Department of Pediatric Infectious Diseases, Medical University of Bialystok, Waszyngtona 17, 15-274 Bialystok, Poland.
Department of Neurodegeneration Diagnostics, Medical University of Bialystok, Waszyngtona 15A, 15-269 Bialystok, Poland.
Viruses. 2022 Mar 30;14(4):725. doi: 10.3390/v14040725.
Alzheimer's disease (AD) has emerged as a growing threat to human health. It is a multifactorial disorder, in which abnormal amyloid beta metabolism and neuroinflammation have been demonstrated to play a key role. Intrathecal inflammation can be triggered by infections and precede brain damage for years. We analyzed the influence of infections of the central nervous system on biomarkers that are crucially involved in AD pathology. Analyses of the cerebrospinal fluid (CSF) levels of Aβ, Aβ, Tau, and pTau proteins were performed in 53 children with neuroinfections of viral ( = 26) and bacterial origin ( = 19), and in controls ( = 8). We found no changes in CSF amyloid Aβ concentrations, regardless of etiology. We showed an increase in tau and phosphorylated tau concentrations in purulent CNS infections of the brain, compared to other etiologies. Moreover, the total concentrations of tau in the CSF correlated with the CSF absolute number of neutrophils. These findings and the Aβ 42/40 concentration quotient discrepancies in CFS between meningitis and encephalitis suggest that infections may affect the metabolism of AD biomarkers.
阿尔茨海默病(AD)已成为人类健康的一大威胁。这是一种多因素疾病,其中异常淀粉样β代谢和神经炎症已被证明起着关键作用。鞘内炎症可由感染引发,并在脑损伤前数年出现。我们分析了中枢神经系统感染对与 AD 病理密切相关的生物标志物的影响。对 53 例病毒性(=26 例)和细菌性(=19 例)中枢神经系统感染患儿及对照组(=8 例)的脑脊液(CSF)中 Aβ、Aβ、Tau 和 pTau 蛋白水平进行了分析。我们发现,无论病因如何,CSF 淀粉样 Aβ 浓度均无变化。与其他病因相比,化脓性中枢神经系统感染大脑中的 Tau 和磷酸化 Tau 浓度增加。此外,CSF 中 Tau 的总浓度与 CSF 中性粒细胞的绝对数量呈正相关。这些发现以及脑膜炎和脑炎之间 CSF 中 Aβ42/40 浓度商的差异表明,感染可能会影响 AD 生物标志物的代谢。