The increase of mean platelet volume in patients with Alzheimer disease
Emine Rabia Koç1, Ertuğrul Uzar, Yasemin Çirak
1Department of Neurology, Balıkesir University, Turkey. erabiakoc@yahoo.com
Background/Aim:
Vascular risk factors play an important role in the progression of Alzheimer disease (AD). Mean platelet volume (MPV) is a determinant of platelet functionality and increased MPV is associated with an increased risk of vascular inflammation. Here we aimed to examine whether MPV could be used as a marker of vascular damage in AD and to discuss the relation between MPV and other vascular risk factors.
Materials And Methods:
A total of 109 outpatients with AD and 81 healthy controls were included in this study. Diagnosis of AD was made according to defined criteria. The Turkish version of the Mini Mental State Examination (MMSE) was used for cognitive assessment. According to the test results, patients were divided into 2 subgroups, mild (MMSE ≥ 18) and moderate (MMSE < 18), and their MPV levels were compared.
Results:
MPV levels were higher in the AD group. There was no statistically significant difference between the moderate group and the mild group according to MPV values.
Conclusion:
Increased MPV in patients with AD may point to platelet dysfunction. MPV is an indicator of increased in vivo platelet activation. Hence, platelets could be the link between vascular risk factors and AD. The assessment of MPV in patients with AD may help identify the patients that could benefit from additional antiplatelet therapy.
Insights
Increased mean platelet volume (MPV) in Alzheimer disease (AD) patients suggests platelet dysfunction and potential links to vascular risk factors. This finding may aid in identifying individuals who could benefit from antiplatelet therapy.
Area of Science:
- Neurology
- Vascular Biology
- Hematology
Background:
- Vascular risk factors significantly influence Alzheimer disease (AD) progression.
- Mean platelet volume (MPV) reflects platelet function and is linked to vascular inflammation.
- Elevated MPV is associated with increased risk of vascular events.
Purpose of the Study:
- To investigate if MPV serves as a marker for vascular damage in AD.
- To explore the relationship between MPV and other vascular risk factors in AD patients.
- To assess MPV levels in relation to AD severity.
Main Methods:
- A study involving 109 AD outpatients and 81 healthy controls.
- AD diagnosis confirmed using established criteria.
- Cognitive function assessed via the Mini Mental State Examination (MMSE), categorizing patients into mild (MMSE ≥ 18) and moderate (MMSE < 18) subgroups.
Main Results:
- Mean platelet volume (MPV) levels were significantly higher in the AD patient group compared to controls.
- No statistically significant difference in MPV values was observed between the mild and moderate AD subgroups.
Conclusions:
- Elevated MPV in AD patients may indicate underlying platelet dysfunction and in vivo platelet activation.
- Platelets may act as a crucial link connecting vascular risk factors and the pathogenesis of AD.
- MPV assessment could help identify AD patients who might benefit from targeted antiplatelet therapies.
More Related Videos
12:50Lesion Explorer: A Video-guided, Standardized Protocol for Accurate and Reliable MRI-derived Volumetrics in Alzheimer's Disease and Normal Elderly
Published on: April 14, 2014
11:03Use of Capillary Electrophoresis Immunoassay to Search for Potential Biomarkers of Amyotrophic Lateral Sclerosis in Human Platelets
Published on: February 10, 2020
Related Concept Videos
Alzheimer Disease ll: Pathophysiology
Alzheimer Disease l: Introduction
Alzheimer's Disease: Overview
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
Dementia l: Introduction
Alzheimer's Disease: Treatment
Formation of the Platelet Plug
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
