分子,表型和功能衰老生物标志物在痴呆症预测中的互补价值
Andreas Engvig1, Karl Trygve Kalleberg2, Lars T Westlye3,4
1Department of Endocrinology, Obesity and Preventive Medicine, Section of Preventive Cardiology, Oslo University Hospital, Oslo, Norway. anengv@ous-hf.no.
GeroScience
|October 24, 2024
概括
虚弱指数 (FI) 和大脑年龄 (BA) 在预测痴呆风险方面表现有前途,优于DNA甲基化年龄 (MA). 结合BA和FI为评估认知障碍和未来痴呆风险提供了补充价值.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 生物标志物 生物标志物
背景情况:
- DNA甲基化年龄 (MA),大脑年龄 (BA) 和脆弱指数 (FI) 是与痴呆风险相关的衰老生物标志物.
- 调查它们的相互作用和对认知障碍的预测潜力至关重要.
研究的目的:
- 评估MA,BA和FI之间的关系.
- 评估它们在预测认知障碍和未来痴呆风险方面的综合实用性.
主要方法:
- 使用ADNI数据库进行预测分析.
- 使用DunedinPACE和GrimAge2.2开发了一个复合MA.
- 在诊断和预后模型中对MA,BA和数据驱动FI的性能进行比较.
主要成果:
- 虚弱指数 (FI) 在诊断任务中表现优于BA和MA.
- 一个使用年龄,性别和FI的模型实现了0.94的AUC,用于区分痴呆症患者.
- 一个具有BA和FI的模型预测了MCI患者的5年痴呆风险 (AUC0.88).
- 测试的MA算法没有改善预测模型.
结论:
- FI和BA在痴呆症预测中提供了互补的价值.
- 支持对痴呆症的多维观点,包括生物标志物和性别.
- 建议谨慎使用经过测试的MA用于个人痴呆风险评估.
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