Related Experiment Video
Updated: Feb 11, 2026

Digital Handwriting Analysis of Characters in Chinese Patients with Mild Cognitive Impairment
Published on: March 11, 2021
Role of Inflammatory Markers in Elderly Type 2 Diabetic Patients with Mild Cognitive Impairment
Salwa S Hosny1, Ahmed M Bahaaeldin1, Mohamed S Khater2
1Department of Internal Medicine and Endocrinology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Background:
Type 2 diabetes (T2DM) is a risk factor for Alzheimer's disease and mild cognitive impairment. The etiology of cognitive impairment in people with T2DM is uncertain but, chronic hyperglycemia, cerebral micro vascular disease, severe hypoglycemia, and increased prevalence of macro vascular disease are implicated.
Objectives:
To determine the serum levels of soluble vascular adhesion molecule (sVCAM-1) and highly sensitive C-reactive protein (hs-CRP) in elderly type 2 diabetics with mild cognitive impairment (MCI).
Methods:
Our study was conducted on 90 elderly subjects (aged 60 years old or more). They were divided into Group І, 30 patients with T2DM and mild cognitive impairment, group ІІ, 30 patients with T2DM without cognitive impairment and group III, 30 healthy subjects as a control group. They were subjected to history taking, full clinical examination, anthropometric measurement, the Addenbrooke's Cognitive Examination III (ACE---III 2012), Fasting plasma glucose, 2 hours plasma glucose, HbA1c, lipid profile, protein/creatinine ratio, serum sVCAM-1 and hs-CRP.
Results:
Serum levels of sVCAM-1 in diabetic elderly patients with MCI were significantly higher (946.7 ± 162.01 ng/ml) than diabetic elderly patients without cognitive impairment (479.06 ± 65.27 ng/ml) and control (263.7 ± 72.05 ng/ml) with (P=0.002). Serum levels of Hs-CRP in diabetic elderly patients with MCI were significantly higher than as diabetic elderly patients without cognitive impairment and control with (P=0.005).
Conclusion:
Elderly diabetic patients with mild cognitive impairment have higher levels of soluble adhesion molecules and markers of low-grade systemic inflammation than other groups.
Insights
Elderly individuals with type 2 diabetes and mild cognitive impairment show elevated levels of soluble vascular adhesion molecule (sVCAM-1) and highly sensitive C-reactive protein (hs-CRP). These markers indicate increased inflammation and may contribute to cognitive decline in this population.
Area of Science:
- Endocrinology
- Neurology
- Immunology
Background:
- Type 2 diabetes (T2DM) is a known risk factor for Alzheimer's disease and mild cognitive impairment (MCI).
- The exact causes of cognitive impairment in T2DM patients are unclear, but factors like chronic hyperglycemia, microvascular disease, and inflammation are implicated.
Purpose of the Study:
- To investigate serum levels of soluble vascular adhesion molecule (sVCAM-1) and highly sensitive C-reactive protein (hs-CRP).
- To compare these levels in elderly T2DM patients with and without MCI, and with healthy controls.
Main Methods:
- A study involving 90 elderly subjects (≥60 years) divided into three groups: T2DM with MCI, T2DM without cognitive impairment, and healthy controls.
- Participants underwent clinical evaluation, cognitive assessment (ACE-III), and laboratory tests including glucose, HbA1c, lipid profile, and inflammatory markers (sVCAM-1, hs-CRP).
Main Results:
- Serum sVCAM-1 levels were significantly higher in T2DM patients with MCI compared to T2DM patients without MCI and controls (P=0.002).
- Serum hs-CRP levels were also significantly elevated in T2DM patients with MCI compared to the other two groups (P=0.005).
Conclusions:
- Elderly T2DM patients with MCI exhibit higher concentrations of soluble adhesion molecules and markers of low-grade systemic inflammation.
- These findings suggest a link between inflammation, vascular adhesion molecules, and cognitive impairment in type 2 diabetes.
More Related Videos
Related Concept Videos
Diabetes Mellitus: Type 2 and Gestational
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Cognitive Dissonance
Piaget's Stage 2 of Cognitive Development
Inflammatory Response
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...

