WO2024083822A1 - Identifying a subject suffering from alzheimer's dementia or being at risk of developing alzheimer's dementia - Google Patents
Identifying a subject suffering from alzheimer's dementia or being at risk of developing alzheimer's dementia Download PDFInfo
- Publication number
- WO2024083822A1 WO2024083822A1 PCT/EP2023/078829 EP2023078829W WO2024083822A1 WO 2024083822 A1 WO2024083822 A1 WO 2024083822A1 EP 2023078829 W EP2023078829 W EP 2023078829W WO 2024083822 A1 WO2024083822 A1 WO 2024083822A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- compound
- mass
- gram
- mol
- dementia
- Prior art date
Links
- 208000024827 Alzheimer disease Diseases 0.000 title claims abstract description 787
- 150000001875 compounds Chemical class 0.000 claims abstract description 880
- 238000000034 method Methods 0.000 claims abstract description 249
- 210000001124 body fluid Anatomy 0.000 claims abstract description 177
- 239000010839 body fluid Substances 0.000 claims abstract description 175
- 230000008859 change Effects 0.000 claims abstract description 108
- XCTYLCDETUVOIP-UHFFFAOYSA-N thiethylperazine Chemical compound C12=CC(SCC)=CC=C2SC2=CC=CC=C2N1CCCN1CCN(C)CC1 XCTYLCDETUVOIP-UHFFFAOYSA-N 0.000 claims abstract description 53
- 229960004869 thiethylperazine Drugs 0.000 claims abstract description 49
- 150000003839 salts Chemical class 0.000 claims abstract description 33
- 239000000523 sample Substances 0.000 claims description 259
- 238000010801 machine learning Methods 0.000 claims description 8
- 239000013074 reference sample Substances 0.000 claims description 8
- 238000012549 training Methods 0.000 claims description 7
- 238000000605 extraction Methods 0.000 claims description 6
- 238000002360 preparation method Methods 0.000 claims description 5
- 239000003153 chemical reaction reagent Substances 0.000 claims description 4
- 210000004369 blood Anatomy 0.000 description 35
- 239000008280 blood Substances 0.000 description 35
- 210000001175 cerebrospinal fluid Anatomy 0.000 description 18
- 238000004949 mass spectrometry Methods 0.000 description 18
- 239000000203 mixture Substances 0.000 description 17
- 201000010099 disease Diseases 0.000 description 14
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 14
- 210000002700 urine Anatomy 0.000 description 13
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 12
- 238000004458 analytical method Methods 0.000 description 11
- 238000003908 quality control method Methods 0.000 description 10
- 238000004885 tandem mass spectrometry Methods 0.000 description 10
- 238000012360 testing method Methods 0.000 description 10
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 9
- 238000004811 liquid chromatography Methods 0.000 description 9
- 238000007477 logistic regression Methods 0.000 description 9
- 238000001294 liquid chromatography-tandem mass spectrometry Methods 0.000 description 8
- 239000002207 metabolite Substances 0.000 description 8
- -1 pyrosulfate Chemical compound 0.000 description 8
- 238000003745 diagnosis Methods 0.000 description 7
- 238000012544 monitoring process Methods 0.000 description 7
- 239000013598 vector Substances 0.000 description 7
- 239000003643 water by type Substances 0.000 description 7
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 6
- 238000000338 in vitro Methods 0.000 description 5
- 238000004895 liquid chromatography mass spectrometry Methods 0.000 description 5
- 238000012545 processing Methods 0.000 description 5
- 238000004704 ultra performance liquid chromatography Methods 0.000 description 5
- 206010067484 Adverse reaction Diseases 0.000 description 4
- 241000124008 Mammalia Species 0.000 description 4
- 241001465754 Metazoa Species 0.000 description 4
- 241000251539 Vertebrata <Metazoa> Species 0.000 description 4
- 230000006838 adverse reaction Effects 0.000 description 4
- 238000013459 approach Methods 0.000 description 4
- 210000004556 brain Anatomy 0.000 description 4
- 230000001149 cognitive effect Effects 0.000 description 4
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 4
- 230000002503 metabolic effect Effects 0.000 description 4
- 238000002705 metabolomic analysis Methods 0.000 description 4
- 230000001431 metabolomic effect Effects 0.000 description 4
- BDAGIHXWWSANSR-UHFFFAOYSA-N methanoic acid Natural products OC=O BDAGIHXWWSANSR-UHFFFAOYSA-N 0.000 description 4
- 238000010606 normalization Methods 0.000 description 4
- 238000010239 partial least squares discriminant analysis Methods 0.000 description 4
- 108090000623 proteins and genes Proteins 0.000 description 4
- 208000024891 symptom Diseases 0.000 description 4
- 108010090849 Amyloid beta-Peptides Proteins 0.000 description 3
- 102000013455 Amyloid beta-Peptides Human genes 0.000 description 3
- 206010012289 Dementia Diseases 0.000 description 3
- 238000012937 correction Methods 0.000 description 3
- 238000003066 decision tree Methods 0.000 description 3
- 230000014509 gene expression Effects 0.000 description 3
- 238000002347 injection Methods 0.000 description 3
- 239000007924 injection Substances 0.000 description 3
- 150000002500 ions Chemical class 0.000 description 3
- 238000012417 linear regression Methods 0.000 description 3
- 230000014759 maintenance of location Effects 0.000 description 3
- 229940049920 malate Drugs 0.000 description 3
- BJEPYKJPYRNKOW-UHFFFAOYSA-N malic acid Chemical compound OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 description 3
- 230000015654 memory Effects 0.000 description 3
- 230000004770 neurodegeneration Effects 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 108090000765 processed proteins & peptides Proteins 0.000 description 3
- 102000004196 processed proteins & peptides Human genes 0.000 description 3
- OSWFIVFLDKOXQC-UHFFFAOYSA-N 4-(3-methoxyphenyl)aniline Chemical compound COC1=CC=CC(C=2C=CC(N)=CC=2)=C1 OSWFIVFLDKOXQC-UHFFFAOYSA-N 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-M Chloride anion Chemical compound [Cl-] VEXZGXHMUGYJMC-UHFFFAOYSA-M 0.000 description 2
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 2
- 208000030453 Drug-Related Side Effects and Adverse reaction Diseases 0.000 description 2
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 2
- 230000005526 G1 to G0 transition Effects 0.000 description 2
- 102000053171 Glial Fibrillary Acidic Human genes 0.000 description 2
- 101710193519 Glial fibrillary acidic protein Proteins 0.000 description 2
- AEMRFAOFKBGASW-UHFFFAOYSA-M Glycolate Chemical compound OCC([O-])=O AEMRFAOFKBGASW-UHFFFAOYSA-M 0.000 description 2
- 101000979333 Homo sapiens Neurofilament light polypeptide Proteins 0.000 description 2
- CKLJMWTZIZZHCS-REOHCLBHSA-N L-aspartic acid Chemical compound OC(=O)[C@@H](N)CC(O)=O CKLJMWTZIZZHCS-REOHCLBHSA-N 0.000 description 2
- COLNVLDHVKWLRT-QMMMGPOBSA-N L-phenylalanine Chemical compound OC(=O)[C@@H](N)CC1=CC=CC=C1 COLNVLDHVKWLRT-QMMMGPOBSA-N 0.000 description 2
- JVTAAEKCZFNVCJ-UHFFFAOYSA-M Lactate Chemical compound CC(O)C([O-])=O JVTAAEKCZFNVCJ-UHFFFAOYSA-M 0.000 description 2
- OFOBLEOULBTSOW-UHFFFAOYSA-L Malonate Chemical compound [O-]C(=O)CC([O-])=O OFOBLEOULBTSOW-UHFFFAOYSA-L 0.000 description 2
- AFVFQIVMOAPDHO-UHFFFAOYSA-N Methanesulfonic acid Chemical compound CS(O)(=O)=O AFVFQIVMOAPDHO-UHFFFAOYSA-N 0.000 description 2
- 102100023057 Neurofilament light polypeptide Human genes 0.000 description 2
- 238000000692 Student's t-test Methods 0.000 description 2
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 2
- 230000007792 alzheimer disease pathology Effects 0.000 description 2
- VZTDIZULWFCMLS-UHFFFAOYSA-N ammonium formate Chemical compound [NH4+].[O-]C=O VZTDIZULWFCMLS-UHFFFAOYSA-N 0.000 description 2
- 108010064539 amyloid beta-protein (1-42) Proteins 0.000 description 2
- 150000001450 anions Chemical class 0.000 description 2
- 229940009098 aspartate Drugs 0.000 description 2
- SRSXLGNVWSONIS-UHFFFAOYSA-M benzenesulfonate Chemical compound [O-]S(=O)(=O)C1=CC=CC=C1 SRSXLGNVWSONIS-UHFFFAOYSA-M 0.000 description 2
- 239000000090 biomarker Substances 0.000 description 2
- 238000004364 calculation method Methods 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- 238000013375 chromatographic separation Methods 0.000 description 2
- 230000000052 comparative effect Effects 0.000 description 2
- 238000002790 cross-validation Methods 0.000 description 2
- 238000001514 detection method Methods 0.000 description 2
- CCIVGXIOQKPBKL-UHFFFAOYSA-M ethanesulfonate Chemical compound CCS([O-])(=O)=O CCIVGXIOQKPBKL-UHFFFAOYSA-M 0.000 description 2
- 235000019253 formic acid Nutrition 0.000 description 2
- 238000002290 gas chromatography-mass spectrometry Methods 0.000 description 2
- 210000005046 glial fibrillary acidic protein Anatomy 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- QPJVMBTYPHYUOC-UHFFFAOYSA-N methyl benzoate Chemical compound COC(=O)C1=CC=CC=C1 QPJVMBTYPHYUOC-UHFFFAOYSA-N 0.000 description 2
- 208000015122 neurodegenerative disease Diseases 0.000 description 2
- 238000011176 pooling Methods 0.000 description 2
- 238000002600 positron emission tomography Methods 0.000 description 2
- 238000007781 pre-processing Methods 0.000 description 2
- 102000004169 proteins and genes Human genes 0.000 description 2
- 230000004044 response Effects 0.000 description 2
- YGSDEFSMJLZEOE-UHFFFAOYSA-M salicylate Chemical compound OC1=CC=CC=C1C([O-])=O YGSDEFSMJLZEOE-UHFFFAOYSA-M 0.000 description 2
- 238000012216 screening Methods 0.000 description 2
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 description 2
- BDHFUVZGWQCTTF-UHFFFAOYSA-M sulfonate Chemical compound [O-]S(=O)=O BDHFUVZGWQCTTF-UHFFFAOYSA-M 0.000 description 2
- 239000006228 supernatant Substances 0.000 description 2
- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 2
- 229910021642 ultra pure water Inorganic materials 0.000 description 2
- 239000012498 ultrapure water Substances 0.000 description 2
- LSPHULWDVZXLIL-UHFFFAOYSA-N (+/-)-Camphoric acid Chemical compound CC1(C)C(C(O)=O)CCC1(C)C(O)=O LSPHULWDVZXLIL-UHFFFAOYSA-N 0.000 description 1
- RJKFOVLPORLFTN-TZDZRSEPSA-N (8s,9s,10s,13s,14s,17s)-17-acetyl-10,13-dimethyl-1,2,6,7,8,9,11,12,14,15,16,17-dodecahydrocyclopenta[a]phenanthren-3-one Chemical compound C1CC2=[13CH][13C](=O)[13CH2]C[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H](C(=O)C)[C@@]1(C)CC2 RJKFOVLPORLFTN-TZDZRSEPSA-N 0.000 description 1
- HCSBTDBGTNZOAB-UHFFFAOYSA-N 2,3-dinitrobenzoic acid Chemical compound OC(=O)C1=CC=CC([N+]([O-])=O)=C1[N+]([O-])=O HCSBTDBGTNZOAB-UHFFFAOYSA-N 0.000 description 1
- WHBMMWSBFZVSSR-UHFFFAOYSA-N 3-hydroxybutyric acid Chemical compound CC(O)CC(O)=O WHBMMWSBFZVSSR-UHFFFAOYSA-N 0.000 description 1
- OBKXEAXTFZPCHS-UHFFFAOYSA-N 4-phenylbutyric acid Chemical compound OC(=O)CCCC1=CC=CC=C1 OBKXEAXTFZPCHS-UHFFFAOYSA-N 0.000 description 1
- FHVDTGUDJYJELY-UHFFFAOYSA-N 6-{[2-carboxy-4,5-dihydroxy-6-(phosphanyloxy)oxan-3-yl]oxy}-4,5-dihydroxy-3-phosphanyloxane-2-carboxylic acid Chemical compound O1C(C(O)=O)C(P)C(O)C(O)C1OC1C(C(O)=O)OC(OP)C(O)C1O FHVDTGUDJYJELY-UHFFFAOYSA-N 0.000 description 1
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 1
- NIXOWILDQLNWCW-UHFFFAOYSA-M Acrylate Chemical compound [O-]C(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-M 0.000 description 1
- 208000037259 Amyloid Plaque Diseases 0.000 description 1
- 102400000574 Amyloid-beta protein 42 Human genes 0.000 description 1
- 206010059245 Angiopathy Diseases 0.000 description 1
- LSNNMFCWUKXFEE-UHFFFAOYSA-M Bisulfite Chemical compound OS([O-])=O LSNNMFCWUKXFEE-UHFFFAOYSA-M 0.000 description 1
- CPELXLSAUQHCOX-UHFFFAOYSA-M Bromide Chemical compound [Br-] CPELXLSAUQHCOX-UHFFFAOYSA-M 0.000 description 1
- FERIUCNNQQJTOY-UHFFFAOYSA-M Butyrate Chemical compound CCCC([O-])=O FERIUCNNQQJTOY-UHFFFAOYSA-M 0.000 description 1
- FERIUCNNQQJTOY-UHFFFAOYSA-N Butyric acid Natural products CCCC(O)=O FERIUCNNQQJTOY-UHFFFAOYSA-N 0.000 description 1
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 description 1
- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 1
- 208000010201 Exanthema Diseases 0.000 description 1
- 238000004252 FT/ICR mass spectrometry Methods 0.000 description 1
- BDAGIHXWWSANSR-UHFFFAOYSA-M Formate Chemical compound [O-]C=O BDAGIHXWWSANSR-UHFFFAOYSA-M 0.000 description 1
- 208000034826 Genetic Predisposition to Disease Diseases 0.000 description 1
- 206010019233 Headaches Diseases 0.000 description 1
- 101000969812 Homo sapiens Multidrug resistance-associated protein 1 Proteins 0.000 description 1
- ROHFNLRQFUQHCH-LONBSJBQSA-N L-leucine-d3 Chemical compound [2H]C([2H])([2H])C(C)C[C@H](N)C(O)=O ROHFNLRQFUQHCH-LONBSJBQSA-N 0.000 description 1
- 208000026139 Memory disease Diseases 0.000 description 1
- 102100021339 Multidrug resistance-associated protein 1 Human genes 0.000 description 1
- 229910002651 NO3 Inorganic materials 0.000 description 1
- PVNIIMVLHYAWGP-UHFFFAOYSA-N Niacin Chemical compound OC(=O)C1=CC=CN=C1 PVNIIMVLHYAWGP-UHFFFAOYSA-N 0.000 description 1
- NHNBFGGVMKEFGY-UHFFFAOYSA-N Nitrate Chemical compound [O-][N+]([O-])=O NHNBFGGVMKEFGY-UHFFFAOYSA-N 0.000 description 1
- MUBZPKHOEPUJKR-UHFFFAOYSA-N Oxalic acid Chemical compound OC(=O)C(O)=O MUBZPKHOEPUJKR-UHFFFAOYSA-N 0.000 description 1
- 208000025174 PANDAS Diseases 0.000 description 1
- 229910019142 PO4 Inorganic materials 0.000 description 1
- 208000021155 Paediatric autoimmune neuropsychiatric disorders associated with streptococcal infection Diseases 0.000 description 1
- 240000000220 Panda oleosa Species 0.000 description 1
- 235000016496 Panda oleosa Nutrition 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-L Phosphate ion(2-) Chemical compound OP([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-L 0.000 description 1
- XBDQKXXYIPTUBI-UHFFFAOYSA-M Propionate Chemical compound CCC([O-])=O XBDQKXXYIPTUBI-UHFFFAOYSA-M 0.000 description 1
- LSNNMFCWUKXFEE-UHFFFAOYSA-N Sulfurous acid Chemical compound OS(O)=O LSNNMFCWUKXFEE-UHFFFAOYSA-N 0.000 description 1
- ZMZDMBWJUHKJPS-UHFFFAOYSA-M Thiocyanate anion Chemical compound [S-]C#N ZMZDMBWJUHKJPS-UHFFFAOYSA-M 0.000 description 1
- ZZXDRXVIRVJQBT-UHFFFAOYSA-M Xylenesulfonate Chemical compound CC1=CC=CC(S([O-])(=O)=O)=C1C ZZXDRXVIRVJQBT-UHFFFAOYSA-M 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- IPBVNPXQWQGGJP-UHFFFAOYSA-N acetic acid phenyl ester Natural products CC(=O)OC1=CC=CC=C1 IPBVNPXQWQGGJP-UHFFFAOYSA-N 0.000 description 1
- YTIVTFGABIZHHX-UHFFFAOYSA-L acetylenedicarboxylate(2-) Chemical compound [O-]C(=O)C#CC([O-])=O YTIVTFGABIZHHX-UHFFFAOYSA-L 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 239000013543 active substance Substances 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 230000000996 additive effect Effects 0.000 description 1
- WNLRTRBMVRJNCN-UHFFFAOYSA-L adipate(2-) Chemical compound [O-]C(=O)CCCCC([O-])=O WNLRTRBMVRJNCN-UHFFFAOYSA-L 0.000 description 1
- 230000002776 aggregation Effects 0.000 description 1
- 238000004220 aggregation Methods 0.000 description 1
- 229940072056 alginate Drugs 0.000 description 1
- 235000010443 alginic acid Nutrition 0.000 description 1
- 229920000615 alginic acid Polymers 0.000 description 1
- AWUCVROLDVIAJX-UHFFFAOYSA-N alpha-glycerophosphate Natural products OCC(O)COP(O)(O)=O AWUCVROLDVIAJX-UHFFFAOYSA-N 0.000 description 1
- 230000001668 ameliorated effect Effects 0.000 description 1
- 229940024606 amino acid Drugs 0.000 description 1
- 150000001413 amino acids Chemical class 0.000 description 1
- 108010064397 amyloid beta-protein (1-40) Proteins 0.000 description 1
- DZHSAHHDTRWUTF-SIQRNXPUSA-N amyloid-beta polypeptide 42 Chemical compound C([C@@H](C(=O)N[C@@H](C)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@H](C(=O)NCC(=O)N[C@@H](CO)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CCCCN)C(=O)NCC(=O)N[C@@H](C)C(=O)N[C@H](C(=O)N[C@@H]([C@@H](C)CC)C(=O)NCC(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](C(C)C)C(=O)NCC(=O)NCC(=O)N[C@@H](C(C)C)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](C)C(O)=O)[C@@H](C)CC)C(C)C)NC(=O)[C@H](CC=1C=CC=CC=1)NC(=O)[C@@H](NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CCCCN)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@@H](NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)CNC(=O)[C@H](CO)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CC=1C=CC=CC=1)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](C)NC(=O)[C@@H](N)CC(O)=O)C(C)C)C(C)C)C1=CC=CC=C1 DZHSAHHDTRWUTF-SIQRNXPUSA-N 0.000 description 1
- 239000012491 analyte Substances 0.000 description 1
- 238000003556 assay Methods 0.000 description 1
- 229940077388 benzenesulfonate Drugs 0.000 description 1
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 1
- 230000008499 blood brain barrier function Effects 0.000 description 1
- 238000010241 blood sampling Methods 0.000 description 1
- 210000001218 blood-brain barrier Anatomy 0.000 description 1
- MIOPJNTWMNEORI-UHFFFAOYSA-N camphorsulfonic acid Chemical compound C1CC2(CS(O)(=O)=O)C(=O)CC1C2(C)C MIOPJNTWMNEORI-UHFFFAOYSA-N 0.000 description 1
- 238000000738 capillary electrophoresis-mass spectrometry Methods 0.000 description 1
- 210000003169 central nervous system Anatomy 0.000 description 1
- 238000005119 centrifugation Methods 0.000 description 1
- 230000002490 cerebral effect Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- KVSASDOGYIBWTA-UHFFFAOYSA-N chloro benzoate Chemical compound ClOC(=O)C1=CC=CC=C1 KVSASDOGYIBWTA-UHFFFAOYSA-N 0.000 description 1
- 230000003930 cognitive ability Effects 0.000 description 1
- 208000010877 cognitive disease Diseases 0.000 description 1
- BALGDZWGNCXXES-UHFFFAOYSA-N cyclopentane;propanoic acid Chemical compound CCC(O)=O.C1CCCC1 BALGDZWGNCXXES-UHFFFAOYSA-N 0.000 description 1
- GHVNFZFCNZKVNT-UHFFFAOYSA-M decanoate Chemical compound CCCCCCCCCC([O-])=O GHVNFZFCNZKVNT-UHFFFAOYSA-M 0.000 description 1
- GHVNFZFCNZKVNT-UHFFFAOYSA-N decanoic acid Chemical compound CCCCCCCCCC(O)=O GHVNFZFCNZKVNT-UHFFFAOYSA-N 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 230000002939 deleterious effect Effects 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 238000002405 diagnostic procedure Methods 0.000 description 1
- 230000001079 digestive effect Effects 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-M dihydrogenphosphate Chemical compound OP(O)([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-M 0.000 description 1
- XPPKVPWEQAFLFU-UHFFFAOYSA-J diphosphate(4-) Chemical compound [O-]P([O-])(=O)OP([O-])([O-])=O XPPKVPWEQAFLFU-UHFFFAOYSA-J 0.000 description 1
- 235000011180 diphosphates Nutrition 0.000 description 1
- MOTZDAYCYVMXPC-UHFFFAOYSA-N dodecyl hydrogen sulfate Chemical compound CCCCCCCCCCCCOS(O)(=O)=O MOTZDAYCYVMXPC-UHFFFAOYSA-N 0.000 description 1
- 229940043264 dodecyl sulfate Drugs 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000000132 electrospray ionisation Methods 0.000 description 1
- 210000002889 endothelial cell Anatomy 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000001073 episodic memory Effects 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 201000005884 exanthem Diseases 0.000 description 1
- 238000011049 filling Methods 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 238000013467 fragmentation Methods 0.000 description 1
- 238000006062 fragmentation reaction Methods 0.000 description 1
- 229940050411 fumarate Drugs 0.000 description 1
- 231100000869 headache Toxicity 0.000 description 1
- MNWFXJYAOYHMED-UHFFFAOYSA-N heptanoic acid Chemical compound CCCCCCC(O)=O MNWFXJYAOYHMED-UHFFFAOYSA-N 0.000 description 1
- KKLGDUSGQMHBPB-UHFFFAOYSA-N hex-2-ynedioic acid Chemical compound OC(=O)CCC#CC(O)=O KKLGDUSGQMHBPB-UHFFFAOYSA-N 0.000 description 1
- IPCSVZSSVZVIGE-UHFFFAOYSA-M hexadecanoate Chemical compound CCCCCCCCCCCCCCCC([O-])=O IPCSVZSSVZVIGE-UHFFFAOYSA-M 0.000 description 1
- FUZZWVXGSFPDMH-UHFFFAOYSA-N hexanoic acid Chemical compound CCCCCC(O)=O FUZZWVXGSFPDMH-UHFFFAOYSA-N 0.000 description 1
- 238000004128 high performance liquid chromatography Methods 0.000 description 1
- 238000000589 high-performance liquid chromatography-mass spectrometry Methods 0.000 description 1
- XMBWDFGMSWQBCA-UHFFFAOYSA-N hydrogen iodide Chemical compound I XMBWDFGMSWQBCA-UHFFFAOYSA-N 0.000 description 1
- ZMZDMBWJUHKJPS-UHFFFAOYSA-N hydrogen thiocyanate Natural products SC#N ZMZDMBWJUHKJPS-UHFFFAOYSA-N 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-M hydrogensulfate Chemical compound OS([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-M 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 238000001114 immunoprecipitation Methods 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- KQNPFQTWMSNSAP-UHFFFAOYSA-N isobutyric acid Chemical compound CC(C)C(O)=O KQNPFQTWMSNSAP-UHFFFAOYSA-N 0.000 description 1
- 238000002372 labelling Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000009593 lumbar puncture Methods 0.000 description 1
- IWYDHOAUDWTVEP-UHFFFAOYSA-M mandelate Chemical compound [O-]C(=O)C(O)C1=CC=CC=C1 IWYDHOAUDWTVEP-UHFFFAOYSA-M 0.000 description 1
- 238000001819 mass spectrum Methods 0.000 description 1
- 206010027175 memory impairment Diseases 0.000 description 1
- 230000007334 memory performance Effects 0.000 description 1
- 125000005341 metaphosphate group Chemical group 0.000 description 1
- IZYBEMGNIUSSAX-UHFFFAOYSA-N methyl benzenecarboperoxoate Chemical compound COOC(=O)C1=CC=CC=C1 IZYBEMGNIUSSAX-UHFFFAOYSA-N 0.000 description 1
- 229940095102 methyl benzoate Drugs 0.000 description 1
- 208000027061 mild cognitive impairment Diseases 0.000 description 1
- 238000010172 mouse model Methods 0.000 description 1
- PSZYNBSKGUBXEH-UHFFFAOYSA-N naphthalene-1-sulfonic acid Chemical compound C1=CC=C2C(S(=O)(=O)O)=CC=CC2=C1 PSZYNBSKGUBXEH-UHFFFAOYSA-N 0.000 description 1
- KVBGVZZKJNLNJU-UHFFFAOYSA-N naphthalene-2-sulfonic acid Chemical compound C1=CC=CC2=CC(S(=O)(=O)O)=CC=C21 KVBGVZZKJNLNJU-UHFFFAOYSA-N 0.000 description 1
- 235000001968 nicotinic acid Nutrition 0.000 description 1
- 239000011664 nicotinic acid Substances 0.000 description 1
- WWZKQHOCKIZLMA-UHFFFAOYSA-M octanoate Chemical compound CCCCCCCC([O-])=O WWZKQHOCKIZLMA-UHFFFAOYSA-M 0.000 description 1
- 238000005457 optimization Methods 0.000 description 1
- 238000010238 partial least squares regression Methods 0.000 description 1
- 210000005259 peripheral blood Anatomy 0.000 description 1
- 239000011886 peripheral blood Substances 0.000 description 1
- JRKICGRDRMAZLK-UHFFFAOYSA-L peroxydisulfate Chemical compound [O-]S(=O)(=O)OOS([O-])(=O)=O JRKICGRDRMAZLK-UHFFFAOYSA-L 0.000 description 1
- DYUMLJSJISTVPV-UHFFFAOYSA-N phenyl propanoate Chemical compound CCC(=O)OC1=CC=CC=C1 DYUMLJSJISTVPV-UHFFFAOYSA-N 0.000 description 1
- 229940049953 phenylacetate Drugs 0.000 description 1
- WLJVXDMOQOGPHL-UHFFFAOYSA-N phenylacetic acid Chemical compound OC(=O)CC1=CC=CC=C1 WLJVXDMOQOGPHL-UHFFFAOYSA-N 0.000 description 1
- 229960005190 phenylalanine Drugs 0.000 description 1
- 229950009215 phenylbutanoic acid Drugs 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- XNGIFLGASWRNHJ-UHFFFAOYSA-L phthalate(2-) Chemical compound [O-]C(=O)C1=CC=CC=C1C([O-])=O XNGIFLGASWRNHJ-UHFFFAOYSA-L 0.000 description 1
- 229940075930 picrate Drugs 0.000 description 1
- OXNIZHLAWKMVMX-UHFFFAOYSA-M picrate anion Chemical compound [O-]C1=C([N+]([O-])=O)C=C([N+]([O-])=O)C=C1[N+]([O-])=O OXNIZHLAWKMVMX-UHFFFAOYSA-M 0.000 description 1
- 229950010765 pivalate Drugs 0.000 description 1
- IUGYQRQAERSCNH-UHFFFAOYSA-N pivalic acid Chemical compound CC(C)(C)C(O)=O IUGYQRQAERSCNH-UHFFFAOYSA-N 0.000 description 1
- 239000002243 precursor Substances 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- KCXFHTAICRTXLI-UHFFFAOYSA-N propane-1-sulfonic acid Chemical compound CCCS(O)(=O)=O KCXFHTAICRTXLI-UHFFFAOYSA-N 0.000 description 1
- UORVCLMRJXCDCP-UHFFFAOYSA-M propynoate Chemical compound [O-]C(=O)C#C UORVCLMRJXCDCP-UHFFFAOYSA-M 0.000 description 1
- 238000000009 pyrolysis mass spectrometry Methods 0.000 description 1
- 238000005173 quadrupole mass spectroscopy Methods 0.000 description 1
- 238000011155 quantitative monitoring Methods 0.000 description 1
- 206010037844 rash Diseases 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 229960001860 salicylate Drugs 0.000 description 1
- 229940116351 sebacate Drugs 0.000 description 1
- CXMXRPHRNRROMY-UHFFFAOYSA-L sebacate(2-) Chemical compound [O-]C(=O)CCCCCCCCC([O-])=O CXMXRPHRNRROMY-UHFFFAOYSA-L 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 231100000046 skin rash Toxicity 0.000 description 1
- AWUCVROLDVIAJX-GSVOUGTGSA-N sn-glycerol 3-phosphate Chemical compound OC[C@@H](O)COP(O)(O)=O AWUCVROLDVIAJX-GSVOUGTGSA-N 0.000 description 1
- 239000007921 spray Substances 0.000 description 1
- TYFQFVWCELRYAO-UHFFFAOYSA-L suberate(2-) Chemical compound [O-]C(=O)CCCCCCC([O-])=O TYFQFVWCELRYAO-UHFFFAOYSA-L 0.000 description 1
- 229940095064 tartrate Drugs 0.000 description 1
- 102000013498 tau Proteins Human genes 0.000 description 1
- 108010026424 tau Proteins Proteins 0.000 description 1
- KKEYFWRCBNTPAC-UHFFFAOYSA-L terephthalate(2-) Chemical compound [O-]C(=O)C1=CC=C(C([O-])=O)C=C1 KKEYFWRCBNTPAC-UHFFFAOYSA-L 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 238000002366 time-of-flight method Methods 0.000 description 1
- ZDPHROOEEOARMN-UHFFFAOYSA-N undecanoic acid Chemical compound CCCCCCCCCCC(O)=O ZDPHROOEEOARMN-UHFFFAOYSA-N 0.000 description 1
- 238000009777 vacuum freeze-drying Methods 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
- 229940071104 xylenesulfonate Drugs 0.000 description 1
Classifications
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/68—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids
- G01N33/6893—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids related to diseases not provided for elsewhere
- G01N33/6896—Neurological disorders, e.g. Alzheimer's disease
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
Definitions
- the invention relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339
- the invention in a second aspect relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia.
- a third aspect of the invention and a fourth aspect of the invention both relate to methods for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia.
- the invention in a fifth aspect, relates to a second diagnostic use, and a sixth aspect of the invention is directed to a device adapted for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, whereas a seventh aspect of the invention is related to a kit for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia.
- AD Alzheimer's disease
- CAA cerebral ⁇ -amyloid angiopathy
- a ⁇ ⁇ -amyloid peptides
- Treatment of AD several active agents are known, such as, for example, Thiethylperazine [1].
- diagnosis higher amounts of A ⁇ peptides of 40 and 42 amino acids in the brain are partly reflected by an increase of these peptides in the peripheral blood stream and are utilized as diagnostic indicator for Alzheimer’s disease.
- the present invention relates in a first aspect to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146
- the terms “have”, “comprise” or “include” or any arbitrary grammatical variations thereof are used in a non-exclusive way. Thus, these terms may both refer to a situation in which, besides the feature introduced by these terms, no further features are present in the entity described in this context and to a situation in which one or more further features are present.
- the expressions “A has B”, “A comprises B” and “A includes B” may both refer to a situation in which, besides B, no other element is present in A (i.e. a situation in which A solely and exclusively consists of B) and to a situation in which, besides B, one or more further elements are present in entity A, such as element C, elements C and D or even further elements.
- identifying a subject suffering from Alzheimer's dementia is synonymous with “diagnosing Alzheimer's dementia (AD) in a subject”, wherein “identifying” as well as “diagnosing” as used herein both refer to assessing whether a Ka disease or not. Accordingly, the presence or the absence of a disease in the subject can be diagnosed. Preferably, the term refers to ruling in or ruling out said disease. As will be understood by those skilled in the art, such an assessment, although preferred to be, may usually not be correct for 100% of the investigated subjects. The term, however, requires that a statistically significant portion of subjects can be correctly assessed and, thus, diagnosed.
- Whether a portion is statistically significant can be determined without further ado by the person skilled in the art using various well known statistic evaluation tools, e.g., determination of confidence intervals, p-value determination, Student ⁇ s t- test, Mann-Whitney test, and so on. Details can, for example, be found in Dowdy and Wearden, Statistics for Research, John Wiley & Sons, New York 1983.
- Preferred confidence intervals are at least 50%, at least 60%, at least 70%, at least 80%, at least 90% or at least 95%.
- the p-values are, preferably, 0.2 or lower, 0.1 or lower, or 0.05 or lower.
- monitoring includes individual diagnosis of a disease or its symptoms as well as continuous monitoring of a patient.
- Monitoring i.e. diagnosing the presence or absence of a disease or the symptoms accompanying it at various time points, includes monitoring of patients known to suffer from the disease as well as monitoring of subjects known to be at risk of developing the disease, e.g. subjects with, for example, a genetic predisposition for the disease or subjects who have been determined as being at risk based on the above-identified method.
- monitoring can also be used to determine whether a patient is treated successfully or whether at least symptoms of the disease can be ameliorated over time by a certain therapy.
- monitoring may be used for active patient management including deciding on hospitalization, intensive care measures and/or additional qualitative monitoring as well as quantitative monitoring measures.
- identifying a subject being at risk of developing Alzheimer’s dementia refers to assessing the probability according to which a subject will suffer from Alzheimer’s dementia within a certain time window, i.e. the predictive window.
- the term preferably, relates to predicting whether or not there is an increased risk for Alzheimer’s dementia compared to the average risk for developing Alzheimer’s dementia in a population of subjects rather than giving a precise probability for the said risk.
- AD Alzheimer's dementia
- Biomarkers relevant for AD are biomarkers of neurodegeneration, which are known to the skilled person, like for example, Abeta-40, Abeta-42, or Abeta42/40 ratio, phosphorylated variants of the Tau -protein (e.g. p-Tau181, p-Tau217 etc.), Glial fibrillary acidic protein (GFAP), Neurofilament light chain (NfL) etc. in bodily fluids (blood, CSF).
- GFAP Glial fibrillary acidic protein
- NfL Neurofilament light chain
- Methods for determining whether a subject is suffering from AD are related to determination of the cognitive abilities by one or more tests, which are known to the skilled person, like for example, ADAS- Cog, FCSRT, ADCS-iADL, QoL-AD, CDR, MMSE etc. in a subject.
- subject as used herein, relates to a multicellular animal, preferably to a vertebrate, more preferably to a mammal, more preferably a human.
- a “body fluid sample” is a sample from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, preferably the body fluid sample is a blood sample.
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia is an in vitro method.
- the term “determining the amount” means a determination based on mass spectrometry (MS).
- MS mass spectrometry
- Mass spectrometry as used herein encompasses all techniques which allow for the determination of the molecular weight (i.e. the mass) or a mass variable corresponding to a compound, i.e. a metabolic analyte.
- mass spectrometry as used herein relates to GC-MS, LC-MS, direct infusion mass spectrometry, FT-ICR-MS, CE-MS, HPLC-MS, quadrupole mass spectrometry, any sequentially coupled mass spectrometry such as MS-MS or MS-MS-MS, ICP- MS, Py-MS, TOF or any combined approaches using the aforementioned techniques. How to apply these techniques is well known to the person skilled in the art. Moreover, suitable devices are commercially available. More preferably, mass spectrometry as used herein relates to LC-MS and/or GC-MS, i.e. to mass spectrometry being operatively linked to a prior chromatographic separation step.
- mass spectrometry as used herein encompasses LC-MS/MS (Liquid-Chromatography-Mass spectrometry/Mass spectrometry).
- Liquid chromatography refers to all techniques which allow for separation of compounds (e.g. of the at least two metabolic analytes to be determined in accordance with the present invention) in liquid or supercritical phase. Liquid chromatography is characterized in that compounds in a mobile phase are passed through the stationary phase. When compounds pass through the stationary phase at different rates they become separated in time since each individual compound has its specific retention time (i.e. the time which is required by the compound to pass through the system). Liquid chromatography as used herein also includes HPLC.
- the least one compound having a mass in gram/mol is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2).
- At least a compound having a mass in gram/mol of 110.0367 is determined in (a) and the determined amount thereof is analysed in (b).
- the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and analysed in (b) , wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367.
- the amount of at least two compounds, preferably at least six compounds, more preferably at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and analysed in (b) , wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367.
- the invention also relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amounts of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4; (b) analyzing the determined amounts for the at least two compounds using a computer- implemented prediction algorithm that is capable of predicting AD in a subject based on the at least two compounds, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted.
- AD Alzheimer's dementia
- the first body fluid sample derives from a subject after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof, wherein the sample was preferably taken within 0.5 hours to 8 hours after TEP administration.
- said computer- implemented prediction algorithm uses a supervised machine-learning algorithm that has been trained by a training dataset comprising quantitative or qualitative data for - the at least one, preferably at least two, more preferably at least three, more preferably at least four, more preferably at least five, compound(s) from Group 1, or Group 2, optionally in combination with the at least one further compound from Group 3; or optionally in combination with the at least one further compound from Group 4, or - the at least two, more preferably at least six, more preferably at least seven, compound(s) from Group 1, or Group 2 optionally in combination with the at least one further compound from Group 3, or optionally in combination with the at least one further compound from Group 4; or - the at least two compounds from Group 3, preferably from Group 4; in body fluid samples from subjects known to suffer from AD and subjects known not to suffer from AD.
- a training dataset comprising quantitative or qualitative data for - the at least one, preferably at least two, more preferably at least three, more preferably at least four, more preferably at least five, compound(s
- the term Hauscomputer-implemented prediction algorithm“ as used herein refers to a prediction algorithm that is carried out automatically by a data processing device such as a computer.
- the said data processing device preferably, comprises tangibly embedded rules for automatically carrying out the prediction algorithm based on the measurement results obtained in the method of the invention.
- Said measurement results may be, preferably, stored in a database which can be permanently or temporarily linked to the data processor.
- the linkage may be, preferably, a direct linkage by wire or a wireless linkage.
- the prediction algorithm as referred to herein is an algorithm which determines a parameter that is associated with the likelihood for a subject of suffering from AD.
- the prediction algorithm as referred to herein shall generate the aforementioned parameter and may process it further in order to establish a diagnostic result in accordance with the method of the invention.
- the (computer-implemented prediction) parameter can be determined as set forth elsewhere herein.
- said supervised machine-learning algorithm establishes a classifying algorithm selected from the group consisting of Logistic Regression, Stochastic Gradient Descent Classifier (SGDClassifier), Decision Tree classifier, Random Tree classifier, Extra Tree classifier, AdaBoost Classifier, Multi-layer Perceptron classifier , Gradient Boosting Classifier, Gaussian Naive Bayes, K Nearest Neighbor classifier, C-Support Vector Classification, Quadratic Discriminant Analysis, and Linear Regression.
- a classifying algorithm selected from the group consisting of Logistic Regression, Stochastic Gradient Descent Classifier (SGDClassifier), Decision Tree classifier, Random Tree classifier, Extra Tree classifier, AdaBoost Classifier, Multi-layer Perceptron classifier , Gradient Boosting Classifier, Gaussian Naive Bayes, K Nearest Neighbor classifier, C-Support Vector Classification, Quadratic Discriminant Analysis, and Linear Regression.
- the computer-implemented prediction parameter here is y. Positive y-values indicate a likelihood for a subject of suffering or not suffering from AD, i.e. are a prediction of the respective condition.
- Each coefficient has preferably a value in a range as indicated in Table 2 in the experimental part, wherein each range excludes zero – see for each specific mass combination the related line called “Ranges” in Table 2.
- the Intercept I has a value in the range of from -50 to +50, excluding zero
- the coefficients of the respective masses have a ratio to each other in the ranges indicated below in Table A, more preferred as indicated below in Table B, more preferred as indicated below in Table C, wherein these ratios more preferably apply for combinations of masses from Group 2, optionally in combinations with masses of Group 4:
- the “lower half” refers to the section below the diagonal line indicated by the “//” signs and the “Upper half” refers to the section above that line.
- at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in (a) and analysed in (b).
- at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in (a) and analysed in (b).
- at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in (a) and analysed in (b).
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in (a) and analysed in (b).
- the invention relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1
- Thiethylperazine (IUPAC: 2-(ethylsulfanyl)-10-[3-(4-methylpiperazin-1-yl)propyl]-10H- phenothiazine, CAS: 1420-55-9, TEP) has been proven effective in murine models of Alzheimer’s disease (AD) to export amyloid beta (Abeta) from and through the endothelial cells of the blood– brain barrier to the periphery. It has also been shown that pharmaceutical activation of ABCC1 can reduce amyloid plaque deposition in the brain.
- AD Alzheimer’s disease
- Abeta amyloid beta
- a pharmaceutically acceptable salt which is pharmaceutically acceptable in the sense of being not deleterious to the recipient thereof and, preferably, being compatible with optional other ingredients of a formulation thereof.
- a pharmaceutically acceptable salt is a salt of thiethylperazine causing at most moderate adverse drug reactions, preferably causing at most mild adverse drug reactions.
- mild adverse reactions relates to adverse reactions not requiring medical intervention, such as skin rashes, headaches, digestive disturbances, fatigue, and the like; “moderate” adverse reactions are adverse reactions requiring medical intervention, but not being potentially life-threatening.
- a pharmaceutically acceptable salt comprises one or more anion(s) selected from the group consisting of sulfate, pyrosulfate, bisulfate, sulfite, bisulfite, phosphate, monohydrogen phosphate, dihydrogen phosphate, metaphosphate, pyrophosphate, chloride, bromide, iodide, acetate, propionate, decanoate, caprylate, acrylate, formate, isobutyrate, caprate, heptanoate, propiolate, oxalate, malonate, succinate, suberate, sebacate, fumarate, malate, maleate, butyne-1,4-dioate, hexyne-1,6- dioate, benzoate, chlorobenzoate, methylbenzoate, dinitrobenzoate, hydroxybenzoate, methoxybenzoate, phthalate, terephthalate, sulfonate, xy
- a pharmaceutically acceptable salt comprises one or 5 more anion(s) selected from the group consisting of chloride, sulfate, mesylate, besylate, tosylate, fumarate, malonate, malate, maleate, succinate, lactate, glycolate, citrate, aspartate and mandelate, preferably malate and/or maleate, more preferably maleate.
- the at least one compound having a mass in gram/mol, of which the amount is determined in (a) and (b), the change is determined in (c) and analysed in (d) is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2).
- the at least one compound having a mass in gram/mol, of which the amount is determined in (a) and (b), the change is determined in (c) and analysed in (d) is at least a compound having a mass in gram/mol of 110.0367.
- the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in (a) and (b), the change compared in (c) and analysed in (d), wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367.
- the amount of at least two compounds, preferably at least six compounds or at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in (a) and (b), the change compared in (c) and analysed in (d), wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367.
- the method comprises: (a) determining in a first body fluid sample of the subject the amount of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably from the group consisting of Group 4; (b) determining in a second body fluid sample of the subject the amount of the same at least two compounds as in (a); (c) determining the change of the amount of the at least two compounds determined according to (a) compared to the respective amount of the at least two compounds determined according to (b); (d) analyzing the changes as determined in (c) using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted.
- a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted.
- At least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having a mass of 254.1153 gram/mol is determined in (a) and (b), the change compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- At least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
- the amount determination in any one of steps (a) and/or (b) is done by mass spectrometry (MS), preferably by a tandem mass spectrometry (MS/MS), more preferably by a tandem mass spectrometry in combination with a preceding liquid chromatography (LC-MS/MS); further details can be found in the section related to the first aspect of the invention.
- MS mass spectrometry
- MS/MS tandem mass spectrometry
- LC-MS/MS liquid chromatography
- the method is an in vitro method.
- subject as used herein, relates to a multicellular animal, preferably to a vertebrate, more preferably to a mammal, more preferably a human.
- the body fluid sample is selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, preferably the body fluid sample is a blood sample; and respectively the first body fluid sample and the second body fluid sample are independently of each other selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein preferably, the first body fluid sample and the second body fluid sample are the same kind of sample and are both selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein more preferably, first body fluid sample and second body fluid sample are both each a blood sample (first blood sample and second blood sample).
- the invention relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 33
- the at least one compound having a mass in gram/mol is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2).
- the amount of a compound having a mass of 110.0367 gram/mol is determined and compared in (c).
- the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of each of the at least two compounds, preferably each of the at least three compounds, more preferably each of the at least four compounds, more preferably each of the at least five compounds, according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass
- the amount of at least two compounds, preferably at least six compounds or at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of each of the at least two compounds, preferably each of the at least six compounds, more preferably each of the at least seven compounds, according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass of 110.0367 gram/mol.
- the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), more preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is additionally determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of the at least one compound according to (b) compared with the amount as determined in (a) and a change of the amount of the at least one further compound according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- the method comprises: (a) determining in a first body fluid sample of the subject the amount of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably Group 4; (b) determining in a second body fluid sample of the subject the amount of the same at least two compound as in (a); (c) comparing the amounts of the at least two compounds determined according to (a) to the respective amounts of the at least two compounds determined according to (b), wherein a change of the amounts of the at least two compounds according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethyl
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 2 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 40 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 2 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’
- the amount determination in any one of steps (a) and/or (b) is done by mass spectrometry (MS), preferably by a tandem mass spectrometry (MS/MS), more preferably by a tandem mass spectrometry in combination with a preceding liquid chromatography (LC-MS/MS) further details can be found in the section related to the first aspect of the invention.
- MS mass spectrometry
- MS/MS tandem mass spectrometry
- LC-MS/MS liquid chromatography
- the body fluid sample is selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, preferably the body fluid sample is a blood sample; and respectively the first body fluid sample and the second body fluid sample are independently of each other selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein preferably, the first body fluid sample and the second body fluid sample are the same kind of sample and are both selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein more preferably, first body fluid sample and second body fluid sample are both each a blood sample (first blood sample and second blood sample).
- a fourth aspect of the invention refers to a method for identifying a subject suffering from Alzheimer's dementia (AD), the method comprising: (a) determining in a body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350
- the definitions given in the section related to the first aspect and the explanations related to thiethylperazine (TEP) and its pharmaceutically acceptable salts given in the second and third section apply also here in the section related to the fourth aspect of the invention.
- the least one compound having a mass in gram/mol is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2).
- At least the amount of a compound having a mass in gram/mol of 110.0367 is determinedand compared in (b).
- the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amount of each of the at least two compounds, preferably each of the at least three compounds, more preferably each of the at least four compounds, more preferably of the at least five compounds, indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367.
- the amount of at least two compounds, preferably at least six compounds, more preferably at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amount of each of the at least two compounds, preferably each of the at least six compounds, more preferably each of the at least seven compounds, indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367..
- the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), more preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is determined in a first body fluid sample of the subject in steps (a) and compared in (b), wherein a change of the amount of each of the at least one compound compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100% indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- the fourth aspect of the invention also relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a body fluid sample of the subject the amounts of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4; (b) comparing the amounts of the at least two compounds determined according to (a) to a mean amount of a healthy subject, wherein a change of the amounts of the at least two compounds according to (a) compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100%, indicates Alzheimer’s dementia for the subject or indicates that the subject is at risk of developing Alzheimer’s dementia; wherein said body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
- AD Alzheimer's dementia
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 12 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- At least the amounts of a compound having a mass 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds a by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- the mean amount of a healthy subject is a reference value of a healthy subject from literature, or a reference value previously determined from healthy subjects or a reference value from a body fluid sample of the subject prior to TEP administration.
- the amount determination in any one of steps (a) and/or (b) is done by mass spectrometry (MS), preferably by a tandem mass spectrometry (MS/MS), more preferably by a tandem mass spectrometry in combination with a preceding liquid chromatography (LC-MS/MS) further details can be found in the section related to the first aspect of the invention.
- the method is an in vitro method.
- the term "subject”, as used herein, relates to a multicellular animal, preferably to a vertebrate, more preferably to a mammal, more preferably a human.
- the body fluid sample is selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, preferably the body fluid sample is a blood sample; and respectively the first body fluid sample and the second body fluid sample are independently of each other selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein preferably, the first body fluid sample and the second body fluid sample are the same kind of sample and are both selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein more preferably, first body fluid sample and second body fluid sample are both each a blood sample (first blood sample and second blood sample).
- a fifth aspect of the invention relates to at least one compound having a mass in gram/mol selected from the group consisting of Group 1, or Group 2, or as defined in any one of the preferred embodiments described in the previous sections related to the first, the second, the third or the fourth aspect of the invention, and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4, for diagnosing AD in a subject or for determining the risk of a subject to develop AD.
- Groups 1, 2, 3 and 4 are as defined above in the sections related to the first, the second, the third or the fourth aspect of the invention.
- At least two compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 described above in the sections related to the first, the second, the third or the fourth aspect of the invention preferably at least three compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention, more preferably at least four compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention; more preferably at least five compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention, each optionally in combination with
- At least two compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention preferably at least six compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention, more preferably at least seven compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 a as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention; each optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4, are used.
- At least two compounds having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 for diagnosing AD in a subject or for determining the risk of a subject to develop AD are at least two compounds having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 for diagnosing AD in a subject or for determining the risk of a subject to develop AD.
- the fifth aspect of the invention also relates to the use of at least one compound having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention, and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 in a sample of a subject for diagnosing AD in said subject or for determining the risk of said subject to develop AD.
- Groups 1, 2, 3 and 4 are as defined above in the sections related to the first, the second, the third or the fourth aspect of the invention.
- At least two, preferably at least three, more preferably at least four, more preferably at least five, compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 a as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 in a sample of a subject are used for diagnosing AD in said subject or for determining the risk of said subject to develop AD.
- At least two, preferably at least six, more preferably at least seven, compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 in a sample of a subject are used for diagnosing AD in said subject or for determining the risk of said subject to develop AD.
- At least two compounds having a mass in gram/mol selected from the group consisting of Group 3 or group 4 in a sample of a subject for diagnosing AD in said subject or for determining the risk of said subject to develop AD are at least two compounds having a mass in gram/mol selected from the group consisting of Group 3 or group 4 in a sample of a subject for diagnosing AD in said subject or for determining the risk of said subject to develop AD.
- a sixth aspect of the invention relates to a device adapted for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the device comprising: (a) an analyzing unit capable of determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of Group 1; (b) a data processor adopted for analyzing the determined amount for the at least one compound using a prediction algorithm implemented in said data processor that is capable of predicting AD in a subject based on the at least two compounds, whereby a subject suffering from AD is identified if AD is predicted or a subject being at risk of developing Alzheimer’s dementia is identified if AD is predicted.
- AD Alzheimer's dementia
- Preferred embodiments of the device especially related to compounds having specific masses in gram/mol and specific groups thereof such as Group 2, Group 3 and Group 4, are as described above in the sections related to the first, the second, the third or the fourth aspect of the invention. Also the definitions indicated above in these sections apply also here in the section related to the device.
- the invention relates to a kit for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the kit comprising a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 1 or Group 2, optionally a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 3, or optionally a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 4, and optionally one or more reagents for sample preparation and/or extraction.
- AD Alzheimer's dementia
- Preferred embodiments of the device especially related to compounds having specific masses in gram/mol and specific groups thereof such as Group 2, Group 3 and Group 4, are as described above in the sections related to the first, the second, the third or the fourth aspect of the invention. Also the definitions indicated above in these sections apply also here in the section related to the device.
- the present invention is further illustrated by the following embodiments and combinations of embodiments as indicated by the respective dependencies and back-references. In particular, it is noted that in each instance where a range of embodiments is mentioned, for example in the context of a term such as "The process of any one of embodiments 1 to 4", every embodiment in this range is meant to be explicitly disclosed for the skilled person, i.e.
- a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528,
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to embodiment 1or 2 wherein at least a compound having a mass in gram/mol of 110.0367 is determined in (a) and the determined amount thereof is analysed in (b).
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 1 to 3, wherein the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and analysed in (b) , wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367.
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 1 to 4, wherein the amount of at least two compounds, preferably at least six compounds, more preferably at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and analysed in (b) , wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367.
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 1 to 4, wherein the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is additionally determined in a first body fluid sample of the subject in steps (a) and additionally analysed in (b).
- AD Alzheimer's dementia
- a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia comprising: (a) determining in a first body fluid sample of the subject the amounts of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4; (b) analyzing the determined amounts for the at least two compounds using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least two compounds, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted.
- a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least two compounds
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 1 to 7, wherein said computer-implemented prediction algorithm uses a supervised machine- learning algorithm that has been trained by a training dataset comprising quantitative or qualitative data for - the at least one, preferably at least two, more preferably at least three, more preferably at least four, more preferably at least five, compound(s) from Group 1, or Group 2, optionally in combination with the at least one further compound from Group 3; or optionally in combination with the at least one further compound from Group 4, or - the at least two, more preferably at least six, more preferably at least seven, compound(s) from Group 1, or Group 2 optionally in combination with the at least one further compound from Group 3, or optionally in combination with the at least one further compound from Group 4; or - the at least two compounds from Group 3, preferably from Group 4; in body fluid samples from subjects known to suffer from AD and subjects known not to suffer from AD.
- AD Alzheimer's dementia
- said supervised machine-learning algorithm establishes a classifying algorithm selected from the group consisting of Logistic Regression, stochastic gradient descent classifier (SGDClassifier), Decision Tree classifier, Random Tree classifier, Extra Tree classifier, AdaBoost Classifier, Multi-layer Perceptron classifier , Gradient Boosting Classifier, Gaussian Naive Bayes, K Nearest Neighbor classifier, C-Support Vector Classification, Quadratic Discriminant Analysis, and Linear Regression.
- a classifying algorithm selected from the group consisting of Logistic Regression, stochastic gradient descent classifier (SGDClassifier), Decision Tree classifier, Random Tree classifier, Extra Tree classifier, AdaBoost Classifier, Multi-layer Perceptron classifier , Gradient Boosting Classifier, Gaussian Naive Bayes, K Nearest Neighbor classifier, C-Support Vector Classification, Quadratic Discriminant Analysis, and Linear Regression.
- a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (
- the method according to embodiment 25, wherein the at least one compound having a mass in gram/mol, of which the amount is determined in (a) and (b), the change is determined in (c) and analysed in (c) is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2).
- the method according to embodiment 25 or 26, wherein the at least one compound having a mass in gram/mol, of which the amount is determined in (a) and (b), the change is determined in (c) and analysed in (c) is at least a compound having a mass in gram/mol of 110.0367. 28.
- a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia comprising: (a) determining in a first body fluid sample of the subject the amount of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably from the group consisting of Group 4; (b) determining in a second body fluid sample of the subject the amount of the same at least two compounds as in (a); (c) determining the change of the amount of the at least two compounds determined according to (a) compared to the respective amount of the at least two compounds determined according to (b); (d) analyzing the changes as determined in (c) using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted.
- a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a
- a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to embodiment 46 or 47 wherein in (a) and (b) at least the amount of a compound having a mass of 110.0367 gram/mol is determined and compared in (c).
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 48, wherein the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of each of the at least two compounds, preferably each of the at least three compounds, more preferably each of the at least four compounds, more preferably each of the at least five compounds, according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 49, wherein the amount of at least two compounds, preferably at least six compounds or at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of each of the at least two compounds, preferably each of the at least six compounds, more preferably each of the at least seven compounds, according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass of 110.0367 gram/mol.
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 50, wherein the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), more preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is additionally determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of the at least one compound according to (b) compared with the amount as determined in (a) and a change of the amount of the at least one further compound according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia comprising (a) determining in a first body fluid sample of the subject the amount of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3; (b) determining in a second body fluid sample of the subject the amount of the same at least two compound as in (a); (c) comparing the amounts of the at least two compounds determined according to (a) to the respective amounts of the at least two compounds determined according to (b), wherein a change of the amounts of the at least two compounds according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- AD Alzheimer's dementia
- a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- AD Alzheimer's dementia
- a compound having a mass of 175.0633 gram/mol, a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 2 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 40 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 2 % indicates Alzheimer’s dementia for the subject or the risk of
- a method for identifying a subject suffering from Alzheimer's dementia comprising: (a) determining in a body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (Group 1); (b) comparing the amount of the group consisting of
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to embodiment 67 wherein the least one compound having a mass in gram/mol is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2).
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 69, wherein the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amount of each of the at least two compounds, preferably each of the at least three compounds, more preferably each of the at least four compounds, more preferably of the at least five compounds, indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367.
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 70, wherein the amount of at least two compounds, preferably at least six compounds, more preferably at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amount of each of the at least two compounds, preferably each of the at least six compounds, more preferably each of the at least seven compounds, indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367..
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 71, wherein the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), more preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of the at least one compound according to (b) compared with the amount as determined in (a) and a change of the amount of the at least one further compound according to (a) compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100% indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer
- a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia comprising: (a) determining in a body fluid sample of the subject the amounts of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4; (b) comparing the amounts of the at least two compounds determined according to (a) to a mean amount of a healthy subject, wherein a change of the amounts of the at least two compounds according to (a) compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100%, indicates Alzheimer’s dementia for the subject or indicates that the subject is at risk of developing Alzheimer’s dementia; wherein said body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
- AD Alzheimer's dementia
- a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. 76.
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compound by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 12 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
- AD Alzheimer's dementia
- the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein the mean amount of a healthy subject value is a reference value of a healthy subject from literature, or a reference value previously determined from healthy subjects or a reference value from a body fluid sample of the subject prior to TEP administration.
- the method according to any one of embodiments 1 to 89 which is an in vitro method.
- 91 The method of any one of embodiments 1 to 90, wherein the subject is human.
- 92 The method of any one of embodiments 1 to 91, wherein the body fluid sample is selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, preferably the body fluid sample is a blood sample; and respectively the first body fluid sample and the second body fluid sample are independently of each other selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein preferably, the first body fluid sample and the second body fluid sample are the same kind of sample and are both selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein more preferably, first body fluid sample and second body fluid sample are both each a blood sample (first blood sample and second blood sample).
- Group 1 or (Group 2), or as defined in any one of embodiments 1 to 92 and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4, for diagnosing AD in a subject or for determining the risk of a subject to develop AD.
- the at least one compound for use according to embodiment 93 wherein at least two compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92, preferably at least three compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92, more preferably at least four compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92; more preferably at least five compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92; each optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4, are used.
- the at least one compound for use according to embodiment 93 wherein at least two compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92, preferably at least six compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92, more preferably at least seven compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92; each optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4, are used. 96.
- a device adapted for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia comprising: (a) an analyzing unit capable of determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of Group 1; (b) a data processor adopted for analyzing the determined amount for the at least one compound using a prediction algorithm implemented in said data processor that is capable of predicting AD in a subject based on the at least two compounds, whereby a subject suffering from AD is identified if AD is predicted or a subject being at risk of developing Alzheimer’s dementia is identified if AD is predicted. 102.
- a kit for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia comprising a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 1 or Group 2, optionally a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 3, or optionally a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 4, and optionally one or more reagents for sample preparation and/or extraction.
- the present invention is further illustrated by the following reference examples, comparative examples, and examples. EXAMPLES The following Examples shall merely illustrate the invention.
- Isolated or predominant episodic memory deficit manifested as memory performance in the Logical Memory subscale (Delayed Paragraph Recall) from the Wechsler Memory Scale-III of 1 standard deviation below age-adjusted norms.
- I.2 Blood sampling Samples of 10 ml venous blood were collected in standardized test tubes containing EDTA and gently shaken 1-2 times. As soon as possible (within max.30 min.) samples were centrifuged at 1600 g, room temperature for 10 min. Plasma was aliquoted into 6 portions of 0.5 ml. All aliquots were frozen into a deep freezer (-80 °C) within 10 min after the centrifugation and stored until use.
- Untargeted Metabolomics refers to the high-throughput analysis of the metabolic state of a biological system (see Matthaios- Emmanouil P Papadimitropoulos, Catherine G Vasilopoulou, Christoniki Maga-Nteve, Maria I Klapa in Methods Mol Biol.2018;1738:133-147; doi: 10.1007/978-1-4939-7643-0_9.).
- Formic acid was purchased from DIMKA (50144-50ml, USA) and ammonium formate (17843-250G, Honeywell Fluka, USA) was obtained from Fluka. Ultrapure water was filtered through the Milli-Q system. 2 Metabolite extraction Metabolite extraction was primarily performed according to previously reported methods[[4][5]. In short, 100 ⁇ L plasma samples were extracted by directly adding 300 ⁇ L of precooled methanol and acetonitrile (2:1, v/v), internal standards mix 1 (IS1) and internal standards mix 2 (IS2) were added for quality control of sample preparation.
- IS1 internal standards mix 1
- IS2 internal standards mix 2
- Chromatographic conditions The samples were analyzed on a Waters 2D UPLC (Waters, USA), coupled to a Q-Exactive mass spectrometer (Thermo Fisher Scientific, USA) with a heated electrospray ionization (HESI) source and controlled by the Xcalibur 2.3 software program (Thermo Fisher Scientific, Waltham, MA, USA). Chromatographic separation was performed on a Waters ACQUITY UPLC BEH C18 column (1.7 ⁇ m, 2.1 mm ⁇ 100 mm, Waters, USA), and the column temperature was maintained at 45 °C.
- HESI heated electrospray ionization
- the mobile phase consisted of 0.1 % formic acid (A) and acetonitrile (B) in the positive mode, and in the negative mode, the mobile phase consisted of 10 mM ammonium formate (A) and acetonitrile (B).
- the gradient conditions were as follows: 0-1 min, 2 % B; 1-9 min, 2 % - 98 % B; 9-12 min, 98 % B; 12-12.1 min, 98 % B to 2 % B; and 12.1-15 min, 2 % B.
- the flow rate was 0.35 mL/min and the injection volume was 5 ⁇ L.
- the stepped normalized collision energy was set to 20, 40 and 60 eV. In order to provide more reliable experimental results during instrument testing, the samples were randomly ordered to reduce system errors. A QC sample was interspersed for every 10 samples. 4 Data preprocessing The mass spectrometry raw data (raw file) collected by LC-MS/MS was imported into Compound Discoverer 3.1 (Thermo Fisher Scientific, USA) for data processing, including: peak extraction, retention time correction within and between groups, additive ion pooling, missing value filling, background peak labeling, and metabolite identification. Finally, information on compound molecular weight, retention time, peak area, and identification results were exported.
- the identification of metabolites is a combined result of BGI self-built standard library, mzCloud and ChemSpider (HMDB, KEGG, LipidMaps) databases.
- the results of the Compound Discoverer 3.1 export are imported into metaX for data preprocessing, including: 1. Normalizing the data using the Probabilistic Quotient Normalization (PQN [6]) to obtain the relative peak area.2. Correcting the batch effect using QC-RLSC [[4] (Quality control-based robust LOESS signal correction); 3. Calculating the CV (Coefficient of Variation) of the relative peak area in all QC samples, and deleting the compounds with CV greater than 30%.
- Probabilistic Quotient Normalization Probabilistic Quotient Normalization is the calculation of the average of all QC samples for each feature to obtain a reference vector; calculating the median between the reference vector and each sample and obtaining the coefficient vector associated with each sample, then normalization was performed by dividing each sample by the median of the coefficient vectors (the median of each sample is different).
- QC-RLSC [[4]: Local polynomial regression fitting signal correction (QC-RLSC) based on QC sample information. Data quality was assessed by repeatability of QC sample detection. The content includes chromatogram overlap of the QC sample, PCA, peak number and peak response intensity difference.
- PLS-DA Partial Least Squares-Discriminant Analysis
- Dataset 2 was then consecutively filtered for (i) masses that are not significantly different between healthy and AD subjects at the pre-TEP time point and (ii) masses that are significantly different at the post-TEP time point according to Students T-test after running PLS-DA to produce dataset 3.
- Dataset 3 was then checked for masses that were found to have highly correlating masses in dataset 1. Four such masses were identified and the correlating masses, excluded from dataset 2, were reintroduced into dataset 3 to give the final dataset comprising 45 masses. 3.
- the classifier with the highest area under the ROC curve (AUC) was then evaluated on the remaining 30 % of the data set using the leave-one-out method (outer loop) to assess the generalizability and accuracy of the model and mass combination.
- Results The screening revealed a large number of combinations of 1 to 7 of the 45 found masses that were most valuable for accurate prediction of the disease status.
- Table 2 shows an exemplary selection of mass combinations that predicted the disease status with high accuracy. Because the calculation of predictions of most classifiers was hard or not at all to depict, only logistic regression algorithms were chosen for this table 2. However, in most cases, the decisive factor for accurate prediction was the combination of masses and not the algorithm used for the prediction, which again highlights the validity of the selected masses.
- Non-targeted UHPLC-MS metabolomic data processing methods a comparative investigation of normalisation, missing value imputation, transformation and scaling[J].
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Chemical & Material Sciences (AREA)
- Bioinformatics & Cheminformatics (AREA)
- General Health & Medical Sciences (AREA)
- Hematology (AREA)
- Immunology (AREA)
- Medicinal Chemistry (AREA)
- Molecular Biology (AREA)
- Urology & Nephrology (AREA)
- Cell Biology (AREA)
- Psychiatry (AREA)
- Microbiology (AREA)
- Physics & Mathematics (AREA)
- Analytical Chemistry (AREA)
- Biochemistry (AREA)
- Biotechnology (AREA)
- General Physics & Mathematics (AREA)
- Pathology (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Hospice & Palliative Care (AREA)
- Food Science & Technology (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Investigating Or Analysing Biological Materials (AREA)
Abstract
In a first aspect the invention relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer's dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least a compound having a mass in gram/mol of 110.0367; (b) determining in a second body fluid sample of the subject the amount of the same compound as in (a); (c) determining the change of the amount of the compound determined according to (a) compared to the respective amount of the compound determined according to (b); (d) analyzing the change as determined in (c) using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the compound, whereby a subject suffering from AD or being at risk of developing Alzheimer's dementia is identified if AD is predicted; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
Description
Immungenetics AG IMG16456PC Identifying a subject suffering from Alzheimer's dementia or being at risk of developing Alzheimer’s dementia In a first aspect, the invention relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (Group 1); (b) analyzing the determined amount for the at least one compound using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted. In a second aspect the invention relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia. A third aspect of the invention and a fourth aspect of the invention both relate to methods for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia. In a fifth aspect, the invention relates to a second diagnostic use, and a sixth aspect of the invention is directed to a device adapted for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, whereas a seventh aspect of the invention is related to a kit for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia. State of the art The accumulation of proteins or protein fragments (peptides) in the brain is a significant feature of age-related neurodegenerative diseases. In Alzheimer's disease (AD) and cerebral β-amyloid angiopathy (CAA), the aggregation of β-amyloid peptides (Aβ) is considered to trigger the disease. Regarding treatment of AD, several active agents are known, such as, for example, Thiethylperazine [1]. Regarding diagnosis, higher amounts of Aβ peptides of 40 and 42 amino acids in the brain are partly reflected by an increase of these peptides in the peripheral blood stream and are utilized as diagnostic indicator for Alzheimer’s disease. However, quantitation of Aβ in blood samples is unreliable even using extremely sensitive methods like liquid chromatography coupled with mass spectrometry (LC-MS/MS) and requires Aβ immunoprecipitation as an additional and expensive step of sample preparation. Such assays have become publicly available recently and achieve an accuracy of about 77 percent in predicting an AD indicative brain amyloid
status in the age group of 65-75 years old patients with a declining accuracy with lowering age [2]. Another study of E. Trushina et al. using UPLCToF-MS - based metabolomics analyzed and compared metabolite profiles in plasma and cerebrospinal fluid samples from cognitive normal probands, probands having mild cognitive impairment and AD patients [3]. However, whilst early stage diagnosis is mentioned as kind of a catchword, it is also pointed out that the study at the current stage is not able to do more than to differentiate between healthy and ill probands. In addition there are further differences such as which kind of bodily fluid is investigated since there are different metabolic markers detected in plasma and in cerebrospinal fluid. However, since it is hypothesized that the AD pathology is starting up to 20 years before the onset of clinical symptoms, diagnostic methods for detection of signs of AD pathology in the younger population are needed. The technical problem underlying thus was the provision of means and methods for complying with the aforementioned needs, especially to provide a method for diagnosing or pre-diagnosing Alzheimer’s dementia in a subject. 1st aspect - method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia Accordingly, the present invention relates in a first aspect to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (Group 1); (b) analyzing the determined amount for the at least one compound using a computer- implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted. As used in the following, the terms “have”, “comprise” or “include” or any arbitrary grammatical variations thereof are used in a non-exclusive way. Thus, these terms may both refer to a situation in which, besides the feature introduced by these terms, no further features are present in the entity described in this context and to a situation in which one or more further features are present. As
an example, the expressions “A has B”, “A comprises B” and “A includes B” may both refer to a situation in which, besides B, no other element is present in A (i.e. a situation in which A solely and exclusively consists of B) and to a situation in which, besides B, one or more further elements are present in entity A, such as element C, elements C and D or even further elements. Further, as used in the following, the terms "preferably", "more preferably", "most preferably", "particularly", "more particularly", "specifically", "more specifically" or similar terms are used in conjunction with optional features, without restricting further possibilities. Thus, features introduced by these terms are optional features and are not intended to restrict the scope of the claims in any way. The invention may, as the skilled person will recognize, be performed by using alternative features. Similarly, features introduced by "in an embodiment of the invention" or similar expressions are intended to be optional features, without any restriction regarding further embodiments of the invention, without any restrictions regarding the scope of the invention and without any restriction regarding the possibility of combining the features introduced in such way with other optional or non-optional features of the invention. The term “identifying a subject suffering from Alzheimer's dementia (AD)” is synonymous with “diagnosing Alzheimer's dementia (AD) in a subject”, wherein “identifying” as well as “diagnosing” as used herein both refer to assessing whether a Ka disease or not. Accordingly, the presence or the absence of a disease in the subject can be diagnosed. Preferably, the term refers to ruling in or ruling out said disease. As will be understood by those skilled in the art, such an assessment, although preferred to be, may usually not be correct for 100% of the investigated subjects. The term, however, requires that a statistically significant portion of subjects can be correctly assessed and, thus, diagnosed. Whether a portion is statistically significant can be determined without further ado by the person skilled in the art using various well known statistic evaluation tools, e.g., determination of confidence intervals, p-value determination, Student´s t- test, Mann-Whitney test, and so on. Details can, for example, be found in Dowdy and Wearden, Statistics for Research, John Wiley & Sons, New York 1983. Preferred confidence intervals are at least 50%, at least 60%, at least 70%, at least 80%, at least 90% or at least 95%. The p-values are, preferably, 0.2 or lower, 0.1 or lower, or 0.05 or lower. The terms “identifying” as well as “diagnosing” include individual diagnosis of a disease or its symptoms as well as continuous monitoring of a patient. Monitoring, i.e. diagnosing the presence or absence of a disease or the symptoms accompanying it at various time points, includes monitoring of patients known to suffer from the disease as well as monitoring of subjects known to be at risk of developing the disease, e.g. subjects with, for example, a genetic predisposition for the disease or subjects who have been determined as being at risk based on the above-identified method. Furthermore, monitoring can also be used to determine whether a patient is treated successfully or whether at least symptoms of the disease can be ameliorated over time by a certain
therapy. Moreover, monitoring may be used for active patient management including deciding on hospitalization, intensive care measures and/or additional qualitative monitoring as well as quantitative monitoring measures. The term “identifying a subject being at risk of developing Alzheimer’s dementia” refers to assessing the probability according to which a subject will suffer from Alzheimer’s dementia within a certain time window, i.e. the predictive window. The term, preferably, relates to predicting whether or not there is an increased risk for Alzheimer’s dementia compared to the average risk for developing Alzheimer’s dementia in a population of subjects rather than giving a precise probability for the said risk. Alzheimer's dementia (AD) (Morbus Alzheimer, Alzheimer's disease) is a neurodegenerative disease that is characterized by increasing dementia. Methods known so far for determining whether a subject is suffering from AD or not, are current diagnostic standards, preferably based on amyloid positron emission tomography and/or cerebrospinal fluid diagnostics and/or through cognitive testing. Biomarkers relevant for AD are biomarkers of neurodegeneration, which are known to the skilled person, like for example, Abeta-40, Abeta-42, or Abeta42/40 ratio, phosphorylated variants of the Tau -protein (e.g. p-Tau181, p-Tau217 etc.), Glial fibrillary acidic protein (GFAP), Neurofilament light chain (NfL) etc. in bodily fluids (blood, CSF). Methods for determining whether a subject is suffering from AD are related to determination of the cognitive abilities by one or more tests, which are known to the skilled person, like for example, ADAS- Cog, FCSRT, ADCS-iADL, QoL-AD, CDR, MMSE etc. in a subject. The term "subject", as used herein, relates to a multicellular animal, preferably to a vertebrate, more preferably to a mammal, more preferably a human. A “body fluid sample” is a sample from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, preferably the body fluid sample is a blood sample. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia is an in vitro method. The term “determining the amount” means a determination based on mass spectrometry (MS). Mass spectrometry as used herein encompasses all techniques which allow for the determination of the molecular weight (i.e. the mass) or a mass variable corresponding to a compound, i.e. a metabolic analyte. More preferably, mass spectrometry as used herein relates to GC-MS, LC-MS, direct infusion mass spectrometry, FT-ICR-MS, CE-MS, HPLC-MS, quadrupole mass spectrometry, any sequentially coupled mass spectrometry such as MS-MS or MS-MS-MS, ICP- MS, Py-MS, TOF or any combined approaches using the aforementioned techniques. How to apply
these techniques is well known to the person skilled in the art. Moreover, suitable devices are commercially available. More preferably, mass spectrometry as used herein relates to LC-MS and/or GC-MS, i.e. to mass spectrometry being operatively linked to a prior chromatographic separation step. More preferably, mass spectrometry as used herein encompasses LC-MS/MS (Liquid-Chromatography-Mass spectrometry/Mass spectrometry). Liquid chromatography as used herein refers to all techniques which allow for separation of compounds (e.g. of the at least two metabolic analytes to be determined in accordance with the present invention) in liquid or supercritical phase. Liquid chromatography is characterized in that compounds in a mobile phase are passed through the stationary phase. When compounds pass through the stationary phase at different rates they become separated in time since each individual compound has its specific retention time (i.e. the time which is required by the compound to pass through the system). Liquid chromatography as used herein also includes HPLC. Devices for liquid chromatography are commercially available, e.g. from Agilent Technologies, USA. A specific compound and its specific mass respectively as well as its amount are determined based on the related peak in a mass spectrum. Such a peak contains characteristic information of the compound, i.e. the m/z information, as well as an intensity value being related to the abundance of the said compound (i.e. its amount) in the sample. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the least one compound having a mass in gram/mol is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least a compound having a mass in gram/mol of 110.0367 is determined in (a) and the determined amount thereof is analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and analysed in (b) , wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the amount of at least two
compounds, preferably at least six compounds, more preferably at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and analysed in (b) , wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is additionally determined in a first body fluid sample of the subject in steps (a) and additionally analysed in (b). In the first aspect, the invention also relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amounts of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4; (b) analyzing the determined amounts for the at least two compounds using a computer- implemented prediction algorithm that is capable of predicting AD in a subject based on the at least two compounds, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the first body fluid sample derives from a subject after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof, wherein the sample was preferably taken within 0.5 hours to 8 hours after TEP administration. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, said computer- implemented prediction algorithm uses a supervised machine-learning algorithm that has been trained by a training dataset comprising quantitative or qualitative data for - the at least one, preferably at least two, more preferably at least three, more preferably at least four, more preferably at least five, compound(s) from Group 1, or Group 2, optionally in combination with the at least one further compound from Group 3; or optionally in combination with the at least one further compound from Group 4, or
- the at least two, more preferably at least six, more preferably at least seven, compound(s) from Group 1, or Group 2 optionally in combination with the at least one further compound from Group 3, or optionally in combination with the at least one further compound from Group 4; or - the at least two compounds from Group 3, preferably from Group 4; in body fluid samples from subjects known to suffer from AD and subjects known not to suffer from AD. As indicated above, whether a subject is suffering from AD or not, is determined according to current diagnostic standards, preferably based on amyloid positron emission tomography and/or cerebrospinal fluid diagnostics and/or through cognitive testing. The term „computer-implemented prediction algorithm“ as used herein refers to a prediction algorithm that is carried out automatically by a data processing device such as a computer. The said data processing device, preferably, comprises tangibly embedded rules for automatically carrying out the prediction algorithm based on the measurement results obtained in the method of the invention. Said measurement results may be, preferably, stored in a database which can be permanently or temporarily linked to the data processor. Moreover, the linkage may be, preferably, a direct linkage by wire or a wireless linkage. The prediction algorithm as referred to herein is an algorithm which determines a parameter that is associated with the likelihood for a subject of suffering from AD. The prediction algorithm as referred to herein shall generate the aforementioned parameter and may process it further in order to establish a diagnostic result in accordance with the method of the invention. Preferably, the (computer-implemented prediction) parameter can be determined as set forth elsewhere herein. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, said supervised machine-learning algorithm establishes a classifying algorithm selected from the group consisting of Logistic Regression, Stochastic Gradient Descent Classifier (SGDClassifier), Decision Tree classifier, Random Tree classifier, Extra Tree classifier, AdaBoost Classifier, Multi-layer Perceptron classifier , Gradient Boosting Classifier, Gaussian Naive Bayes, K Nearest Neighbor classifier, C-Support Vector Classification, Quadratic Discriminant Analysis, and Linear Regression. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, said supervised machine-learning algorithm establishes and/or applies a logistic regression model said logistic regression model being based on equitation (I) y = I + C1*F1 + C2*F2 +….+ Cn*Fn, (I) wherein I is the Intercept and Cn the coefficient of Mass Fn.
The computer-implemented prediction parameter here is y. Positive y-values indicate a likelihood for a subject of suffering or not suffering from AD, i.e. are a prediction of the respective condition. It will be understood that this is the case when training was done based on the definition that an AD diagnosis is the positive outcome, hence greater absolute values mean greater certainty of the prediction, i.e. a greater positive y value indicates a higher likelihood for a subject of suffering from AD while a negative value for y with a higher absolute value indicates a higher likelihood for a subject of not having AD. On the other hand, in case that training was done based on the definition that an AD diagnosis is the negative outcome, then a greater negative y-value indicates a higher likelihood for a subject of suffering from AD, while a positive value for y with a higher (absolute) value indicates a higher likelihood for a subject of not having AD. Each coefficient has preferably a value in a range as indicated in Table 2 in the experimental part, wherein each range excludes zero – see for each specific mass combination the related line called “Ranges” in Table 2. For example, for a combination of the masses, each in gram/mol of 110.0367, 254.1153, 189.0096, and 224.084, the Intercept I has a value in the range of from -50 to +50, excluding zero, and the coefficient C1 lf the first feature (i.e. of mass = 110.0367 /gram/mol is in the range of from -150 to +150, excluding zero etc. Furthermore, it is even more preferred, if the coefficients of the respective masses have a ratio to each other in the ranges indicated below in Table A, more preferred as indicated below in Table B, more preferred as indicated below in Table C, wherein these ratios more preferably apply for combinations of masses from Group 2, optionally in combinations with masses of Group 4:
For each of Tables A, B, and C, the “lower half” refers to the section below the diagonal line indicated by the “//” signs and the “Upper half” refers to the section above that line. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of
208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a
compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in (a) and analysed in (b). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in (a) and analysed in (b). 2nd aspect - Method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia (Modelling based on change) In a second aspect , the invention relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (Group 1); (b) determining in a second body fluid sample of the subject the amount of the same at least one compound as in (a); (c) determining the change of the amount of the at least one compound determined according to (a) compared to the respective amount of the at least one compound determined according to (b); (d) analyzing the change as determined in (c) using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
The definitions indicated above in the section related to the first aspect apply also here in the section related to the second aspect of the invention. Thiethylperazine (IUPAC: 2-(ethylsulfanyl)-10-[3-(4-methylpiperazin-1-yl)propyl]-10H- phenothiazine, CAS: 1420-55-9, TEP) has been proven effective in murine models of Alzheimer’s disease (AD) to export amyloid beta (Abeta) from and through the endothelial cells of the blood– brain barrier to the periphery. It has also been shown that pharmaceutical activation of ABCC1 can reduce amyloid plaque deposition in the brain. The term "pharmaceutically acceptable", as used herein, relates to a salt, which is pharmaceutically acceptable in the sense of being not deleterious to the recipient thereof and, preferably, being compatible with optional other ingredients of a formulation thereof. Preferably, a pharmaceutically acceptable salt is a salt of thiethylperazine causing at most moderate adverse drug reactions, preferably causing at most mild adverse drug reactions. As used herein, the term "mild" adverse reactions relates to adverse reactions not requiring medical intervention, such as skin rashes, headaches, digestive disturbances, fatigue, and the like; "moderate" adverse reactions are adverse reactions requiring medical intervention, but not being potentially life-threatening. Preferably, a pharmaceutically acceptable salt comprises one or more anion(s) selected from the group consisting of sulfate, pyrosulfate, bisulfate, sulfite, bisulfite, phosphate, monohydrogen phosphate, dihydrogen phosphate, metaphosphate, pyrophosphate, chloride, bromide, iodide, acetate, propionate, decanoate, caprylate, acrylate, formate, isobutyrate, caprate, heptanoate, propiolate, oxalate, malonate, succinate, suberate, sebacate, fumarate, malate, maleate, butyne-1,4-dioate, hexyne-1,6- dioate, benzoate, chlorobenzoate, methylbenzoate, dinitrobenzoate, hydroxybenzoate, methoxybenzoate, phthalate, terephthalate, sulfonate, xylene sulfonate, phenyl acetate, phenyl propionate, phenyl butyrate, citrate, lactate, β-hydroxybutyrate, glycolate, tartrate, methanesulfonate, propanesulfonate, naphthalene-1-sulfonate, naphthalene-2-sulfonate, almondate, adipate, alginate, mucate, aspartate, benzenesulfonate, butyrate, camphorate, camphorsulfonate, cyclopentane propionate, digluconate, dodecyl sulfate, ethane sulfonate, glucoheptanoate, glycerophosphate, hemisulfate, hexanoate, 2-hydroxy¬ethane sulfonate, 2- napthalene sulfonate, nicotinate, nitrate, palmitate, pectinate, persulfate, picrate, pivalate, salicylate, thiocyanate, tosylate, arginate, and undecanoate. More preferably, a pharmaceutically acceptable salt comprises one or 5 more anion(s) selected from the group consisting of chloride, sulfate, mesylate, besylate, tosylate, fumarate, malonate, malate, maleate, succinate, lactate, glycolate, citrate, aspartate and mandelate, preferably malate and/or maleate, more preferably maleate. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, the at least one compound having a mass in gram/mol, of which the amount is determined in (a) and (b),
the change is determined in (c) and analysed in (d) is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, the at least one compound having a mass in gram/mol, of which the amount is determined in (a) and (b), the change is determined in (c) and analysed in (d) is at least a compound having a mass in gram/mol of 110.0367. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in (a) and (b), the change compared in (c) and analysed in (d), wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, the amount of at least two compounds, preferably at least six compounds or at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in (a) and (b), the change compared in (c) and analysed in (d), wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is additionally determined in (a) and (b), the change compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, the method comprises:
(a) determining in a first body fluid sample of the subject the amount of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably from the group consisting of Group 4; (b) determining in a second body fluid sample of the subject the amount of the same at least two compounds as in (a); (c) determining the change of the amount of the at least two compounds determined according to (a) compared to the respective amount of the at least two compounds determined according to (b); (d) analyzing the changes as determined in (c) using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having a mass of 254.1153 gram/mol is determined in (a) and (b), the change compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, is determined in (a) and (b), the changes compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d).
In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the second aspect, at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). The amount determination in any one of steps (a) and/or (b) is done by mass spectrometry (MS), preferably by a tandem mass spectrometry (MS/MS), more preferably by a tandem mass spectrometry in combination with a preceding liquid chromatography (LC-MS/MS); further details can be found in the section related to the first aspect of the invention. The method is an in vitro method. The term "subject", as used herein, relates to a multicellular animal, preferably to a vertebrate, more preferably to a mammal, more preferably a human. The body fluid sample is selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, preferably the body fluid sample is a blood sample; and respectively the first body fluid sample and the second body fluid sample are independently of
each other selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein preferably, the first body fluid sample and the second body fluid sample are the same kind of sample and are both selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein more preferably, first body fluid sample and second body fluid sample are both each a blood sample (first blood sample and second blood sample). 3rd aspect - method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia (comparison of amounts before and after TEP administration) In a third aspect, the invention relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (Group 1); (b) determining in a second body fluid sample of the subject the amount of the same at least one compound as in (a); (c) comparing the amount of the at least one compound determined according to (a) to the respective amount of the at least one compound determined according to (b), wherein a change of the amount of the at least one compound according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof. The definitions indicated above in the section related to the first aspect apply also here in the section related to the third aspect of the invention. Thiethylperazine (IUPAC: 2-(ethylsulfanyl)- 10-[3-(4-methylpiperazin-1-yl)propyl]-10H-phenothiazine, CAS: 1420-55-9, TEP) and pharmaceutically acceptable salt thereof are also as defined above in the section related to the second aspect.
In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, the at least one compound having a mass in gram/mol is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, in (a) and (b) at least the amount of a compound having a mass of 110.0367 gram/mol is determined and compared in (c). In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of each of the at least two compounds, preferably each of the at least three compounds, more preferably each of the at least four compounds, more preferably each of the at least five compounds, according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass of 110.0367 gram/mol. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, the amount of at least two compounds, preferably at least six compounds or at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of each of the at least two compounds, preferably each of the at least six compounds, more preferably each of the at least seven compounds, according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass of 110.0367 gram/mol. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, the amount of at least one further compound having a mass in gram/mol selected from the group consisting of
208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), more preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is additionally determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of the at least one compound according to (b) compared with the amount as determined in (a) and a change of the amount of the at least one further compound according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, the method comprises: (a) determining in a first body fluid sample of the subject the amount of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably Group 4; (b) determining in a second body fluid sample of the subject the amount of the same at least two compound as in (a); (c) comparing the amounts of the at least two compounds determined according to (a) to the respective amounts of the at least two compounds determined according to (b), wherein a change of the amounts of the at least two compounds according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of
224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 175.0633 gram/mol, a mass of 208.0737 gram/mol, a
compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 2 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as
determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 40 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments of the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the third aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these
compounds according to (b) compared with the amounts as determined in (a) by at least 2 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The amount determination in any one of steps (a) and/or (b) is done by mass spectrometry (MS), preferably by a tandem mass spectrometry (MS/MS), more preferably by a tandem mass spectrometry in combination with a preceding liquid chromatography (LC-MS/MS) further details can be found in the section related to the first aspect of the invention. The method is an in vitro method. The term "subject", as used herein, relates to a multicellular animal, preferably to a vertebrate, more preferably to a mammal, more preferably a human. The body fluid sample is selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, preferably the body fluid sample is a blood sample; and respectively the first body fluid sample and the second body fluid sample are independently of each other selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein preferably, the first body fluid sample and the second body fluid sample are the same kind of sample and are both selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein more preferably, first body fluid sample and second body fluid sample are both each a blood sample (first blood sample and second blood sample). 4th aspect - method for identifying a subject suffering from Alzheimer's dementia (AD) (comparison of amount after TEP administration with reference value) A fourth aspect of the invention refers to a method for identifying a subject suffering from Alzheimer's dementia (AD), the method comprising: (a) determining in a body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (Group 1); (b) comparing the amount of the at least one compound determined according to (a) to a mean amount of a healthy subject, wherein a change of the amount of the at least one compound according to (a) compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100%, indicates Alzheimer’s dementia for the subject or indicates that the subject is at risk of developing Alzheimer’s dementia;
wherein said body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof. The definitions given in the section related to the first aspect and the explanations related to thiethylperazine (TEP) and its pharmaceutically acceptable salts given in the second and third section apply also here in the section related to the fourth aspect of the invention. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, the least one compound having a mass in gram/mol is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2). In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, in (a) at least the amount of a compound having a mass in gram/mol of 110.0367 is determinedand compared in (b). In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amount of each of the at least two compounds, preferably each of the at least three compounds, more preferably each of the at least four compounds, more preferably of the at least five compounds, indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, the amount of at least two compounds, preferably at least six compounds, more preferably at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amount of each of the at least two compounds, preferably each of the at least six compounds, more preferably each of the at least seven compounds, indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, more preferably one of the at
least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367.. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), more preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is determined in a first body fluid sample of the subject in steps (a) and compared in (b), wherein a change of the amount of each of the at least one compound compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100% indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The fourth aspect of the invention also relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a body fluid sample of the subject the amounts of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4; (b) comparing the amounts of the at least two compounds determined according to (a) to a mean amount of a healthy subject, wherein a change of the amounts of the at least two compounds according to (a) compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100%, indicates Alzheimer’s dementia for the subject or indicates that the subject is at risk of developing Alzheimer’s dementia; wherein said body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth
aspect, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 12 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, at least the amounts of a compound having a mass 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds a by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
In some preferred embodiments related to the method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia of the fourth aspect, the mean amount of a healthy subject is a reference value of a healthy subject from literature, or a reference value previously determined from healthy subjects or a reference value from a body fluid sample of the subject prior to TEP administration. The amount determination in any one of steps (a) and/or (b) is done by mass spectrometry (MS), preferably by a tandem mass spectrometry (MS/MS), more preferably by a tandem mass spectrometry in combination with a preceding liquid chromatography (LC-MS/MS) further details can be found in the section related to the first aspect of the invention.. The method is an in vitro method. The term "subject", as used herein, relates to a multicellular animal, preferably to a vertebrate, more preferably to a mammal, more preferably a human. The body fluid sample is selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, preferably the body fluid sample is a blood sample; and respectively the first body fluid sample and the second body fluid sample are independently of each other selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein preferably, the first body fluid sample and the second body fluid sample are the same kind of sample and are both selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein more preferably, first body fluid sample and second body fluid sample are both each a blood sample (first blood sample and second blood sample). 5th aspect - 2nd diagnostic uses A fifth aspect of the invention relates to at least one compound having a mass in gram/mol selected from the group consisting of Group 1, or Group 2, or as defined in any one of the preferred embodiments described in the previous sections related to the first, the second, the third or the fourth aspect of the invention, and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4, for diagnosing AD in a subject or for determining the risk of a subject to develop AD. Groups 1, 2, 3 and 4 are as defined above in the sections related to the first, the second, the third or the fourth aspect of the invention. In some preferred embodiments of the at least one compound for use according to the fifth aspect, at least two compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 described above in the sections related to the first, the second, the third or the fourth aspect of the invention, preferably at least three compounds having a mass in
gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention, more preferably at least four compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention; more preferably at least five compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention, each optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4, are used. In some preferred embodiments of the at least one compound for use according to the fifth aspect, at least two compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention, preferably at least six compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention, more preferably at least seven compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 a as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention; each optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4, are used. In some preferred embodiments of the at least one compound for use according to the fifth aspect, at least two compounds having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 for diagnosing AD in a subject or for determining the risk of a subject to develop AD. 2nd diagnostic use (alternative wording) The fifth aspect of the invention also relates to the use of at least one compound having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention, and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 in a sample of a subject for diagnosing AD in said subject or for determining the risk of said subject to develop AD.
Groups 1, 2, 3 and 4 are as defined above in the sections related to the first, the second, the third or the fourth aspect of the invention. In some preferred embodiments of the use according to the fifth aspect, at least two, preferably at least three, more preferably at least four, more preferably at least five, compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 a as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 in a sample of a subject are used for diagnosing AD in said subject or for determining the risk of said subject to develop AD. In some preferred embodiments of the use according to the fifth aspect, at least two, preferably at least six, more preferably at least seven, compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of the preferred embodiments described above in the sections related to the first, the second, the third or the fourth aspect of the invention and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 in a sample of a subject are used for diagnosing AD in said subject or for determining the risk of said subject to develop AD. In some preferred embodiments of the use according to the fifth aspect, at least two compounds having a mass in gram/mol selected from the group consisting of Group 3 or group 4 in a sample of a subject for diagnosing AD in said subject or for determining the risk of said subject to develop AD. 6th aspect - Device A sixth aspect of the invention relates to a device adapted for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the device comprising: (a) an analyzing unit capable of determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of Group 1; (b) a data processor adopted for analyzing the determined amount for the at least one compound using a prediction algorithm implemented in said data processor that is capable of predicting AD in a subject based on the at least two compounds, whereby a subject suffering from AD is identified if AD is predicted or a subject being at risk of developing Alzheimer’s dementia is identified if AD is predicted.
Preferred embodiments of the device, especially related to compounds having specific masses in gram/mol and specific groups thereof such as Group 2, Group 3 and Group 4, are as described above in the sections related to the first, the second, the third or the fourth aspect of the invention. Also the definitions indicated above in these sections apply also here in the section related to the device. 7th aspect - Kit In a seventh aspect, the invention relates to a kit for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the kit comprising a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 1 or Group 2, optionally a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 3, or optionally a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 4, and optionally one or more reagents for sample preparation and/or extraction. Preferred embodiments of the device, especially related to compounds having specific masses in gram/mol and specific groups thereof such as Group 2, Group 3 and Group 4, are as described above in the sections related to the first, the second, the third or the fourth aspect of the invention. Also the definitions indicated above in these sections apply also here in the section related to the device. The present invention is further illustrated by the following embodiments and combinations of embodiments as indicated by the respective dependencies and back-references. In particular, it is noted that in each instance where a range of embodiments is mentioned, for example in the context of a term such as "The process of any one of embodiments 1 to 4", every embodiment in this range is meant to be explicitly disclosed for the skilled person, i.e. the wording of this term is to be understood by the skilled person as being synonymous to "The process of any one of embodiments 1, 2, 3, and 4". 1. A method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362,
291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (Group 1); (b) analyzing the determined amount for the at least one compound using a computer- implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted, wherein preferably, the first body fluid sample derives from a subject after the subject had been administered thiethylperazine (TEP) or a pharmaceutically acceptable salt thereof, wherein the sample was preferably taken within 0.5 hours to 8 hours after TEP administration. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to embodiment 1, wherein the least one compound having a mass in gram/mol is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2). The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to embodiment 1or 2, wherein at least a compound having a mass in gram/mol of 110.0367 is determined in (a) and the determined amount thereof is analysed in (b). The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 1 to 3, wherein the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and analysed in (b) , wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 1 to 4, wherein the amount of at least two compounds, preferably at least six compounds, more preferably at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and analysed in (b) , wherein more preferably one of the at least two compounds,
more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 1 to 4, wherein the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is additionally determined in a first body fluid sample of the subject in steps (a) and additionally analysed in (b). A method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amounts of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4; (b) analyzing the determined amounts for the at least two compounds using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least two compounds, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 1 to 7, wherein said computer-implemented prediction algorithm uses a supervised machine- learning algorithm that has been trained by a training dataset comprising quantitative or qualitative data for - the at least one, preferably at least two, more preferably at least three, more preferably at least four, more preferably at least five, compound(s) from Group 1, or Group 2, optionally in combination with the at least one further compound from Group 3; or optionally in combination with the at least one further compound from Group 4, or - the at least two, more preferably at least six, more preferably at least seven, compound(s) from Group 1, or Group 2 optionally in combination with the at least one further compound from Group 3, or optionally in combination with the at least one further compound from Group 4; or - the at least two compounds from Group 3, preferably from Group 4; in body fluid samples from subjects known to suffer from AD and subjects known not to suffer from AD.
9. The method of embodiment 8, wherein said supervised machine-learning algorithm establishes a classifying algorithm selected from the group consisting of Logistic Regression, stochastic gradient descent classifier (SGDClassifier), Decision Tree classifier, Random Tree classifier, Extra Tree classifier, AdaBoost Classifier, Multi-layer Perceptron classifier , Gradient Boosting Classifier, Gaussian Naive Bayes, K Nearest Neighbor classifier, C-Support Vector Classification, Quadratic Discriminant Analysis, and Linear Regression. 10. The method of embodiment 9, wherein said supervised machine-learning algorithm establishes and/or applies a logistic regression model said logistic regression model being based on equitation (I) y = I + C1*F1 + C2*F2 +….+ Cn*Fn, (I) wherein I is the Intercept and Cn the coefficient of Mass Fn. 12. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in (a) and analysed in (b). 13. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in (a) and analysed in (b). 14. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in (a) and analysed in (b). 15. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol are determined in (a) and analysed in (b)..
16. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in (a) and analysed in (b). 17. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in (a) and analysed in (b). 18. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, are determined in (a) and analysed in (b). 19. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in (a) and analysed in (b). 20. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in (a) and analysed in (b). 21. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in (a) and analysed in (b). 22. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in (a) and analysed in (b). 23. The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in (a) and analysed in (b).
The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in (a) and analysed in (b). The method according to any one of embodiments 1 to 10, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in (a) and analysed in (b). A method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (Group 1); (b) determining in a second body fluid sample of the subject the amount of the same at least one compound as in (a); (c) determining the change of the amount of the at least one compound determined according to (a) compared to the respective amount of the at least one compound determined according to (b); (d) analyzing the change as determined in (c) using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof. The method according to embodiment 25, wherein the at least one compound having a mass in gram/mol, of which the amount is determined in (a) and (b), the change is determined in
(c) and analysed in (c) is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2). 27. The method according to embodiment 25 or 26, wherein the at least one compound having a mass in gram/mol, of which the amount is determined in (a) and (b), the change is determined in (c) and analysed in (c) is at least a compound having a mass in gram/mol of 110.0367. 28. The method according to any one of embodiments 25 to 27, wherein the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in (a) and (b), the change compared in (c) and analysed in (d), wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367. 29. The method according to any one of embodiments 25 to 28, wherein the amount of at least two compounds, preferably at least six compounds or at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in (a) and (b), the change compared in (c) and analysed in (d), wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367. 30. The method according to any one of embodiments 25 to 29, wherein the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is additionally determined in (a) and (b), the change compared in (c) and analysed in (d). 31. A method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably from the group consisting of Group 4; (b) determining in a second body fluid sample of the subject the amount of the same at least two compounds as in (a);
(c) determining the change of the amount of the at least two compounds determined according to (a) compared to the respective amount of the at least two compounds determined according to (b); (d) analyzing the changes as determined in (c) using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the at least one compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted. 32. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having a mass of 254.1153 gram/mol is determined in (a) and (b), the change compared in (c) and analysed in (d). 33. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). 34. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). 35. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). 36. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). 37. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of
208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). 38. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, is determined in (a) and (b), the changes compared in (c) and analysed in (d). 39. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). 40. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). 41. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). 42. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). 43. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). 44. The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a
compound having a mass of 224.084 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d) The method according to any one of embodiments 25 to 30, wherein at least the amount of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol is determined in (a) and (b), the changes compared in (c) and analysed in (d). A method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (Group 1); (b) determining in a second body fluid sample of the subject the amount of the same at least one compound as in (a); (c) comparing the amount of the at least one compound determined according to (a) to the respective amount of the at least one compound determined according to (b), wherein a change of the amount of the at least one compound according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to embodiment 46, wherein the at least one compound having a mass in gram/mol is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2).
The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to embodiment 46 or 47, wherein in (a) and (b) at least the amount of a compound having a mass of 110.0367 gram/mol is determined and compared in (c). The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 48, wherein the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of each of the at least two compounds, preferably each of the at least three compounds, more preferably each of the at least four compounds, more preferably each of the at least five compounds, according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass of 110.0367 gram/mol. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 49, wherein the amount of at least two compounds, preferably at least six compounds or at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of each of the at least two compounds, preferably each of the at least six compounds, more preferably each of the at least seven compounds, according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass of 110.0367 gram/mol. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 50, wherein the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), more preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is additionally determined in a first body fluid sample of the
subject in steps (a) and (b) and compared in (c), wherein a change of the amount of the at least one compound according to (b) compared with the amount as determined in (a) and a change of the amount of the at least one further compound according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. A method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, comprising (a) determining in a first body fluid sample of the subject the amount of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3; (b) determining in a second body fluid sample of the subject the amount of the same at least two compound as in (a); (c) comparing the amounts of the at least two compounds determined according to (a) to the respective amounts of the at least two compounds determined according to (b), wherein a change of the amounts of the at least two compounds according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a
change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. 55. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. 56. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. 57. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. 58. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a mass
of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 2 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 12.5 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a
compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 40 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 1 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 46 to 51,
wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and (b) and compared in (c), wherein a change of the amounts of each of these compounds according to (b) compared with the amounts as determined in (a) by at least 2 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. A method for identifying a subject suffering from Alzheimer's dementia (AD), the method comprising: (a) determining in a body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, 189.0096, 155.007, 355.345, 358.159, 109.0706, 110.0004, 145.0226, 166.0633, 178.0995, 190.0631, 191.0253, 200.0452, 212.0536, 234.1832, 236.1049, 259.9982, 285.1362, 291.0832, 301.1313, 314.1266, 318.1215, 319.2486, 331.2545, 332.1372, 334.2146, 339.3135, 346.1528, 350.0956, 366.0912, 371.8758, 440.2751, 538.1752, 540.2563, and 782.5638 (Group 1); (b) comparing the amount of the at least one compound determined according to (a) to a mean amount of a healthy subject , wherein a change of the amount of the at least one compound according to (a) compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100%, indicates Alzheimer’s dementia for the subject or indicates that the subject is at risk of developing Alzheimer’s dementia; wherein said body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to embodiment 67, wherein the least one compound having a mass in gram/mol is selected from the group consisting of 110.0367, 232.004, 224.084, 254.1153, 189.9936, and 189.0096 (Group 2). The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to embodiment 67 or 68, wherein in (a) and (b) at least the amount of a compound having a mass in gram/mol of 110.0367 determined and compared in (c).
70. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 69, wherein the amount of at least two compounds, preferably at least three compounds, more preferably at least four compounds, more preferably at least five compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amount of each of the at least two compounds, preferably each of the at least three compounds, more preferably each of the at least four compounds, more preferably of the at least five compounds, indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, preferably one of the at least three compounds, more preferably one of the at least four compounds, more preferably one of the at least five compounds is the compound having a mass in gram/mol of 110.0367. 71. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 70, wherein the amount of at least two compounds, preferably at least six compounds, more preferably at least seven compounds, having a mass in gram/mol selected from the group consisting of Group 1 or Group 2 is determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amount of each of the at least two compounds, preferably each of the at least six compounds, more preferably each of the at least seven compounds, indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject, wherein more preferably one of the at least two compounds, more preferably one of the at least six compounds or one of the at least seven compounds, is the compound having a mass in gram/mol of 110.0367.. 72. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 71, wherein the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682, 161.0477, and 97.9769 (Group 3), more preferably from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is determined in a first body fluid sample of the subject in steps (a) and (b) and compared in (c), wherein a change of the amount of the at least one compound according to (b) compared with the amount as determined in (a) and a change of the amount of the at least one further compound according to (a) compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100% indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
73. A method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a body fluid sample of the subject the amounts of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4; (b) comparing the amounts of the at least two compounds determined according to (a) to a mean amount of a healthy subject, wherein a change of the amounts of the at least two compounds according to (a) compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100%, indicates Alzheimer’s dementia for the subject or indicates that the subject is at risk of developing Alzheimer’s dementia; wherein said body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof. 74. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 189.0096 gram/mol, a compound having a mass of 224.084 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. 75. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 189.993 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol and a compound having a mass of 254.115 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. 76. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these
compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 224.084 gram/mol, a compound having a mass of 254.1153 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 315.2409 gram/mol, are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compound by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject.
The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 208.0737 gram/mol, and a compound having a mass of 702.5682 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 12 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 175.0633 gram/mol, a compound having a mass of 208.0737 gram/mol, and a compound having a mass of
315.2409 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 232.004 gram/mol, a compound having a mass of 254.1153 gram/mol, a compound having a mass of 189.9936 gram/mol, a compound having a mass of 189.0096 gram/mol, and a compound having a mass of 224.084 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein at least the amounts of a compound having a mass 110.0367 gram/mol, a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, a compound having a mass of 702.5682 gram/mol, a compound having a mass of 208.0737 gram/mol, a compound having a mass of 315.2409 gram/mol, a compound having a mass of 232.004 gram/mol, and a compound having a mass of 254.1153 gram/mol are determined in a first body fluid sample of the subject in step (a) and compared in (b), wherein a change of the amounts of each of these compounds by at least 3 % indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of embodiments 67 to 72, wherein the mean amount of a healthy subject value is a reference value of a healthy subject from literature, or a reference value previously determined from healthy subjects or a reference value from a body fluid sample of the subject prior to TEP administration. A method according to any one of embodiments 1 to 88, wherein the amount determination in any one of steps (a) and/or (b) is done by mass spectrometry (MS), preferably by a tandem mass spectrometry (MS/MS), more preferably by a tandem mass spectrometry in combination with a preceding liquid chromatography (LC-MS/MS). The method according to any one of embodiments 1 to 89, which is an in vitro method.
91. The method of any one of embodiments 1 to 90, wherein the subject is human. 92. The method of any one of embodiments 1 to 91, wherein the body fluid sample is selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, preferably the body fluid sample is a blood sample; and respectively the first body fluid sample and the second body fluid sample are independently of each other selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein preferably, the first body fluid sample and the second body fluid sample are the same kind of sample and are both selected from the group consisting of blood sample, urine sample, liquor sample (CSF) and mixtures of two or more thereof, wherein more preferably, first body fluid sample and second body fluid sample are both each a blood sample (first blood sample and second blood sample). 93. At least one compound having a mass in gram/mol selected from the group consisting of Group 1, or (Group 2), or as defined in any one of embodiments 1 to 92 and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3, preferably of Group 4, for diagnosing AD in a subject or for determining the risk of a subject to develop AD. 94. The at least one compound for use according to embodiment 93 wherein at least two compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92, preferably at least three compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92, more preferably at least four compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92; more preferably at least five compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92; each optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4, are used. 95. The at least one compound for use according to embodiment 93, wherein at least two compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92, preferably at least six compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92, more preferably at least seven compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92;
each optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4, are used. 96. At least two compounds having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 for diagnosing AD in a subject or for determining the risk of a subject to develop AD. 2nd use (alternative
97. Use of at least one compound having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92 and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 in a sample of a subject for diagnosing AD in said subject or for determining the risk of said subject to develop AD. 98. The use according to embodiment 97, wherein at least two, preferably at least three, more preferably at least four, more preferably at least five, compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 93 and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 in a sample of a subject are used for diagnosing AD in said subject or for determining the risk of said subject to develop AD. 99. The use according to embodiment 97, wherein at least two, preferably at least six, more preferably at least seven, compounds having a mass in gram/mol selected from the group consisting of Group 1, or Group 2 as defined in any one of embodiments 1 to 92 and optionally in combination with at least one compound having a mass in gram/mol selected from the group consisting of Group 3 or Group 4 in a sample of a subject are used for diagnosing AD in said subject or for determining the risk of said subject to develop AD. 100. Use of at least two compounds having a mass in gram/mol selected from the group consisting of Group 3 or group 4 in a sample of a subject for diagnosing AD in said subject or for determining the risk of said subject to develop AD. 101. A device adapted for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the device comprising:
(a) an analyzing unit capable of determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol selected from the group consisting of Group 1; (b) a data processor adopted for analyzing the determined amount for the at least one compound using a prediction algorithm implemented in said data processor that is capable of predicting AD in a subject based on the at least two compounds, whereby a subject suffering from AD is identified if AD is predicted or a subject being at risk of developing Alzheimer’s dementia is identified if AD is predicted. 102. A kit for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the kit comprising a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 1 or Group 2, optionally a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 3, or optionally a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 4, and optionally one or more reagents for sample preparation and/or extraction. The present invention is further illustrated by the following reference examples, comparative examples, and examples. EXAMPLES The following Examples shall merely illustrate the invention. Whatsoever, they shall not be construed as limiting the scope of the invention. I Methods I.1 Treatment 15 human subjects (7 healthy, 8 suffering from Alzheimer’s disease) were treated with 6.5 mg of thiethylperazine (TEP). Blood samples were taken 0, 0.5, 1, 1.5, 2, 4 and 8 hours after administration. AD subjects were classified by a Mini-Mental State Examination (MMSE) Score of 25-18. AD diagnosis was furthermore confirmed by recommended examinations per German DGN/DGPPN S3 Guideline “Dementia” and by: - psychometric and cognitive tests - lumbar puncture in subjects with uncertain AD diagnosis following CNS imaging - Clinical Dementia Rating (global CDR) of 0.5 or 1 and memory box score of at least 0.5. - Isolated or predominant episodic memory deficit, manifested as memory performance in the Logical Memory subscale (Delayed Paragraph Recall) from the Wechsler Memory Scale-III of 1 standard deviation below age-adjusted norms.
I.2 Blood sampling Samples of 10 ml venous blood were collected in standardized test tubes containing EDTA and gently shaken 1-2 times. As soon as possible (within max.30 min.) samples were centrifuged at 1600 g, room temperature for 10 min. Plasma was aliquoted into 6 portions of 0.5 ml. All aliquots were frozen into a deep freezer (-80 °C) within 10 min after the centrifugation and stored until use. I.3 Untargeted Metabolomics All procedures done in this section were performed by BGI Genomics. Untargeted metabolomics refers to the high-throughput analysis of the metabolic state of a biological system (see Matthaios- Emmanouil P Papadimitropoulos, Catherine G Vasilopoulou, Christoniki Maga-Nteve, Maria I Klapa in Methods Mol Biol.2018;1738:133-147; doi: 10.1007/978-1-4939-7643-0_9.). 1 Main instruments and reagents Ultra Performance Liquid Chromatography: Waters 2D UPLC, Waters, USA High Resolution mass spectrometer: Q Exactive, Thermo Fisher Scientific, USA Chromatographic Column: ACQUITY UPLC BEH C181.7 μm, 2.1*100 mm, Waters, USA Low Temperature High Speed Centrifuge: Centrifuge 5430, Eppendorf Vortex: QL-901, Kylin-bell Lab Instruments Co., Ltd., China Ultrapure Water Systems: Milli-Q Integral, Millipore Corporation, USA Vacuum Concentrator: Maxi Vacbeta, GENE COMPANY The internal standard mix (IS) contains: L-Leucine-d3, L-Phenylalanine (13C9, 99%), LTryptophan-d5, Progesterone-2,3,4-13C3 MS-grade methanol (A454-4) and acetonitrile (A996-4) were purchased from Thermo Fisher Scientific (USA). Formic acid was purchased from DIMKA (50144-50ml, USA) and ammonium formate (17843-250G, Honeywell Fluka, USA) was obtained from Fluka. Ultrapure water was filtered through the Milli-Q system. 2 Metabolite extraction Metabolite extraction was primarily performed according to previously reported methods[[4][5]. In short, 100 μL plasma samples were extracted by directly adding 300 μL of precooled methanol and acetonitrile (2:1, v/v), internal standards mix 1 (IS1) and internal standards mix 2 (IS2) were added for quality control of sample preparation. After Vortex for 1min and incubate at -20 °C for 2 hours, samples were centrifuged for 20 min at 4000 rpm, and the supernatant was then transferred for vacuum freeze drying. The metabolites were resuspended in 150 μL of 50% methanol and centrifuged for 30 min at 4000 rpm, and the supernatants were transferred to autosampler vials for LC-MS analysis. A quality control (QC) sample was prepared by pooling the same volume of each sample to evaluate the reproducibility of the whole LC-MS analysis.
3 LC-MS/MS Analysis 3.1. Chromatographic conditions The samples were analyzed on a Waters 2D UPLC (Waters, USA), coupled to a Q-Exactive mass spectrometer (Thermo Fisher Scientific, USA) with a heated electrospray ionization (HESI) source and controlled by the Xcalibur 2.3 software program (Thermo Fisher Scientific, Waltham, MA, USA). Chromatographic separation was performed on a Waters ACQUITY UPLC BEH C18 column (1.7 μm, 2.1 mm × 100 mm, Waters, USA), and the column temperature was maintained at 45 °C. The mobile phase consisted of 0.1 % formic acid (A) and acetonitrile (B) in the positive mode, and in the negative mode, the mobile phase consisted of 10 mM ammonium formate (A) and acetonitrile (B). The gradient conditions were as follows: 0-1 min, 2 % B; 1-9 min, 2 % - 98 % B; 9-12 min, 98 % B; 12-12.1 min, 98 % B to 2 % B; and 12.1-15 min, 2 % B. The flow rate was 0.35 mL/min and the injection volume was 5 μL. 3.2 Mass spectrometry conditions The mass spectrometric settings for positive/negative ionization modes were as follows: spray Voltage: 3.8/−3.2 kV; sheath gas flow rate: 40 arbitrary units (arb); aux gas flow rate: 10 arb; aux gas heater temperature: 350 °C; capillary temperature: 320 °C. The full scan range was 70– 1050 m/z with a resolution of 70,000, and the automatic gain control (AGC) target for MS acquisitions was set to 3e6 with a maximum ion injection time of 100 ms. Top 3 precursors were selected for subsequent MSMS fragmentation with a maximum ion injection time of 50 ms and resolution of 17,500, the AGC was 1e5. The stepped normalized collision energy was set to 20, 40 and 60 eV. In order to provide more reliable experimental results during instrument testing, the samples were randomly ordered to reduce system errors. A QC sample was interspersed for every 10 samples. 4 Data preprocessing The mass spectrometry raw data (raw file) collected by LC-MS/MS was imported into Compound Discoverer 3.1 (Thermo Fisher Scientific, USA) for data processing, including: peak extraction, retention time correction within and between groups, additive ion pooling, missing value filling, background peak labeling, and metabolite identification. Finally, information on compound molecular weight, retention time, peak area, and identification results were exported. The identification of metabolites is a combined result of BGI self-built standard library, mzCloud and ChemSpider (HMDB, KEGG, LipidMaps) databases. The results of the Compound Discoverer 3.1 export are imported into metaX for data preprocessing, including: 1. Normalizing the data using the Probabilistic Quotient Normalization
(PQN [6]) to obtain the relative peak area.2. Correcting the batch effect using QC-RLSC [[4] (Quality control-based robust LOESS signal correction); 3. Calculating the CV (Coefficient of Variation) of the relative peak area in all QC samples, and deleting the compounds with CV greater than 30%. Probabilistic Quotient Normalization (PQN): Probabilistic quotient normalization is the calculation of the average of all QC samples for each feature to obtain a reference vector; calculating the median between the reference vector and each sample and obtaining the coefficient vector associated with each sample, then normalization was performed by dividing each sample by the median of the coefficient vectors (the median of each sample is different). QC-RLSC [[4]: Local polynomial regression fitting signal correction (QC-RLSC) based on QC sample information. Data quality was assessed by repeatability of QC sample detection. The content includes chromatogram overlap of the QC sample, PCA, peak number and peak response intensity difference. 5 Partial Least Squares-Discriminant Analysis (PLS-DA) The partial least squares regression method was used to establish a relationship model between metabolite expression and sample categories to achieve modelling prediction of sample categories. The PLS-DA model between the comparative groups (two groups) was established after log2-log conversion of the data, and the method used for scaling was Par. The 7-fold cross- validation was performed during modeling. To evaluate the model, the PLS-DA model [7][8] was subjected to 200 response permutations. Data were used for fold change analysis and T-test. Fold change (FC) was obtained through fold change analysis, p-value was obtained through Students T-test with p-values corrected for false discovery rate (FDR) to obtain q-value. Comparison was done between healthy probands before administration of thiethylperazine versus probands having Alzheimer’s disease before administration of thiethylperazine and healthy probands after administration of thiethylperazine versus probands having Alzheimer’s disease after administration of thiethylperazine. 6 Databases and identification Databases used for compound identification included: mzCloud, Chemspider, Human Metabolome Database (HMDB), Kyoto Encyclopedia of Genes and Genomes (KEGG), Lipidmaps database. II Identification of metabolites/masses with diagnostic value 1. Software
Python 3.9.5 running in the Spyder 5.3.2 IDE with libraries: scikit-learn, pandas and numpy. Windows 11, Microsoft Excel 365. 2. Processing and filtering of data After processing all blood samples using the untargeted metabolomics procedure, the area under the curve (AUC) value of every mass (x) was standardized using the formula z = (x - u) / s where u was the mean of all samples and s was the standard deviation of all samples. Standardized data represent dataset 1. Afterwards, a correlation analyses of all masses within dataset 1 was performed. In case an absolute pairwise correlation of more than 0.95 was found, one mass of the pair was excluded from further analysis. The remaining data represent dataset 2. Dataset 2 was then consecutively filtered for (i) masses that are not significantly different between healthy and AD subjects at the pre-TEP time point and (ii) masses that are significantly different at the post-TEP time point according to Students T-test after running PLS-DA to produce dataset 3. Dataset 3 was then checked for masses that were found to have highly correlating masses in dataset 1. Four such masses were identified and the correlating masses, excluded from dataset 2, were reintroduced into dataset 3 to give the final dataset comprising 45 masses. 3. Analyzing predictive value of single masses For better visualization, AUC data at 2h after TEP administration of each of the selected 45 masses was normalized to the respective mean of the healthy individuals (Xmass i = AUC mass i* 100/Average all Healthy mass i).32 masses were significantly different in samples acquired from AD subjects than in healthy subjects’ samples. For 42 of the 45 masses, an absolute change of 3% (relative to the mean of healthy subjects) was sufficient to diagnose AD with an accuracy of at least 67% (Table 1).
4. Screening for mass combinations predictive of disease status To increase accuracy and robustness of this diagnostic approach, the final dataset was further analyzed and processed utilizing supervised machine-learning algorithms to evaluate the diagnostic potential of all possible combinations of up to 7 masses (excluding combinations that would include highly correlating masses) and extract combinations of high diagnostic value. Because of the small cohort size a rigorous approach of training and testing classifier models have been utilized to estimate the diagnostic robustness of a specific mass combination against unknown samples. A scikit-learn GridSearch pipeline with a nested cross-validation approach was utilized to evaluate the best mass combinations and classifiers for identifying AD patients. Within the GridSearch pipeline, the following supervised learning methods have been screened: Logistic Regression, Stochastic Gradient Descent Classifier (SGDClassifier), Decision Tree Classifier, Random Tree Classifier, Extra Tree Classifier, AdaBoost Classifier, Multi-layer Perceptron Classifier (MLPClassifier), Gradient Boosting Classifier, Gaussian Naive Bayes (GaussianNB), K-Nearest Neighbor Classifier, C-Support Vector Classification (SVC), Quadratic Discriminant Analysis and Linear Regression. For each method, hyperparameter optimization and training were performed on 70 % of the full data set using a stratified three-fold data split (inner loop). The classifier with the highest area under the ROC curve (AUC) was then evaluated on the remaining 30 % of the data set using the leave-one-out method (outer loop) to assess the generalizability and accuracy of the model and mass combination. Results The screening revealed a large number of combinations of 1 to 7 of the 45 found masses that were most valuable for accurate prediction of the disease status. Table 2 below shows an exemplary selection of mass combinations that predicted the disease status with high accuracy. Because the calculation of predictions of most classifiers was hard or not at all to depict, only logistic regression algorithms were chosen for this table 2. However, in most cases, the decisive factor for accurate prediction was the combination of masses and not the algorithm used for the prediction, which again highlights the validity of the selected masses. This fact was exemplified in table 4, where key diagnostic parameters are shown for different classifiers using the same mass combinations. For disease prognosis, logistic regression equations are to be interpreted as follows: y = I + C1*F1 + C2*F2 +…+ Cn*Fn,
where I is the Intercept and Cn the coefficient of Mass Fn. Positive y-values are a prediction of Alzheimer’s disease while negative values predict the non-diseased status. Greater absolute values mean great certainty of the prediction. For example, in case of the first combination of masses shown in table 2 the formula was as follows: y = [Feat1])+(43,45875272*[Feat2])+(-60,67815063*[Feat3])+
where [FeatX] was the concentration (standard scaled or absolute value) of the respective mass in a sample.
Feat: Feature Coeff: Coefficient MAC: Maximum Accuracy found for this Combination of masses All value ranges indicated in the table for “Ranges” are meant as excluding zero.
Without being bound to this theory, it is assumed that of the 45 compounds indicated by a mass in gram/mol above, the following 5 compounds are associated with chemical compounds as listed below in Table 3: Table 3 Compounds having specific mass in gram/mol associated with structures
Table 4
References [1] US 2015/0374711 A1. [2] Schindler S E, Bollinger J G, Ovod V, et al. High-precision plasma beta-amyloid 42/40 predicts current and future brain amyloidosis. Neurology 2019, 93(17):e1647-e1659. [3] Eugenia Trushina E, Dutta T, Persson X-M T, Mielke M M, Petersen R C, Identification of Altered Metabolic Pathways in Plasma and CSF in Mild Cognitive Impairment and Alzheimer's Disease Using Metabolomics. PlosOne, May 2013, Volume 8, Issue 5, e63644. [[4] Dunn W B , Broadhurst D , Begley P , et al. Procedures for large-scale metabolic profiling of serum and plasma using gas chromatography and liquid chromatography coupled to mass spectrometry. Nature Protocols, 2011, 6(7):1060-1083. [5] Sarafian M H , Gaudin M , Lewis M R , et al. Objective Set of Criteria for Optimization of Sample Preparation Procedures for Ultra-High Throughput Untargeted Body fluid Plasma Lipid Profiling by Ultra Performance Liquid Chromatography–Mass Spectrometry. Analytical Chemistry, 2014, 86(12):5766-5774. [6] Guida R D , Engel J , Allwood J W , et al. Non-targeted UHPLC-MS metabolomic data processing methods: a comparative investigation of normalisation, missing value imputation, transformation and scaling[J]. Metabolomics, 2016, 12(5):93. [7] Barker, M.; Rayens, W., Partial least squares for discrimination. J Chemometr 2003, 17(3):166-173. [8] Westerhuis J A , Hoefsloot H C J , Smit S , et al. Assessment of PLSDA cross validation[J]. Metabolomics, 2008, 4(1):81-89.
Claims
Claims 1. A method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least a compound having a mass in gram/mol of 110.0367; (b) determining in a second body fluid sample of the subject the amount of the same compound as in (a); (c) determining the change of the amount of the compound determined according to (a) compared to the respective amount of the compound determined according to (b); (d) analyzing the change as determined in (c) using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the compound, whereby a subject suffering from AD or being at risk of developing Alzheimer’s dementia is identified if AD is predicted; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
2. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to claim 1, wherein the first body fluid sample derives from a subject after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
3. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to claim 1or 2, wherein the amount of at least one further compound having a mass in gram/mol selected from the group consisting of 208.0737, 315.2409, 175.0633, 702.5682 (Group 4), is additionally determined in a first body fluid sample of the subject in steps (a) and additionally analysed in (b).
4. The method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia according to any one of claims 1 to 3, wherein said computer-implemented prediction algorithm uses a supervised machine- learning algorithm that has been trained by a training dataset comprising quantitative or qualitative data for the compound having a mass in gram/mol of 110.0367, optionally in combination with the at least one further compound from Group 4,
in body fluid samples from subjects known to suffer from AD and subjects known not to suffer from AD.
5. The method according to any one of claims 1 to 4, wherein at least the amounts of a compound having a mass of 110.0367 gram/mol, a compound having a mass of 175.0633 gram/mol, and a compound having a mass of 208.0737 gram/mol are determined in (a) and analyzed in (b).
6. A method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of a compound having a mass in gram/mol of 110.0367; (b) determining in a second body fluid sample of the subject the amount of the same compound as in (a); (c) comparing the amount of the compound determined according to (a) to the respective amount of the compound determined according to (b), wherein a change of the amount of the compound according to (b) compared with the amount as determined in (a) indicates Alzheimer’s dementia for the subject or the risk of developing Alzheimer’s dementia for the subject; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
7. A method for identifying a subject suffering from Alzheimer's dementia (AD), the method comprising: (a) determining in a body fluid sample of the subject the amount of a compound having a mass in gram/mol of 110.0367 (b) comparing the amount of the compound determined according to (a) to a mean amount of a healthy subject, wherein a change of the amount of the compound according to (a) compared with the mean amount of a healthy subject, preferably by at least 3% based on the mean amount of a healthy subject being 100%, indicates Alzheimer’s dementia for the subject or indicates that the subject is at risk of developing Alzheimer’s dementia; wherein said body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
8. Compound having a mass in gram/mol of 110.0367 and optionally in combination with at least one compound having a mass in gram/mol selected from Group 4, for diagnosing AD in a subject or for determining the risk of a subject to develop AD.
9. Use of at least one compound having a mass in gram/mol of 110.0367 and optionally in combination with at least one compound having a mass in gram/mol selected from Group 4 in a sample of a subject for diagnosing AD in said subject or for determining the risk of said subject to develop AD.
10. A device adapted for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the device comprising: (a) an analyzing unit capable of determining in a first body fluid sample of the subject the amount of at least one compound having a mass in gram/mol of 110.0367; (b) a data processor adopted for analyzing the determined amount for the compound using a prediction algorithm implemented in said data processor that is capable of predicting AD in a subject based on the at least two compounds, whereby a subject suffering from AD is identified if AD is predicted or a subject being at risk of developing Alzheimer’s dementia is identified if AD is predicted.
11. A kit for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer’s dementia, the kit comprising a reference sample ofa compound having a mass in gram/mol of 110.0367, optionally a reference sample of at least one compound having a mass in gram/mol selected from the group consisting of Group 4, and optionally one or more reagents for sample preparation and/or extraction.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP22202129 | 2022-10-18 | ||
EP22202129.7 | 2022-10-18 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2024083822A1 true WO2024083822A1 (en) | 2024-04-25 |
Family
ID=84358789
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2023/078829 WO2024083822A1 (en) | 2022-10-18 | 2023-10-17 | Identifying a subject suffering from alzheimer's dementia or being at risk of developing alzheimer's dementia |
Country Status (1)
Country | Link |
---|---|
WO (1) | WO2024083822A1 (en) |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2006035237A2 (en) * | 2004-09-29 | 2006-04-06 | Proteome Sciences Plc | Methods and compositions relating to alzheimer's disease |
US20150374711A1 (en) * | 2010-09-07 | 2015-12-31 | Immungenetics Ag | 2-(r2-thio)-10-[3-(4-r1-piperazin-1-yl)propyl]-10h-phenothiazines for treating a b-amyloidopathy or an a-synucleopathy, and method for the diagnosis or prediagnosis thereof |
US20190391092A1 (en) * | 2018-06-21 | 2019-12-26 | Oregon Institute of Science and Medicine | Metabolic profiling with magnetic resonance mass spectrometry (mrms) |
WO2021118359A1 (en) * | 2019-12-11 | 2021-06-17 | Sulfateq B.V. | Compounds for treatment of alzheimer's disease |
-
2023
- 2023-10-17 WO PCT/EP2023/078829 patent/WO2024083822A1/en unknown
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2006035237A2 (en) * | 2004-09-29 | 2006-04-06 | Proteome Sciences Plc | Methods and compositions relating to alzheimer's disease |
US20150374711A1 (en) * | 2010-09-07 | 2015-12-31 | Immungenetics Ag | 2-(r2-thio)-10-[3-(4-r1-piperazin-1-yl)propyl]-10h-phenothiazines for treating a b-amyloidopathy or an a-synucleopathy, and method for the diagnosis or prediagnosis thereof |
US20190391092A1 (en) * | 2018-06-21 | 2019-12-26 | Oregon Institute of Science and Medicine | Metabolic profiling with magnetic resonance mass spectrometry (mrms) |
WO2021118359A1 (en) * | 2019-12-11 | 2021-06-17 | Sulfateq B.V. | Compounds for treatment of alzheimer's disease |
Non-Patent Citations (13)
Title |
---|
DAVID S GOLDSTEIN: "Catecholamines 101", CLINICAL AUTONOMIC RESEARCH ; AN INTERNATIONAL JOURNAL FOR FAST COMMUNICATIONS OF RESEARCH AND TREATMENT RELATED TO AUTONOMIC FUNCTION AND DYSFUNCTION, STEINKOPFF-VERLAG, DA, vol. 20, no. 6, 11 July 2010 (2010-07-11), pages 331 - 352, XP019858403, ISSN: 1619-1560, DOI: 10.1007/S10286-010-0065-7 * |
EUGENIA TRUSHINA ET AL: "Identification of Altered Metabolic Pathways in Plasma and CSF in Mild Cognitive Impairment and Alzheimer’s Disease Using Metabolomics", PLOS ONE, vol. 8, no. 5, 20 May 2013 (2013-05-20), pages e63644, XP055176105, DOI: 10.1371/journal.pone.0063644 * |
HIROAKI FUKUMOTO ET AL: "High-molecular-weight beta-amyloid oligomers are elevated in cerebrospinal fluid of Alzheimer patients", THE FASEB JOURNAL, FEDERATION OF AMERICAN SOCIETIES FOR EXPERIMENTAL BIOLOGY, US, vol. 24, no. 8, 1 August 2010 (2010-08-01), pages 2716 - 2726, XP002664693, ISSN: 0892-6638, [retrieved on 20100325], DOI: 10.1096/FJ.09-150359 * |
KADDURAH-DAOUK R ET AL: "Alterations in metabolic pathways and networks in Alzheimer's disease", TRANSLATIONAL PSYCHIATRY, vol. 3, no. 4, 9 April 2013 (2013-04-09), pages e244 - e244, XP093050793, DOI: 10.1038/tp.2013.18 * |
KELLEY ANDREA R. ET AL: "Molecular Mapping Alzheimer's Disease: MALDI Imaging of Formalin-fixed, Paraffin-embedded Human Hippocampal Tissue", vol. 10, no. 1, 30 September 2016 (2016-09-30), pages 88 - 98, XP093034274, ISSN: 1874-205X, Retrieved from the Internet <URL:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5080873/pdf/TONEUJ-10-88.pdf> DOI: 10.2174/1874205X01610010088 * |
KORECKA MAGDALENA ET AL: "Mass spectrometry-based methods for robust measurement of Alzheimer's disease biomarkers in biological fluids", vol. 159, no. 2, 25 August 2021 (2021-08-25), GB, pages 211 - 233, XP093034278, ISSN: 0022-3042, Retrieved from the Internet <URL:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9057379/pdf/nihms-1798587.pdf> DOI: 10.1111/jnc.15465 * |
PRYOR N. ELIZABETH ET AL: "Unraveling the Early Events of Amyloid-[beta] Protein (A[beta]) Aggregation: Techniques for the Determination of A[beta] Aggregate Size", vol. 13, no. 3, 7 March 2012 (2012-03-07), pages 3038 - 3072, XP093034823, Retrieved from the Internet <URL:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3317702/pdf/ijms-13-03038.pdf> DOI: 10.3390/ijms13033038 * |
RIMA KADDURAH-DAOUK ET AL: "Metabolomic changes in autopsy-confirmed Alzheimer's disease", ALZHEIMER'S & DEMENTIA, vol. 7, no. 3, 2011, pages 309 - 317, XP028243213, ISSN: 1552-5260, [retrieved on 20100628], DOI: 10.1016/J.JALZ.2010.06.001 * |
SOCHA EDYTA ET AL: "Amino Acid Levels as Potential Biomarker of Elderly Patients with Dementia", BRAIN SCIENCES, vol. 10, no. 12, 27 November 2020 (2020-11-27), pages 914, XP093050784, DOI: 10.3390/brainsci10120914 * |
WANG YANG-YANG ET AL: "Biomarkers for the Clinical Diagnosis of Alzheimer's Disease: Metabolomics Analysis of Brain Tissue and Blood", FRONTIERS IN PHARMACOLOGY, vol. 12, 21 July 2021 (2021-07-21), XP093050677, DOI: 10.3389/fphar.2021.700587 * |
WÖLFL-DUCHEK MICHAEL ET AL: "Use of PET Imaging to Assess the Efficacy of Thiethylperazine to Stimulate Cerebral MRP1 Transport Activity in Wild-Type and APP/PS1-21 Mice", vol. 23, no. 12, 10 June 2022 (2022-06-10), pages 6514, XP093036541, Retrieved from the Internet <URL:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9224167/pdf/ijms-23-06514.pdf> DOI: 10.3390/ijms23126514 * |
YAMAMOTO-IMOTO HITOMI ET AL: "A novel detection method of cleaved plasma high-molecular-weight kininogen reveals its correlation with Alzheimer's pathology and cognitive impairment", vol. 10, no. 1, 1 January 2018 (2018-01-01), pages 480 - 489, XP093034268, ISSN: 2352-8729, Retrieved from the Internet <URL:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178129/pdf/main.pdf> DOI: 10.1016/j.dadm.2018.06.008 * |
ZAMOLODCHIKOV DARIA ET AL: "Accumulation of high molecular weight kininogen in the brains of Alzheimer's disease patients may affect microglial function by altering phagocytosis and lysosomal cathepsin activity", vol. 18, no. 10, 3 January 2022 (2022-01-03), US, pages 1919 - 1929, XP093034254, ISSN: 1552-5260, Retrieved from the Internet <URL:https://onlinelibrary.wiley.com/doi/full-xml/10.1002/alz.12531> DOI: 10.1002/alz.12531 * |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
Klupczynska et al. | Study of early stage non-small-cell lung cancer using Orbitrap-based global serum metabolomics | |
Carraro et al. | Asthma severity in childhood and metabolomic profiling of breath condensate | |
Anderson et al. | Biomarkers in pharmacology and drug discovery | |
Blanchet et al. | Fusion of metabolomics and proteomics data for biomarkers discovery: case study on the experimental autoimmune encephalomyelitis | |
Herman et al. | Integration of magnetic resonance imaging and protein and metabolite CSF measurements to enable early diagnosis of secondary progressive multiple sclerosis | |
CN113960235B (en) | Application and method of biomarker in preparation of lung cancer detection reagent | |
WO2011157655A1 (en) | Use of bile acids for prediction of an onset of sepsis | |
JP2011501133A (en) | Method for detecting major cardiovascular or cerebrovascular adverse events | |
Ishigami et al. | Cerebrospinal fluid proteomic patterns discriminate Parkinson's disease and multiple system atrophy | |
Tremlett et al. | Serum proteomics in multiple sclerosis disease progression | |
JP2023055806A (en) | Methods for detection and treatment of pancreatic ductal adenocarcinoma | |
WO2006027321A1 (en) | Identification and use of biomarkers for the diagnosis and the prognosis of inflammatory diseases. | |
Ciryam et al. | A metastable subproteome underlies inclusion formation in muscle proteinopathies | |
Liu et al. | Decreased serum levels of nucleolin protein fragment, as analyzed by bead-based proteomic technology, in multiple sclerosis patients compared to controls | |
Kim et al. | Identification of plasma complement C3 as a potential biomarker for neuroblastoma using a quantitative proteomic approach | |
He et al. | Detection of serum tumor markers in multiple myeloma using the CLINPROT system | |
White et al. | Quantitative mass spectrometry to identify protein markers for diagnosis of malignant pleural mesothelioma | |
Yang et al. | Proteomic profiling of invasive ductal carcinoma (IDC) using magnetic beads‐based serum fractionation and MALDI‐TOF MS | |
AU2018289512A1 (en) | Quantifying SLFN11 protein for optimal cancer therapy | |
WO2024083822A1 (en) | Identifying a subject suffering from alzheimer's dementia or being at risk of developing alzheimer's dementia | |
EP2339352A1 (en) | Use of endogenous metabolites for early diagnosing sepsis | |
WO2009156747A2 (en) | Assay | |
US20200173997A1 (en) | Cholesteryl linoleate (18:2) in feces samples as biomarker for colorectal cancer | |
CN113227777B (en) | Method for detecting systemic lupus erythematosus | |
Madan et al. | A potential biomarker in the cord blood of preterm infants who develop retinopathy of prematurity |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
121 | Ep: the epo has been informed by wipo that ep was designated in this application |
Ref document number: 23793292 Country of ref document: EP Kind code of ref document: A1 |