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认知阶段血浆标志物及其与轻度创伤性脑损伤病史关联的初步研究

A preliminary study on plasma markers across cognitive stages and links to a history of mild traumatic brain injury.

作者信息

LoBue Christian, Stopschinski Barbara E, Calveras Nil Saez, Salter Amber, Galasko Doug, Giza Chris, Cullum C Munro, Douglas Peter M, Hart John

机构信息

Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

出版信息

J Alzheimers Dis. 2025 May;105(1):49-55. doi: 10.1177/13872877251325757. Epub 2025 Mar 21.

Abstract

Potential implications of a history of mild traumatic brain injury (mTBI) during aging are understudied. Seven plasma markers were measured in matched participants having normal cognition, mild cognitive impairment (MCI) and dementia of the Alzheimer's type (DAT) with and without a history of mTBI. Phosphorylated tau showed a moderate effect size for being greater in mTBI + individuals having MCI and DAT, and effect sizes for lower amyloid-β 42/40 and higher neurofilament light were seen for mTBI + DAT individuals. This preliminary report shows a potential role of plasma-derived markers in detecting associations between mTBI history and the development of Alzheimer's disease and related disorders.

摘要

轻度创伤性脑损伤(mTBI)病史在衰老过程中的潜在影响尚未得到充分研究。在认知正常、轻度认知障碍(MCI)和阿尔茨海默病型痴呆(DAT)且有或无mTBI病史的匹配参与者中,测量了七种血浆标志物。磷酸化tau蛋白在患有MCI和DAT的mTBI+个体中升高,显示出中等效应量,而在mTBI+DAT个体中,淀粉样β42/40降低和神经丝轻链升高的效应量也被观察到。这份初步报告显示了血浆衍生标志物在检测mTBI病史与阿尔茨海默病及相关疾病发展之间关联方面的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9dd/12231852/164a82e94dc1/10.1177_13872877251325757-fig1.jpg

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