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Published on: October 13, 2016
Differences of peripheral inflammatory markers between mild cognitive impairment and Alzheimer's disease
Paloma Bermejo1, Sagrario Martín-Aragón, Juana Benedí
1Departamento de Farmacología, Facultad de Farmacia, Universidad Complutense de Madrid, Avenida de la Complutense s/n, 28040 Madrid, Spain. bescos@farm.ucm.es
Abstract:
Multiple pathogenic factors may contribute to the pathophysiology of Alzheimer's disease (AD). Peripheral markers have been used to assess biochemical alterations associated with AD and mild cognitive impairment (MCI) involved in its pathophysiology. The present study was conducted to evaluate inflammatory peripheral markers in elderly patients with MCI, patients with AD and normal elderly subjects. We measured plasma levels of different cytokines (IL-6, TNF-alpha and IFN-alpha) and platelet levels of cyclooxigenase-2 (COX-2) from 34 patients with MCI, 45 patients with AD and 28 age-matched control subjects. MCI and AD patients showed similarities in TNF-alpha and COX-2 levels, and differences in IL-6 and INF-alpha. Whereas augmented IL-6 levels have been found in AD patients, a significant increase in INF-alpha has been detected only in patients with MCI possibly associated with the depression stage frequently found in cognitive impairment. In conclusion, inflammatory response may be an early factor in AD development and these changes in circulating markers are possibly related to the progression of MCI to AD.
Insights
Inflammatory markers like Interleukin-6 (IL-6) and Interferon-alpha (IFN-alpha) may signal early Alzheimer's disease (AD) progression. These changes in mild cognitive impairment (MCI) patients suggest inflammation is an early factor in AD development.
Area of Science:
- Neuroscience
- Immunology
- Gerontology
Background:
- Alzheimer's disease (AD) pathophysiology involves multiple factors.
- Peripheral markers can indicate biochemical changes in AD and mild cognitive impairment (MCI).
- Inflammation is increasingly recognized as a contributor to neurodegenerative diseases.
Purpose of the Study:
- To investigate peripheral inflammatory markers in elderly individuals with MCI, AD, and normal cognition.
- To compare plasma cytokine levels and platelet cyclooxygenase-2 (COX-2) in these groups.
Main Methods:
- Plasma levels of IL-6, TNF-alpha, and IFN-alpha were measured.
- Platelet levels of COX-2 were quantified.
- 34 MCI patients, 45 AD patients, and 28 controls were analyzed.
Main Results:
- MCI and AD patients exhibited similar TNF-alpha and COX-2 levels.
- Distinct patterns were observed for IL-6 and IFN-alpha between MCI and AD.
- Elevated IL-6 was found in AD, while increased IFN-alpha was specific to MCI, potentially linked to depression.
Conclusions:
- Peripheral inflammatory responses may precede or accompany early stages of AD.
- Changes in circulating markers like IL-6 and IFN-alpha could indicate disease progression from MCI to AD.
- Inflammation is a potential early factor in Alzheimer's disease development.
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