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载脂蛋白 B、载脂蛋白 A1 及载脂蛋白 B/载脂蛋白 A1 与记忆主诉患者皮质形态的相关性分析。

Correlation Analysis of ApoB, ApoA1, and ApoB/ApoA1 with Cortical Morphology in Patients with Memory Complaints.

机构信息

The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China.

Department of Geriatrics, the Fourth People's Hospital of Chengdu, Chengdu, China.

出版信息

J Alzheimers Dis. 2024;101(4):1137-1150. doi: 10.3233/JAD-230863.

Abstract

BACKGROUND

Apolipoproteins and cortical morphology are closely associated with memory complaints, and both may contribute to the development of Alzheimer's disease.

OBJECTIVE

To examine whether apolipoprotein B (ApoB), apolipoprotein A-1 (ApoA1), and their ratio (ApoB/ApoA1) are associated with cortical morphology in patients with memory complaints.

METHODS

Ninety-seven patients underwent neuropsychological testing, measurements of ApoB, ApoA1, ApoB/ApoA1, plasma Alzheimer's biomarker, apolipoprotein E (ApoE) genotyping, and 3T structural magnetic resonance imaging (sMRI) scans. Based on sMRI scanning locations, patients were categorized into the University of Electronic Science and Technology (UESTC) and the Fourth People's Hospital of Chengdu (FPHC). The Computational Anatomy Toolbox within Statistical Parametric Mapping was used to calculate each patient's cortical morphology index based on sMRI data. The cortical morphology index and apolipoproteins were also analyzed.

RESULTS

Significant positive correlations were found between ApoB and sulcal depth in the lateral occipital cortex among the UESTC, the FPHC, and the total sample groups, and negative correlations were observed between sulcal depth in the lateral occipital cortex and the scores of the Shape Trails Test Part A and B. In the FPHC group, the scores of the Montreal Cognitive Assessment Basic, delayed recall of the Auditory Verbal Learning Test, Animal Fluency Test and Boston Naming Test were positively correlated with the sulcal depth.

CONCLUSIONS

ApoB is associated with the sulcal depth in the lateral occipital cortex, potentially relating to speed/executive function in individuals with memory complaints.

摘要

背景

载脂蛋白与皮质形态密切相关,与记忆主诉有关,两者均可能导致阿尔茨海默病的发生。

目的

研究载脂蛋白 B(ApoB)、载脂蛋白 A-1(ApoA1)及其比值(ApoB/ApoA1)与记忆主诉患者皮质形态的关系。

方法

97 例患者接受神经心理学测试、ApoB、ApoA1、ApoB/ApoA1、阿尔茨海默病血浆生物标志物、载脂蛋白 E(ApoE)基因分型和 3T 结构磁共振成像(sMRI)扫描。根据 sMRI 扫描位置,患者分为电子科技大学(UESTC)和成都第四人民医院(FPHC)两组。基于 sMRI 数据,使用统计参数映射中的计算解剖工具箱计算每位患者的皮质形态指数。分析皮质形态指数和载脂蛋白。

结果

UESTC、FPHC 和总样本组中 ApoB 与外侧枕叶脑沟深度呈显著正相关,外侧枕叶脑沟深度与形状轨迹测试 A 部分和 B 部分的评分呈负相关。在 FPHC 组中,蒙特利尔认知评估基本、听觉词语学习测试延迟回忆、动物流畅性测试和波士顿命名测试的评分与脑沟深度呈正相关。

结论

ApoB 与外侧枕叶脑沟深度相关,可能与记忆主诉个体的速度/执行功能有关。

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