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体育锻炼结合认知训练对轻度认知障碍患者炎症及阿尔茨海默病生物标志物的影响。

The effect of physical exercise with cognitive training on inflammation and Alzheimer's disease biomarkers of Mild Cognitive Impairment patients.

作者信息

Katsipis Georgios, Tzekaki Eleni E, Andreadou Eleni G, Mouzakidis Christos, Baldimtsi Eleni N, Karathanasi Eleni M, Hassandra Mary, Galanis Evangelos, Hatzigeorgiadis Antonis, Goudas Marios, Zikas Paul, Evangelou Giannis, Papagiannakis George, Bellis George, Kokkotis Christos, Tsatalas Themistoklis, Giakas Giannis, Theodorakis Yannis, Tsolaki Magda, Pantazaki Anastasia A

机构信息

Laboratory of Biochemistry, Department of Chemistry, Aristotle University of Thessaloniki, 54124, Thessaloniki, Greece.

Center for Interdisciplinary Research and Innovation, Laboratory of Neurodegenerative Diseases (LND), 57001, Thermi, Thessaloniki, Greece.

出版信息

Neurosci Appl. 2024 Jul 29;3:104085. doi: 10.1016/j.nsa.2024.104085. eCollection 2024.

Abstract

Physical exercise (PE) was proven crucial for cognitive health of both demented and cognitively intact individuals. Simultaneous cognitive training may augment PE beneficial effects in demented patients. However, it is still debatable how PE and/or cognitive training reflect on mild cognitive impairment (MCI) and pathological factors related to Alzheimer's disease, namely inflammatory cytokines interleukin (IL) 1 beta and 6, tumor necrosis factor alpha (TNF-α), amyloid beta (Αβ) peptides, total tau protein (t-tau) and tau phosphorylated at threonine 181 (p-tau181). In the current study, 74 MCI patients were allocated to three groups: non-intervention (Control), PE, and PE with cognitive training (Mixed). Blood serum was received at the Baseline and after the intervention (at 3 months). Levels of IL-1β, IL-6, TNF-α, Αβ, Αβ, tau and p-tau181 were determined with enzyme-linked immunosorbent assay. PE and Mixed interventions reduced the levels of IL-1β, IL-6 and of p-tau181. Augmented levels of Αβ and the ratio Αβ, and reduced ratio p-tau181/Αβ were verified only in the PE group. Reduced levels of TNF-α, Αβ and t-tau were verified only at the Mixed group. In addition, correlation analyses provided a significant interrelation between the alleviation of inflammation and p-tau181/Αβ reduction in patients of the Mixed intervention. These results suggest the beneficiary effect of PE and cognitive training on the regulation of inflammation resulting in mitigation of AD-related blood biomarkers and urge for their employment as non-pharmacological alternatives for stalling the progression of dementia.

摘要

体育锻炼(PE)已被证明对痴呆症患者和认知功能正常者的认知健康至关重要。同时进行认知训练可能会增强体育锻炼对痴呆症患者的有益效果。然而,体育锻炼和/或认知训练如何影响轻度认知障碍(MCI)以及与阿尔茨海默病相关的病理因素,即炎性细胞因子白细胞介素(IL)-1β和IL-6、肿瘤坏死因子-α(TNF-α)、淀粉样β(Aβ)肽、总tau蛋白(t-tau)和苏氨酸181位点磷酸化的tau蛋白(p-tau181),仍存在争议。在本研究中,74名MCI患者被分为三组:无干预组(对照组)、体育锻炼组和体育锻炼加认知训练组(混合组)。在基线期和干预后(3个月)采集血清。采用酶联免疫吸附测定法测定IL-1β、IL-6、TNF-α、Aβ、t-tau和p-tau181的水平。体育锻炼和混合干预降低了IL-1β、IL-6和p-tau181的水平。仅在体育锻炼组中证实Aβ水平升高以及Aβ比例升高,而p-tau181/Aβ比例降低。仅在混合组中证实TNF-α、Aβ和t-tau水平降低。此外,相关性分析表明,混合干预患者炎症减轻与p-tau181/Aβ降低之间存在显著的相互关系。这些结果表明,体育锻炼和认知训练对炎症调节具有有益作用,可减轻与阿尔茨海默病相关的血液生物标志物,并促使将其作为延缓痴呆症进展的非药物替代方法加以应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34d0/12243983/f539c419997e/ga1.jpg

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