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Antibody‐based methods for the measurement of α‐synuclein concentration in human cerebrospinal fluid – method comparison and round robin study

journal contribution
submitted on 2024-06-30, 08:23 and posted on 2024-06-30, 08:24 authored by Brit Mollenhauer, Frederick DuBois Bowman, Daniel Drake, Jimmy Duong, Kaj Blennow, Omar El‐Agnaf, Leslie M. Shaw, Jennifer Masucci, Peggy Taylor, Robert M. Umek, Jill M. Dunty, Chris L. Smith, Erik Stoops, Hugo Vanderstichele, Adrian W. Schmid, Marc Moniatte, Jing Zhang, Niels Kruse, Hilal A. Lashuel, Charlotte Teunissen, Tanja Schubert, Kuldip D. Dave, Samantha J. Hutten, Henrik Zetterberg

α‐Synuclein is the major component of Lewy bodies and a candidate biomarker for neurodegenerative diseases in which Lewy bodies are common, including Parkinson's disease and dementia with Lewy bodies. A large body of literature suggests that these disorders are characterized by reduced concentrations of α‐synuclein in cerebrospinal fluid (CSF), with overlapping concentrations compared to healthy controls and variability across studies. Several reasons can account for this variability, including technical ones, such as inter‐assay and inter‐laboratory variation (reproducibility). We compared four immunochemical methods for the quantification of α‐synuclein concentration in 50 unique CSF samples. All methods were designed to capture most of the existing α‐synuclein forms in CSF (‘total’ α‐synuclein). Each of the four methods showed high analytical precision, excellent correlation between laboratories (R2 0.83–0.99), and good correlation with each other (R2 0.64–0.93), although the slopes of the regression lines were different between the four immunoassays. The use of common reference CSF samples decreased the differences in α‐synuclein concentration between detection methods and technologies. Pilot data on an immunoprecipitation mass spectrometry (IP‐MS) method is also presented. Our results suggest that the four immunochemical methods and the IP‐MS method measure similar forms of α‐synuclein and that a common reference material would allow harmonization of results between immunoassays.

Other Information

Published in: Journal of Neurochemistry
See article on publisher's website:


Michael J Fox Foundation (N/A).



  • English



Publication Year

  • 2018

License statement

This Item is licensed under the Creative Commons Attribution 4.0 International License.

Institution affiliated with

  • Hamad Bin Khalifa University
  • Qatar Biomedical Research Institute - HBKU
  • College of Health and Life Sciences - HBKU