments for CTE.<\/p>\n<p>In the past several years, scientists have taken small steps forward in identifying possible biomarkers for the disease, and now researchers from the <a href=\"https:\/\/www.bumc.bu.edu\/camed\/\">Boston University School of Medicine<\/a> and the <a href=\"https:\/\/www.boston.va.gov\/\">VA Boston Healthcare System<\/a> (VABHS) have discovered a new biomarker that may potentially allow the disease to be diagnosed in the living.<\/p>\n<p>In a <a href=\"http:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0185541\">study published Tuesday in the journal <em>PLOS ONE<\/em><\/a>, the researchers found that the biomarker, the protein CCL11, might also help distinguish CTE from Alzheimer\u2019s disease, which often presents with symptoms similar to CTE and also can be definitively diagnosed only postmortem. The ability to diagnose CTE in the living would allow not only for the development of possible therapies to treat the disease, but also for research into prevention.<\/p>\n<p>\u201cThis is a step forward from our knowledge gained in understanding CTE from brain donations,\u201d says study senior author <a href=\"http:\/\/profiles.bu.edu\/search\/\">Ann McKee<\/a>, a MED professor of neurology and pathology, director of <a href=\"https:\/\/www.bu.edu\/cte\/\">BU\u2019s CTE Center<\/a>, and chief of neuropathology at VABHS. \u201cIt\u2019s a hopeful step. The whole point is to understand as much as we can from the individuals who\u2019ve fallen, so we can apply it to our future veterans and athletes.\u201d<\/p>\n<p>The new research \u201coffers a possible mechanism for distinguishing between CTE and other diseases,\u201d says study first author Jonathan Cherry, a MED postdoctoral fellow in neurology. \u201cBy making it possible to distinguish between normal individuals and individuals with Alzheimer\u2019s disease, CTE therapies can become more targeted and hopefully more effective.\u201d<\/p>\n<div id=\"attachment113864\" class=\"wp-caption aligncenter\">\n<figure id=\"attachment_50738\" aria-describedby=\"caption-attachment-50738\" style=\"width: 560px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" src=\"\/camed\/files\/2017\/09\/COM-BU-Today-Normal.-Mild-CTE.-Severe-CTE-995px-550x430.jpg\" alt=\"A sample of normal brain tissue (top, left), alongside samples showing mild and severe CTE. The brown stain indicates tangles of tau protein. Defective tau is associated with CTE, Alzheimer\u2019s disease, and Parkinson\u2019s disease. The bottom row shows microscopic images of tau, stained red, embedded in brain tissue. Photo by Ann McKee\" class=\"size-full wp-image-50738\" width=\"550\" height=\"430\" \/><figcaption id=\"caption-attachment-50738\" class=\"wp-caption-text\">A sample of normal brain tissue (top, left), alongside samples showing mild and severe CTE. The brown stain indicates tangles of tau protein. Defective tau is associated with CTE, Alzheimer\u2019s disease, and Parkinson\u2019s disease. The bottom row shows microscopic images of tau, stained red, embedded in brain tissue. Photo by Ann McKee<\/figcaption><\/figure>\n<\/div>\n<p>Cherry and the other researchers studied the brains of 23 former college and professional football players. They compared them to the brains of 50 nonathletes with Alzheimer\u2019s disease and 18 nonathlete controls.<\/p>\n<p>They found baseline levels of CCL11 in the brains of the nonathlete controls and the nonathletes with Alzheimer\u2019s disease, but the CCL11 levels were significantly elevated in the brains of people with CTE. They then compared the degree of elevation of CCL11 to the number of years those people played football and found that there was a positive correlation between the CCL11 levels and the number of years played.<\/p>\n<p>The researchers were able to take postmortem samples of the cerebrospinal fluid (CSF) from four of the control individuals, seven of the people with CTE, and four of the people with Alzheimer\u2019s. They found that CCL11 levels in the CSF were similarly normal in the control individuals and people with Alzheimer\u2019s, but elevated in those people with CTE. Cherry says that this suggests that the presence of CCL11 might one day be able to assist in the detection of CTE in the living.<\/p>\n<p>Additional studies are needed, the study authors say, to determine whether increased levels of CCL11 occur early or late in the CTE disease process, and whether CCL11 levels might be able to predict the severity of a person\u2019s disease.<\/p>\n<p>\u201cWhat\u2019s most likely going to happen is that we\u2019ll end up with a panel of biomarkers\u2014maybe three or four\u2014that will let us diagnose CTE reliably,\u201d Cherry says.<\/p>\n<p>This <em>BU Today<\/em> story was written by <a href=\"mailto:srimer@bu.edu\">Sara Rimer<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The new research offers a possible mechanism for distinguishing CTE from other diseases.<\/p>\n","protected":false},"author":903,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[91,90],"tags":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts\/50733"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/users\/903"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/comments?post=50733"}],"version-history":[{"count":9,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts\/50733\/revisions"}],"predecessor-version":[{"id":50792,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/posts\/50733\/revisions\/50792"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/media?parent=50733"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/categories?post=50733"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/camed\/wp-json\/wp\/v2\/tags?post=50733"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}