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60-75 岁健康人群中低度系统性炎症与认知功能之间是否存在关系?

Is there a relationship between low-grade systemic inflammation and cognition in healthy people aged 60-75 years?

机构信息

Centre for Human Psychopharmacology, Swinburne University, Melbourne, Australia.

Centre for Human Psychopharmacology, Swinburne University, Melbourne, Australia; Professorial Unit, The Melbourne Clinic, Department of Psychiatry, The University of Melbourne, Melbourne, Australia.

出版信息

Behav Brain Res. 2020 Apr 6;383:112502. doi: 10.1016/j.bbr.2020.112502. Epub 2020 Jan 22.

Abstract

Although inflammation has been associated with cognitive impairment in dementia, less is known about its role in the cognition of middle to older aged healthy people. This study utilised baseline data from the Australian Research Council Longevity Intervention (ARCLI) trial to investigate the relationship between markers of systemic inflammation (TNF-α, IL-6, IL-1β, INF-γ, IL-2, IL-4, IL-10 and hsCRP) and cognitive function in 286 healthy volunteers aged 60-75 years. We assessed cognitive functioning across domains including attention, speed of memory, working memory and episodic memory using the Cognitive Drug Research test battery. Only IFN-γ was related to cognitive function, being associated with greater odds of having low continuity of attention (log2 IFN-γ OR, 1.46; 95 % CI, 1.18-1.85). The relationship between episodic memory, speed of memory and inflammation varied with BMI. In high BMI participants, increased inflammation was associated with worse cognitive function, while this association was reversed in those with low BMI. Outside of the influence of IFN-γ on attention, low-grade systemic inflammation was not robustly associated with cognitive function in this sample of middle to older aged healthy people. Further research is required to understand the role of BMI in the intersection of inflammation and cognitive function.

摘要

尽管炎症与痴呆患者的认知障碍有关,但对于其在中年至老年健康人群认知中的作用知之甚少。本研究利用澳大利亚研究理事会长寿干预(ARCLI)试验的基线数据,调查了 286 名年龄在 60-75 岁的健康志愿者的全身炎症标志物(TNF-α、IL-6、IL-1β、INF-γ、IL-2、IL-4、IL-10 和 hsCRP)与认知功能之间的关系。我们使用认知药物研究测试电池评估了包括注意力、记忆速度、工作记忆和情景记忆在内的多个认知领域的功能。只有 IFN-γ与认知功能有关,与较低注意力连续性的几率更高相关(log2 IFN-γ OR,1.46;95%CI,1.18-1.85)。情景记忆、记忆速度和炎症之间的关系随 BMI 而变化。在高 BMI 参与者中,炎症增加与认知功能下降有关,而在 BMI 较低的参与者中,这种关联则相反。在 IFN-γ对注意力的影响之外,在该中年至老年健康人群样本中,低度全身性炎症与认知功能之间没有明显关联。需要进一步的研究来了解 BMI 在炎症和认知功能交叉点中的作用。

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