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在CKD中认知功能障碍和痴呆症的遗传和循环生物标志物
Carmine Zoccali1,2,3, Francesca Mallamaci4,5, Carsten A Wagner6
1Renal Research Institute, NY, USA.
概括
认知能力下降在慢性病 (CKD) 中很常见. 研究强调了功能标志物,遗传因素和痴呆风险之间的联系,但需要更多的研究来理解这些复杂的关系.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 神经学 神经学
- 遗传学 遗传学 是一个
背景情况:
- 慢性病 (CKD) 经常与认知功能障碍和痴呆症同时发生.
- 这种认知障碍增加了住院,心血管事件和死亡的风险.
- 关于CKD和功能衰竭 (KF) 中认知障碍的遗传标志物存在重大研究差距.
研究的目的:
- 审查关于CKD和功能衰竭 (KF) 认知障碍的现有文献.
- 确定病标志物与认知功能之间的关联.
- 探索潜在的遗传倾向和与慢性病患者认知能力下降相关的生物标志物.
主要方法:
- 对调查CKD和KF认知功能的研究的文献综述.
- 分析功能标志物 (例如,eGFR,cystatin C,albuminuria) 和认知结果之间的关联.
- 在CKD/KF群体中检查与阿尔茨海默病和痴呆相关的报告生物标志物.
主要成果:
- 关于CKD/KF认知障碍遗传标记的研究有限.
- 在病标志物 (eGFR下降,白蛋白尿) 和认知恶化,包括血管痴呆和执行功能障碍之间建立了联系.
- 许多生物标志物 (粉样β,蛋白,尿素毒素,肠道微生物群,炎症) 与CKD/KF的认知问题有关,尽管因果关系尚不清楚.
结论:
- 认知障碍是CKD/KF的一个重要并发症.
- 功能标志物和各种生物因素与认知能力下降有关.
- 进一步的研究对于澄清CKD中生物标志物和认知健康之间的复杂相互作用和因果关系至关重要.
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