额颞叶痴呆患者血浆己糖神经酰胺减少是白质完整性的生物标志物。

IF 4 Q1 CLINICAL NEUROLOGY
Oana C Marian, Sophie Matis, Carol Dobson-Stone, Woojin S Kim, John B Kwok, Olivier Piguet, Glenda M Halliday, Ramon Landin-Romero, Anthony S Don
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引用次数: 0

摘要

需要血液生物标志物来促进新的治疗试验和改善行为变异性额颞叶痴呆(bvFTD)的管理。由于白质完整性改变是bvFTD的特征,本研究旨在确定血浆中富含髓磷脂的糖脂水平是否在bvFTD中发生改变,并与白质完整性相关。方法:对bvFTD (n = 31)和对照组(n = 26)血浆样品中的19种糖脂进行定量分析。使用磁共振成像(MRI)衍生纤维束密度和横截面(FDC)评估白质完整性。结果:bvFTD组有11种脂质明显低于对照组,7种脂质与病程呈负相关,其中C22:0己糖神经酰胺相关性最强。bvFTD患者额颞白质束FDC低于对照组,血浆C22:0己糖神经酰胺与bvFTD患者额颞白质束FDC显著相关,而对照组无显著相关。讨论:循环糖脂可能是FTD中髓磷脂完整性和疾病进展的有价值的生物标志物。重点:行为变异性额颞叶痴呆(bvFTD)需要血液生物标志物。与正常对照相比,bvFTD患者血浆己糖神经酰胺减少。bvFTD患者血浆己糖神经酰胺与病程相关bvFTD患者血浆己糖神经酰胺与脑白质完整性相关。血浆糖脂有潜力作为bvFTD疾病进展的生物标志物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reduced plasma hexosylceramides in frontotemporal dementia are a biomarker of white matter integrity.

Introduction: Blood biomarkers are needed to facilitate new therapeutic trials and improve management of behavioral variant frontotemporal dementia (bvFTD). Since altered white matter integrity is characteristic of bvFTD, this study aimed to determine if plasma levels of myelin-enriched glycolipids are altered in bvFTD and correlate with white matter integrity.

Methods: Nineteen glycolipids were quantified in bvFTD (n = 31) and control (n = 26) plasma samples. White matter integrity was assessed using magnetic resonance imaging (MRI)-derived fiber tract density and cross-section (FDC).

Results: Eleven lipids were significantly lower in bvFTD compared to control subjects, and seven were inversely correlated with disease duration, with C22:0 hexosylceramide most strongly correlated. FDC was lower in frontotemporal white matter tracts of bvFTD compared to control subjects, and plasma C22:0 hexosylceramide was significantly correlated with FDC of these tracts in bvFTD but not control subjects.

Discussion: Circulating glycolipids may be a valuable biomarker of myelin integrity and disease progression in FTD.

Highlights: Blood biomarkers are needed for behavioral variant frontotemporal dementia (bvFTD).Plasma hexosylceramides are reduced in bvFTD cases compared with normal controls.Plasma hexosylceramides correlate with disease duration in bvFTD.Plasma hexosylceramides correlate with brain white matter integrity in bvFTD.Plasma glycolipids have potential as biomarkers of disease progression in bvFTD.

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来源期刊
CiteScore
7.80
自引率
7.50%
发文量
101
审稿时长
8 weeks
期刊介绍: Alzheimer''s & Dementia: Diagnosis, Assessment & Disease Monitoring (DADM) is an open access, peer-reviewed, journal from the Alzheimer''s Association® that will publish new research that reports the discovery, development and validation of instruments, technologies, algorithms, and innovative processes. Papers will cover a range of topics interested in the early and accurate detection of individuals with memory complaints and/or among asymptomatic individuals at elevated risk for various forms of memory disorders. The expectation for published papers will be to translate fundamental knowledge about the neurobiology of the disease into practical reports that describe both the conceptual and methodological aspects of the submitted scientific inquiry. Published topics will explore the development of biomarkers, surrogate markers, and conceptual/methodological challenges. Publication priority will be given to papers that 1) describe putative surrogate markers that accurately track disease progression, 2) biomarkers that fulfill international regulatory requirements, 3) reports from large, well-characterized population-based cohorts that comprise the heterogeneity and diversity of asymptomatic individuals and 4) algorithmic development that considers multi-marker arrays (e.g., integrated-omics, genetics, biofluids, imaging, etc.) and advanced computational analytics and technologies.
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