The presence of adrenomedullin-like immunoreactivity in the cerebrospi
nal fluid was studied by radioimmunoassay in 13 subjects with various
neurological diseases. The concentrations of adrenomedullin-like immun
oreactivity in the cerebrospinal fluid were 9.4 +/- 3.1 pmol/l (mean /- SD, n = 13). Reverse-phase high performance liquid chromatography o
f the extract of the pooled cerebrospinal fluid showed that approximat
ely 40% of the adrenomedullin-like immunoreactivity was chromatographi
cally identical to human adrenomedullin(1-52). This is the first repor
t that demonstrates the presence of adrenomedullin-like immunoreactivi
ty in the human cerebrospinal fluid. (C) 1997 Elsevier Science Inc.