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血清 NPTX2 与血管性痴呆患者认知功能的关系。

Association between serum NPTX2 and cognitive function in patients with vascular dementia.

机构信息

Department of Neurology, Shanxian Central Hospital, Heze, Shandong Province, China.

出版信息

Brain Behav. 2020 Oct;10(10):e01779. doi: 10.1002/brb3.1779. Epub 2020 Aug 3.

Abstract

OBJECTIVE

Neuronal Pentraxin 2 (NPTX2) has recently been widely reported as a novel biomarker for Alzheimer's disease (AD), but its correlation with vascular dementia (VaD) has not been elucidated. This study aimed to explore the correlation between NPTX2 and the cognitive function of VaD patients.

METHODS

112 VaD patients and 76 healthy controls were included in the study. Upon admission, clinical baseline data for all subjects were collected. Serum NPTX2 levels were determined using enzyme-linked immunosorbent assay (ELISA). At the same time, the Montreal cognitive assessment (MoCA) scale was used to measure cognitive function. Multivariate regression analysis was used to determine the relationship between serum NPTX2 level and the cognitive function of VaD patients.

RESULTS

Compared with healthy controls, VaD patients had lower serum NPTX2 levels (p < .001). The results of Spearman's correlation analysis showed that serum NPTX2 levels in VaD patients were positively correlated with MoCA scores (r = .347, p = .042). The results of multivariate regression analysis showed that after adjusting for common risk factors, serum NPTX2 levels in VaD patients were still significantly associated with MoCA scores (β = 0.346, p = .039).

CONCLUSIONS

Serum NPTX2 level was independently associated with cognitive function in patients with VaD. Serum NPTX2 level may be a novel predictor for cognitive function in VaD.

摘要

目的

神经元五肽 2(NPTX2)最近被广泛报道为阿尔茨海默病(AD)的一种新型生物标志物,但它与血管性痴呆(VaD)的相关性尚未阐明。本研究旨在探讨 NPTX2 与 VaD 患者认知功能的相关性。

方法

本研究纳入了 112 例 VaD 患者和 76 名健康对照者。所有受试者入院时均采集临床基线数据,采用酶联免疫吸附试验(ELISA)检测血清 NPTX2 水平。同时采用蒙特利尔认知评估量表(MoCA)评估认知功能。采用多元回归分析确定血清 NPTX2 水平与 VaD 患者认知功能的关系。

结果

与健康对照组相比,VaD 患者的血清 NPTX2 水平较低(p<0.001)。Spearman 相关分析结果显示,VaD 患者的血清 NPTX2 水平与 MoCA 评分呈正相关(r=0.347,p=0.042)。多元回归分析结果显示,在校正常见危险因素后,VaD 患者的血清 NPTX2 水平仍与 MoCA 评分显著相关(β=0.346,p=0.039)。

结论

血清 NPTX2 水平与 VaD 患者的认知功能独立相关。血清 NPTX2 水平可能是 VaD 患者认知功能的新型预测指标。

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