血浆胎盘生长因子作为皮质下缺血性血管性痴呆的生物标志物及其与白质高信号介导的认知相关性。

IF 13 1区 医学 Q1 CLINICAL NEUROLOGY
Ping Che, Siqi Wang, Xiaojiao Liu, Yunyao Lu, Zhuo Tian, Qixin Feng, Feifan Chen, Nan Zhang
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引用次数: 0

摘要

胎盘生长因子(PlGF)最近被证明与脑血管和神经退行性疾病有关。皮层下缺血性血管性痴呆(SIVD)患者PlGF水平的变化及其与认知功能的关系尚不清楚。方法纳入70例SIVD患者、102例症状性阿尔茨海默病患者、40例额颞叶变性患者和38例认知未受损对照组(CUCs)。采用电化学发光免疫法测定血浆PlGF水平。结果SIVD患者血浆PlGF水平较ccu患者明显升高,曲线下面积为0.893,准确度较高。中介分析显示,在一个跨诊断队列中,白质高强度(WMHs)体积介导血浆PlGF水平对认知功能的影响。血浆PlGF是筛查和诊断SIVD的潜在生物标志物,其与认知功能的相关性可能部分由WMHs介导。血浆胎盘生长因子(PlGF)对皮质下缺血性血管性痴呆具有较高的诊断价值。血浆PlGF与认知呈显著负相关。白质高信号介导血浆PlGF与认知的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Plasma placental growth factor as a biomarker for subcortical ischemic vascular dementia and its cognitive correlation mediated by white matter hyperintensities

Plasma placental growth factor as a biomarker for subcortical ischemic vascular dementia and its cognitive correlation mediated by white matter hyperintensities

INTRODUCTION

Placental growth factor (PlGF) was recently shown to be associated with cerebrovascular and neurodegenerative diseases. The changes of PlGF level in patients with subcortical ischemic vascular dementia (SIVD) and its associations with cognitive function remain unclear.

METHODS

Seventy patients with SIVD, 102 patients with symptomatic Alzheimer's disease, 40 patients with frontotemporal lobar degeneration, and 38 cognitively unimpaired controls (CUCs) were included. The plasma level of PlGF was measured via electrochemiluminescence immunoassay.

RESULTS

The plasma PlGF level was significantly elevated in patients with SIVD compared with CUCs, and showed a high accuracy with an area under the curve of 0.893. Mediation analysis revealed that white matter hyperintensities (WMHs) volume mediated the effect of plasma PlGF levels on cognitive functions in a transdiagnostic cohort.

DISCUSSION

The plasma PlGF is a potential biomarker for screening and diagnosing SIVD, and its correlation with cognitive function may be partly mediated by the WMHs.

Highlights

  • Plasma placental growth factor (PlGF) showed high diagnostic value for subcortical ischemic vascular dementia.
  • Plasma PlGF showed significantly negative correlation with cognition.
  • White matter hyperintensities mediated the relationship between plasma PlGF and cognition.
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来源期刊
Alzheimer's & Dementia
Alzheimer's & Dementia 医学-临床神经学
CiteScore
14.50
自引率
5.00%
发文量
299
审稿时长
3 months
期刊介绍: Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
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