[The clinical studies of hyperhomocysteinemia and Alzheimer's disease]

Yan-Ling Li1, Yue Hou, Chao Niu

  • 1The First Affiliated Hospital of the University of Traditional Chinese Medicine, Tianjin 300193, China.

Insights

Elevated homocysteine (Hcy) levels and folate deficiency are linked to cognitive decline in Alzheimer's disease (AD) patients. Higher Hcy correlates with poorer cognitive function, suggesting Hcy as an AD risk factor.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Gerontology

Context:

  • Alzheimer's disease (AD) is a progressive neurodegenerative disorder.
  • Cognitive decline is a hallmark symptom of AD.
  • Elevated homocysteine (Hcy) levels have been implicated in various neurological conditions.

Purpose:

  • To investigate the correlation between cognitive function decline and plasma homocysteine levels in Alzheimer's disease patients.
  • To compare Hcy and folate levels between AD patients and healthy controls.
  • To assess the relationship between Hcy levels and cognitive assessment scores (MMSE, CDR).

Summary:

  • Patients with Alzheimer's disease exhibited significantly higher serum homocysteine (Hcy) concentrations compared to controls.
  • AD patients showed lower serum and dietary folate levels.
  • A higher incidence of hyperhomocysteinemia was observed in the AD group (64%) versus the control group (22%).
  • Increased Hcy levels were significantly associated with higher Clinical Dementia Rating (CDR) scores and lower Mini-Mental State Examination (MMSE) scores, indicating a negative correlation between Hcy and cognitive function.

Impact:

  • Hyperhomocysteinemia is identified as a potential risk factor for the onset of Alzheimer's disease.
  • The findings highlight a significant negative correlation between homocysteine levels and cognitive function in AD patients.
  • Folate deficiency is suggested as a key contributor to elevated Hcy levels in individuals with Alzheimer's disease.
Abstract

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