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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
Increased plasma levels of lipocalin 2 in mild cognitive impairment
Jihye Choi1, Ho-Won Lee, Kyoungho Suk
1Department of Pharmacology, Brain Science and Engineering Institute, CMRI, Kyungpook National University School of Medicine, Daegu, Republic of Korea.
Background:
Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by an irreversible cognitive decline and neuronal loss associated with neurofibrillary tangles and senile plaques. Mild cognitive impairment (MCI) is a prodromal stage of AD and is associated with memory loss and a high risk of developing AD. Lipocalin 2 (LCN2) is an acute phase protein. Our previous studies have shown that exposure to inflammatory stimuli resulted in elevated LCN2 levels in brain microglia and astrocytes implicating LCN2 in brain inflammation. Therefore, we hypothesize that there may be a significant change in the plasma LCN2 levels in patients with MCI and AD when compared to healthy control subjects.
Methods:
Forty-one patients with MCI, 62 patients with AD and 38 healthy elderly control subjects were recruited for this study. They were given a comprehensive battery of neuropsychological tests including a mini-mental status examination (MMSE) and clinical dementia rating (CDR). A variety of clinical information was collected from the semi-structured questionnaire administered. The LCN2 levels were measured using a specific enzyme-linked immunosorbent assay in the plasma, which had been collected early in the morning after overnight fasting.
Results:
The LCN2 levels were significantly higher in MCI patients compared to the healthy control subjects and AD patients [control vs. MCI (p=0.005); MCI vs. AD (p=0.009)]. There was a significant negative correlation between the LCN2 levels and CDR scores (r=-0.245, p=0.014), and there was a positive correlation between the LCN2 levels and MMSE scores (r=0.317, p=0.001) among all of the MCI and AD patients.
Conclusion:
MCI represents a prodromal stage of AD, and inflammation occurs as one of the earliest pathological events in AD. Thus, increased plasma LCN2 levels during MCI could be helpful in predicting the progression from MCI to AD.
Insights
Plasma lipocalin 2 (LCN2) levels are elevated in mild cognitive impairment (MCI) and Alzheimer's disease (AD) patients. Higher LCN2 may help predict MCI progression to AD, indicating its role in early neuroinflammation.
Area of Science:
- Neuroscience
- Biochemistry
Background:
- Alzheimer's disease (AD) is a progressive neurodegenerative disorder causing cognitive decline.
- Mild cognitive impairment (MCI) is a precursor to AD, marked by memory loss.
- Lipocalin 2 (LCN2) is linked to brain inflammation, prompting investigation into its plasma levels in MCI and AD.
Purpose of the Study:
- To investigate plasma LCN2 levels in individuals with MCI and AD compared to healthy controls.
- To explore the correlation between plasma LCN2 levels and cognitive assessment scores.
Main Methods:
- Recruited 41 MCI patients, 62 AD patients, and 38 healthy controls.
- Administered neuropsychological tests including MMSE and CDR.
- Measured plasma LCN2 levels using ELISA.
Main Results:
- Significantly higher plasma LCN2 levels were observed in MCI patients compared to controls (p=0.005) and AD patients (p=0.009).
- A negative correlation was found between LCN2 levels and CDR scores (r=-0.245, p=0.014).
- A positive correlation was found between LCN2 levels and MMSE scores (r=0.317, p=0.001).
Conclusions:
- Elevated plasma LCN2 in MCI may indicate early neuroinflammation.
- Plasma LCN2 could serve as a potential biomarker for predicting MCI progression to AD.
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