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Association between Cerebrospinal Fluid sTREM2 Levels and Depression: The Alzheimer's Disease Neuroimaging Initiative
1Xiaowei Xu, Department of Neurology, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, China; E-mail: xuxw23@mail.sysu.edu.cn; Yiqiang Zhan, School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, China;
Higher cerebrospinal fluid (CSF) soluble TREM2 (sTREM2) levels are linked to a reduced risk of depression. This study explored the connection between CSF sTREM2 and depression progression over time.
Area of Science:
- Neuroscience
- Biomarkers
- Neurodegenerative Diseases
Background:
- Elevated cerebrospinal fluid (CSF) soluble TREM2 (sTREM2) shows protective effects on brain structure and cognition.
- The specific role of sTREM2 in the progression of depression is not well understood.
Purpose of the Study:
- To investigate the association between CSF sTREM2 levels and longitudinal depression trajectories.
- To determine if sTREM2 levels predict changes in depression symptoms over time.
Main Methods:
- Utilized data from the Alzheimer's Disease Neuroimaging Initiative (ADNI) Study.
- Measured CSF sTREM2 via ELISA and depression using the Geriatric Depression Scale (GDS-15).
- Employed linear mixed-effect models to analyze the relationship between CSF sTREM2 and GDS scores.
Main Results:
- 1,017 participants were analyzed with a mean follow-up of 4.65 years.
- Baseline CSF sTREM2 levels showed a significant negative correlation with GDS scores (β=-0.21, P=0.022).
- This association remained significant after adjusting for multiple demographic, genetic, and clinical factors.
Conclusions:
- Higher CSF sTREM2 levels are associated with a lower risk of developing or experiencing depression.
- sTREM2 may serve as a potential biomarker for depression risk.
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