Manafikhi Rafah, Haik M Bassam, Lahdo Raghda, AlQuobaili Faizeh
Department of Biochemistry and Microbiology, Faculty of Pharmacy, University of Damascus, Syria.
General Manager of the General Committee of Ibn Khaldun Hospital, Aleppo, Syria.
Med J Islam Repub Iran. 2021 Feb 8;35:19. doi: 10.47176/mjiri.35.19. eCollection 2021.
The pathogenesis of Alzheimer's disease (AD) is believed to be occurred by the production of neurotic plaques of the beta-amyloid peptide (Aβ) and deposition of them. Therefore, biomarkers of abnormal Aβ processing may represent before the AD clinical biomarkers, which could be benefit for a successful disease management that may prevent the AD development. The aim of this study is to investigate of plasma Aβ40,42 levels in Alzheimer's patients in Syria and thus determine whether they may have a potential role as biomarker for identifying and predicting AD. In this cross-sectional study, the plasma levels of Aβ1-40 and Aβ1-42 were investigated in two groups represent Syrian population, AD group; clinically diagnosed AD patients (n=50) and CN group; cognitively normal participants (n=33). This study first determined the reference interval of plasma Aβ1-40 and Aβ1-42 for cognitively normal Syrian. Results were analyzed using SPSS, 24, depending on independent-samples t test, considering that the value of p < 0.05 is statistically significant. The results showed that the plasma levels of Aβ1-40 (p<0.001, OR=1.031, 95%CI: 1.012-1.051) and Aβ1-42 (p<0.001, OR=1.306, 95%CI: 1.145-1.490) were significantly higher in AD patients than in cognitively normal participants, and no significant association was shown between both of education and sex with plasma Aβ levels. The plasma levels of Aβ1-40 and Aβ1-42 could be potential biomarkers for identifying and predicting AD.
阿尔茨海默病(AD)的发病机制被认为是由β-淀粉样肽(Aβ)的神经炎性斑块产生及其沉积所致。因此,Aβ异常加工的生物标志物可能先于AD临床生物标志物出现,这可能有助于成功管理疾病,从而预防AD的发展。本研究的目的是调查叙利亚AD患者血浆中Aβ40、42的水平,从而确定它们是否可能作为识别和预测AD的潜在生物标志物。在这项横断面研究中,对代表叙利亚人群的两组进行了Aβ1-40和Aβ1-42血浆水平的研究,AD组为临床诊断的AD患者(n = 50),CN组为认知正常参与者(n = 33)。本研究首先确定了认知正常叙利亚人的血浆Aβ1-40和Aβ1-42参考区间。使用SPSS 24对结果进行分析,采用独立样本t检验,认为p < 0.05具有统计学意义。结果显示,AD患者血浆中Aβ1-40(p < 0.001,OR = 1.031,95%CI:1.012 - 1.051)和Aβ1-42(p < 0.001,OR = 1.306,95%CI:1.145 - 1.490)水平显著高于认知正常参与者,且教育程度和性别与血浆Aβ水平之间均无显著关联。血浆Aβ1-40和Aβ1-42水平可能是识别和预测AD的潜在生物标志物。