Yadavalli Suhrida, Gunstad John, Glickman Ellen, Alexander Thomas, Spitznagel Mary Beth, Juvancic-Heltzel Judi, Murray Leigh, Collinsworth Tiffany
Department of Psychology, Kent State University, Kent, Ohio 44242, USA.
Neuropsychobiology. 2008;57(3):121-5. doi: 10.1159/000138914. Epub 2008 Jun 13.
Vascular pathology is associated with reduced performance on neuropsychological tests, particularly in older adults. A likely explanation involves a disruption in the blood brain barrier (BBB). Work from clinical samples show alterations in BBB function is associated with cognitive dysfunction on testing, though no study has examined this possibility in healthy older adults.
35 older adults, without significant neurological or psychiatric history, underwent fasting blood draw and neuropsychological testing. Serum levels of S100beta were quantified to provide a measure of BBB function.
Partial correlations showed S100beta levels were inversely related to performance in multiple cognitive domains, including memory (r = 0.43, p = 0.02), psychomotor speed and visual attention (r = 0.37, p = 0.05), and working memory (r = -0.48, p = 0.008).
Findings indicate that increased S100beta levels are associated with poorer cognitive function in neurologically healthy older adults, implicating BBB function in age-related cognitive decline. Further work is needed to clarify possible mechanisms, particularly longitudinal studies that involve neuroimaging.
血管病理学与神经心理学测试表现下降有关,尤其是在老年人中。一种可能的解释涉及血脑屏障(BBB)的破坏。来自临床样本的研究表明,BBB功能的改变与测试中的认知功能障碍有关,尽管尚无研究在健康老年人中检验这种可能性。
35名无重大神经或精神病史的老年人接受了空腹抽血和神经心理学测试。对血清S100β水平进行定量,以衡量BBB功能。
偏相关性分析显示,S100β水平与多个认知领域的表现呈负相关,包括记忆(r = 0.43,p = 0.02)、精神运动速度和视觉注意力(r = 0.37,p = 0.05)以及工作记忆(r = -0.48,p = 0.008)。
研究结果表明,S100β水平升高与神经功能正常的老年人认知功能较差有关,这表明BBB功能与年龄相关的认知衰退有关。需要进一步开展工作以阐明可能的机制,特别是涉及神经影像学的纵向研究。