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Published on: April 14, 2014
Increased mean platelet volume (MPV) indicating the vascular risk in Alzheimer's disease (AD)
Yusuf Yesil1, Mehmet Emin Kuyumcu, Mustafa Cankurtaran
1Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, 06100 Sihhiye, Ankara, Turkey. dryyesil@gmail.com
Insights
Higher mean platelet volume (MPV) indicates increased platelet activation and may signal vascular damage in Alzheimer's disease (AD). This study found elevated MPV in AD patients, suggesting a role for platelet activation in AD pathogenesis.
Area of Science:
- Neuroscience
- Hematology
- Gerontology
Background:
- Vascular risk factors are implicated in Alzheimer's disease (AD) pathogenesis.
- Mean platelet volume (MPV) reflects platelet activation and inflammation, potentially indicating vascular damage.
Purpose of the Study:
- To investigate the association between MPV and vascular damage in AD.
- To determine if MPV can predict vascular damage in AD patients.
Main Methods:
- Cross-sectional study involving 126 AD patients and 286 cognitively normal controls.
- MPV levels were measured, and cognitive function was assessed using MMSE and CDT.
- AD diagnosis was confirmed using DSM-IV and NINCDS-ADRDA criteria.
Main Results:
- Patients with AD exhibited significantly higher mean MPV values compared to controls (8.46 ± 1.15 vs. 8.17 ± 0.90, p=0.011).
- Elevated MPV levels were detected in the AD cohort.
Conclusions:
- Increased MPV in AD patients suggests a potential role for platelet activation in the vascular underpinnings of the disease.
- MPV may serve as a potential biomarker for vascular damage in Alzheimer's disease.
Abstract:
Vascular risk factors play a significant role in the pathogenesis and progression of AD. MPV is an index of platelet activation and may be a potential marker of inflammation to demonstrate the vascular damage in AD. The aim of the present study is to assess whether platelet volume would be useful in predicting vascular damage in AD. A total of 126 patients with AD (male/female: 44/82, mean age 76.2 ± 6.8 years) and 286 patients as controls with normal cognitive function (male/female: 123/163, mean age 75.2 ± 6.3 years) were enrolled in this cross-sectional study. MPV values were determined for all study participants. Mini-Mental State Examination (MMSE) and clock drawing tests (CDT) were performed for cognitive assessment, DSM-IV and NINCDS-ADRDA criteria were used for diagnosis of AD. The mean MPV values were significantly higher in AD group (8.46 ± 1.15 vs. 8.17 ± 0.90; p=0.011). In this study, significantly higher MPV values in patients with AD have been detected. Since increased MPV levels are usually considered as a vascular risk factor, the results of this study suggested the role of platelet activation in the vascular pathogenetic basis of AD.
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