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阿尔茨海默病:大脑中生长抑素水平降低与认知功能受损及皮质代谢异常相关。

Alzheimer's disease: low cerebral somatostatin levels correlate with impaired cognitive function and cortical metabolism.

作者信息

Tamminga C A, Foster N L, Fedio P, Bird E D, Chase T N

出版信息

Neurology. 1987 Jan;37(1):161-5. doi: 10.1212/wnl.37.1.161.

Abstract

Somatostatin-like immunoreactivity in Alzheimer CSF was significantly lower than in that from age-matched controls. The degree of reduction correlated with indices of intellectual impairment and decline in cortical glucose utilization as determined by PET. There was a close association between reduction in CSF somatostatin and glucose hypometabolism in the parietal lobe. In postmortem cortical tissue from Alzheimer patients, somatostatin levels were lower in posterior parietal but not in anterior frontal cortex. Loss of somatostatin-containing neurons, especially in the parietal association cortex, may be a critical determinant for Alzheimer dementia.

摘要

阿尔茨海默病患者脑脊液中类生长抑素免疫反应性显著低于年龄匹配的对照组。降低程度与通过正电子发射断层扫描(PET)测定的智力损害指标和皮质葡萄糖利用下降相关。脑脊液中生长抑素的降低与顶叶葡萄糖代谢减低密切相关。在阿尔茨海默病患者的尸检皮质组织中,后顶叶皮质的生长抑素水平较低,而前额叶皮质则不然。含生长抑素神经元的丧失,尤其是在顶叶联合皮质,可能是阿尔茨海默病痴呆的关键决定因素。

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