Keegan Andrew P, Paris Daniel, Luis Cheryl A, Abdullah Laila, Ait-Ghezala Ghania, Beaulieu-Abdelahad David, Pryor Makenzie, Chaykin Jillian, Crynen Gogce, Crawford Fiona, Mullan Michael
The Roskamp Institute, Sarasota, FL, USA.
Int J Geriatr Psychiatry. 2018 Feb;33(2):358-363. doi: 10.1002/gps.4752. Epub 2017 Jun 22.
Detection of Alzheimer's disease (AD) prior to clinical inception will be paramount for introducing disease modifying treatments. We have begun collecting baseline characteristics of a community cohort for longitudinal assessment and testing of antecedent blood-based biomarkers. We describe the baseline visit from the first 131 subjects in relationship to a commonly described cytokine, interleukin 6 (IL-6).
Subjects from the community presented for a free memory screening with varying degrees of memory concern. We quantified the baseline plasma levels of the cytokine IL-6 and assessed cognition (Montreal Cognitive Assessment, MoCA) and mood (Geriatric Depression Scale, GDS) in relationship to their memory concern.
Baseline MoCA scores were inversely related to age, and this association was influenced by an AD risk factor, Apolipoprotein E (APOE4) carrier status. The degree of subjective cognitive decline correlated with GDS and was inversely related to MoCA scores. Interleukin 6 levels were related to age, body mass index, and years of education.
It will be important to assess how these baseline IL-6 levels and forthcoming novel biomarkers relate to future cognitive decline. Copyright © 2017 John Wiley & Sons, Ltd.
在临床发病前检测阿尔茨海默病(AD)对于引入疾病修饰治疗至关重要。我们已开始收集一个社区队列的基线特征,以便对先前基于血液的生物标志物进行纵向评估和检测。我们描述了首批131名受试者的基线访视情况,并将其与一种常见的细胞因子白细胞介素6(IL-6)相关联。
来自社区的受试者前来进行免费记忆筛查,他们对记忆问题的关注程度各不相同。我们对细胞因子IL-6的基线血浆水平进行了量化,并根据他们对记忆问题的关注程度评估了认知能力(蒙特利尔认知评估量表,MoCA)和情绪(老年抑郁量表,GDS)。
基线MoCA评分与年龄呈负相关,这种关联受到AD风险因素载脂蛋白E(APOE4)携带者状态的影响。主观认知下降程度与GDS相关,且与MoCA评分呈负相关。白细胞介素6水平与年龄、体重指数和受教育年限有关。
评估这些基线IL-6水平以及即将出现的新型生物标志物与未来认知下降之间的关系将很重要。版权所有©2017约翰威立父子有限公司。