%0 Journal Article %T Multiple ¦Ã-secretase product peptides are coordinately increased in concentration in the cerebrospinal fluid of a subpopulation of sporadic Alzheimer¡¯s disease subjects %A Saori Hata %A Miyako Taniguchi %A Yi Piao %A Takeshi Ikeuchi %A Anne M Fagan %A David M Holtzman %A Randall Bateman %A Hamid R Sohrabi %A Ralph N Martins %A Sam Gandy %A Katsuya Urakami %A Toshiharu Suzuki %J Molecular Neurodegeneration %D 2012 %I BioMed Central %R 10.1186/1750-1326-7-16 %X Using the sandwich enzyme-linked immunosorbent assay (ELISA) system that detects total p3-Alc¦Á, we determined levels of total p3-Alc¦Á in CSF from subjects in one of four diagnostic categories (elderly controls, MCI, SAD, or other neurological disease) derived from three independent cohorts. Levels of A¦Â40 correlated with levels of total p3-Alc¦Á in all cohorts.We confirm that A¦Â40 is the most abundant A¦Â species, and we propose a model in which CSF p3-Alc¦Á can serve as a either (1) a nonaggregatable surrogate marker for ¦Ã-secretase activity; (2) as a marker for clearance of transmembrane domain peptides derived from integral protein catabolism; or (3) both. We propose the specification of an MCI/SAD endophenotype characterized by co-elevation of levels of both CSF p3-Alc¦Á and A¦Â40, and we propose that subjects in this category might be especially responsive to therapeutics aimed at modulation of ¦Ã-secretase function and/or transmembrane domain peptide clearance. These peptides may also be used to monitor the efficacy of therapeutics that target these steps in A¦Â metabolis %K Alzheimer's disease %K Cerebrospinal fluid %K ¦Ã-secretase %K Alcadein %K ¦Â-amyloid %U http://www.molecularneurodegeneration.com/content/7/1/16/abstract