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Peripheral oxidative damage in mild cognitive impairment and mild Alzheimer's disease
Inês Baldeiras1, Isabel Santana, Maria Teresa Proença
1Laboratory of Neurochemistry, Neurology Department, Coimbra University Hospital, Coimbra, Portugal. ines.baldeiras@sapo.pt
Abstract:
Oxidative stress has been shown to be a triggering event in the pathogenesis of Alzheimer's disease (AD). However, little evidence exists on the role of oxidative imbalance in Mild Cognitive Impairment (MCI), a group with a high risk of progression to AD. We therefore assessed the peripheral blood levels of a broad spectrum of non-enzymatic and enzymatic antioxidant defenses, as well as lipid and protein oxidation markers and nitrogen oxidative species in 85 MCI patients, 42 mild AD patients and 37 age-matched controls. In mild AD patients, the plasma levels of vitamin E were significantly decreased, while the plasma concentration of oxidized glutathione was increased in both MCI and mild AD patients. An increase in plasmatic and erythrocytes oxidative markers was also observed in MCI and mild AD patients as compared to controls. In both patients groups, increased levels of plasma antioxidants were found in females, whereas apolipoprotein E epsilon4 allele carriers showed higher indices of intracellular oxidative markers. Moreover, in MCI patients, cognitive function positively correlates with antioxidant levels. This study shows that most of the oxidative changes found in mild AD patients are already present in the MCI group, and that progression to AD might be accompanied by antioxidant depletion.
Insights
Oxidative stress markers are present in Mild Cognitive Impairment (MCI) patients, indicating early disease changes. Antioxidant levels correlate with cognitive function in MCI, suggesting a role in disease progression.
Area of Science:
- Neuroscience
- Biochemistry
- Gerontology
Background:
- Oxidative stress is implicated in Alzheimer's disease (AD) pathogenesis.
- The role of oxidative imbalance in Mild Cognitive Impairment (MCI), a precursor to AD, is less understood.
- Understanding oxidative stress in MCI is crucial for early detection and intervention.
Purpose of the Study:
- To investigate peripheral blood levels of antioxidant defenses and oxidative damage markers in MCI patients.
- To compare oxidative stress profiles between MCI, mild AD, and healthy controls.
- To explore correlations between oxidative markers, cognitive function, and demographic factors in MCI.
Main Methods:
- Assessed non-enzymatic and enzymatic antioxidant defenses, lipid/protein oxidation markers, and nitrogen oxidative species.
- Studied 85 MCI patients, 42 mild AD patients, and 37 age-matched controls.
- Analyzed plasma and erythrocyte samples.
Main Results:
- Increased oxidized glutathione and oxidative markers in plasma and erythrocytes were observed in both MCI and mild AD patients compared to controls.
- Mild AD patients showed decreased vitamin E levels.
- Higher antioxidant levels were found in females, while apolipoprotein E epsilon4 carriers had increased intracellular oxidative markers. Cognitive function positively correlated with antioxidant levels in MCI patients.
Conclusions:
- Oxidative changes characteristic of mild AD are already present in the MCI stage.
- Antioxidant depletion may accompany the progression from MCI to AD.
- Oxidative stress markers and antioxidant status are relevant in MCI and may serve as potential biomarkers.
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