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[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.
Objective:
To observe the correlation between the decline of cognitive function and the level of plasma homocysteine in patients with Alzheimer's disease (AD).
Methods:
Thirty six AD patients were selected from hospitals in Tianjin. The enrolled patients were in accord with the diagnosis criteria. Thirty two control subjects were corresponding patients without AD in the period. Blood samples were extracted from each subject to determine the levels of homocysteine (Hcy) and folate. Cognitive status was evaluated by the mini- mental state examination (MMSE) and clinical dementia rating scale (CDR).
Results:
The mean value of serum Hcy concentration [(17.51 +/- 5.62) micromol/L] of AD group was higher than that of control group [(12.38 +/- 4.25)micromol/L]. The serum [(5.17 +/- 1.76) microg/L] and diet folate [(206.94 +/- 44.51) microg/d] concentration of AD group were lower than those of control group [(7.92 +/- 2.22) microg/L, (259.74 +/- 41.92) microg/ d]. The incidence of hyperhomocysteinemia in AD group (64%) was higher than that in control group (22%). A significant relation between Hcy concentrations and the CDR was observed. With the increase of Hcy concentrations the CDR raised, and with the increase of Hcy concentrations the MMSE decreased.
Conclusion:
Hyperhomocysteinemia is one of the risk factors inducing the onset of AD. There is a significant negative correlation between Hcy levels and cognitive levels in AD group. Folate deficiency is an important reason to cause elevated Hcy levels in AD.
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