High Agreement Across Laboratories Between Different Alpha-Synuclein Seed Amplification Protocols

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Stefan Bräuer - , Klinik und Poliklinik für Neurologie, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) (Autor:in)
  • Maximilian Weber - , Eberhard Karls Universität Tübingen (Autor:in)
  • Christian Deuschle - , Eberhard Karls Universität Tübingen (Autor:in)
  • Kühlwein Julia - , Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) , Universität Ulm (Autor:in)
  • Luis Concha-Marambio - , Amprion Inc. (Autor:in)
  • Alexander M. Bernhardt - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Vaibhavi Kadam - , Eberhard Karls Universität Tübingen, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) (Autor:in)
  • David Mengel - , Eberhard Karls Universität Tübingen, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) (Autor:in)
  • Wolfgang P. Ruf - , Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) , Universität Ulm (Autor:in)
  • Jan Kassubek - , Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) , Universität Ulm (Autor:in)
  • Iñaki Schniewind - , Klinik und Poliklinik für Neurologie, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) (Autor:in)
  • Sandra Kuhs - , Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) (Autor:in)
  • Marcello Rossi - , Istituto delle Scienze Neurologiche di Bologna (Autor:in)
  • Piero Parchi - , Istituto delle Scienze Neurologiche di Bologna, Università di Bologna (Autor:in)
  • Johannes Levin - , Ludwig-Maximilians-Universität München (LMU), Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) , Munich Cluster for Systems Neurology (SyNergy) (Autor:in)
  • Karin M. Danzer - , Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) , Universität Ulm (Autor:in)
  • Matthis Synofzik - , Eberhard Karls Universität Tübingen, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) (Autor:in)
  • Kathrin Brockmann - , Eberhard Karls Universität Tübingen, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) (Autor:in)
  • Björn H. Falkenburger - , Klinik und Poliklinik für Neurologie, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) (Autor:in)

Abstract

Background: Seed amplification assays (SAA) detect alpha-synuclein (aSYN) pathology in patient biomatrices such as cerebrospinal fluid (CSF)—potentially even before clinical manifestations. As CSF-based SAA are approaching broader use in clinical trials and research, ensuring that different laboratories obtain the same results becomes increasingly important. Methods: In this cross-laboratory, cross-aSYN-recombinant substrate and cross-protocol round-robin test, we compared SAA results from a common set of 38 CSF samples measured independently in four research laboratories of the German Center for Neurodegenerative diseases. Three laboratories (A–C) used an assay protocol adapted from Parchi's group at ISNB (Bologna, Italy); laboratory D used an assay protocol adapted from Amprion Inc. Two different manufacturers of aSYN protein were used as substrates for the SAA reaction. Results: Qualitative results were identical in at least three of the four laboratories for 37 out of 38 samples (20 positive, 17 negative). Fleiss Kappa for all four laboratories was 0.751 (z = 12, p < 0.001). For each laboratory, agreement with laboratory A was > 92%. For the number of positive replicates, Fleiss Kappa was 0.45 for a score of zero positive replicates and 0.42 for a score of four positive replicates. Conclusions: The qualitative SAA results showed a high level of agreement across research laboratories, aSYN monomers, and assay protocols. Small differences between laboratories were systematic, consistent with the notion that SAA reports biologically relevant properties. These results also underline that round-robin tests can be helpful in assessing and ensuring SAA quality across laboratories.

Details

OriginalspracheEnglisch
Aufsatznummere70165
FachzeitschriftEuropean journal of neurology
Jahrgang32
Ausgabenummer4
PublikationsstatusVeröffentlicht - Apr. 2025
Peer-Review-StatusJa

Externe IDs

PubMed 40237217
ORCID /0000-0002-2387-526X/work/203813173

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • alpha-synuclein, method validation, proficiency testing, ring trial, RT-QuIC