Neurogranin as a Cerebrospinal Fluid Biomarker for Synaptic Loss in Symptomatic Alzheimer Disease

Abstract
The core cerebrospinal fluid (CSF) biomarkers Aβ42, total tau, and tau phosphorylated at threonine 181 (P-tau181) reflect the neuropathological hallmarks of Alzheimer disease (AD), amyloid plaques, and neurofibrillary tangles.1 Clinically, AD is characterized by cognitive decline, but once a patient has AD pathology, these core CSF biomarkers appear not to reflect further functional decline owing to their relative stability during clinical AD.2-4