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4.3.6. Determination of biomar-                 cells to determine, by PCR and se-
            kers                                            quencing techniques, genetic markers
                                                            associated with the various polymor-
            It is currently widely accepted that the        phisms in the following genes: APOE,
            molecular changes associated with               CR1, BIN1, CLU, PICALM, ABCA7, SORL1,
            AD, including the formation of amyloid          PRNP, GRM8, and BACE1. These genes
            plaques and neurofibrillary tangles be-         are studied using DNA obtained from
            gin many years before the appearance            the extraction of samples from the first
            of clinical symptoms. In recent years,          visit.
            the need to define and develop new
            early biomarkers of AD that allow us            Also, in the context of the project fun-
            to assess the risk and early diagnosis          ded by the MINECO (Projects RETOS)
            of the disease has become clear. Thus,          entitled "miRNA and lipid metabolism
            blood samples will be collected wi-             markers as potential links between
            thin the Vallecas Project for the study         vascular dysfunction and Alzheimer's
            of genetic and biochemical markers.             pathophysiology", and whose main re-
            Samples are obtained according to the           searchers are Drs. Miguel Medina and
            protocol "Collection and Processing of          Miguel Calero, in collaboration with
            Human Blood Samples in the Vallecas             the group of Dr. Tobias Engel (Royal
            Project" and processed to obtain the            College of Surgeons, Dublin, Ireland)
            various fractions indicated in the pro-         plasma-derived microRNAs are being
            tocol, which are stored at -80°C. On            analyzed as potential biomarkers, as
            one hand, DNA is extracted from blood           well as molecules related to vascular







































               Cien Foundation annual report 2020                                                   110
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