Abstract

Objective To detect the conformational state of P53 protein in peripheral blood lymphocytes from Alzheimer's disease (AD) subjects, and explore a novel blood biomarker of AD. Methods Eighteen AD patients, admitted to our hospital from June 2011 to June 2016, were used as experimental group; 14 patients with vascular dementia (VaD) and 12 patients with other central nervous system degenerative disease such as Parkinson's disease and Parkinsonism-plus syndrome (PD/PPS) who showed dementia, and 18 healthy subjects were selected as three control groups. Peripheral blood of 2 mL was extracted from all subjects, and lymphocytes were extracted; the conformational state of P53 protein in lymphocytes was evaluated by immunofluorescent staining with conformation-specific monoclonal antibodies: PAb1620 (specific for wild-type conformation) and PAb240 (specific for mutant-type conformation). After PAbl620(+) cells and PAb240(+) cells were selected, flow cells technology was used to evaluate cell cycle distribution. Results (1) P53 proteins of wild-type conformation and mutant-type conformation were noted in four groups, with significant differences (F=452.713, P=0.000; F=1240.846, P=0.000): expressions of P53 proteins of wild-type conformation and mutant-type conformation in experimental group were significantly stronger than those in the other three groups (P< 0.05). (2) Ratio of 1620/240 cells showed significant differences in the four groups (F=112.534, P= 0.000): that in the experimental group was significantly stronger than that in the other three groups (P< 0.05). (3) G1% was statistically lower and S% was significantly higher in PAb240(+) cells as compared with those in the PAb1620 (+) cells (P<0.05). Conclusions Lymphocytes from AD subjects can express anomalous and detectable mutant-like P53 protein which makes these cells being distinct from cells of controls. A closely putative link is shown between mutant-like P53 protein and dysfunction of G1/S checkpoint in lymphocytes from AD. This mutant-like p53 protein in peripheral blood lymphocytes might be unique to AD, which is expected to be a novel blood biomarker for AD, as well as to provide a new target for AD therapy. Key words: Alzheimer's disease; Lymphocyte; P53; Conformation; Biomarker

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