生物标志物 生物标志物
Monica Rosselli1,2, Warren W Barker2,3, Merike Lang1
1Florida Atlantic University, Davie, FL, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
白质高强度 (WMHs) 与神经退行有关,年龄和大脑缩是关键预测因素,而不是心血管风险因素. 这项研究发现,西班牙裔和非西班牙裔白人之间没有WMH或其预测因素的种族差异.
科学领域:
- 神经学 神经学
- 神经成像是一种神经成像.
- 痴呆症研究 痴呆症研究
背景情况:
- 白质高强度 (WMHs) 与阿尔茨海默病 (AD) 和血管痴呆症有关.
- 有限的研究存在于与心血管 (CV) 风险因素或AD病理学相关的WMH体积的种族差异.
- 在美国研究中,西班牙裔的代表性不足,研究了跨种族群体的WMH严重程度.
研究的目的:
- 分析人口,文化,心血管风险因素和AD生物标志物来预测WMH严重程度.
- 为了比较西班牙裔和非西班牙裔白人 (非HW) 人口之间的WMH严重程度及其预测因素.
主要方法:
- 利用来自1佛罗里达ADRC研究的数据,包括252名西班牙裔和172名非HW参与者跨越认知状态.
- 采用线性回归模型,视觉WMH体积作为依赖变量.
- 包括种族,年龄,性别,教育,心血管因子,大脑缩,粉样蛋白PET状态和血p-tau217作为独立变量;语言能力和同文化是西班牙裔群体特有的.
主要成果:
- 在族群之间没有发现心血管风险因素的显著差异.
- 在总体样本中,年龄较大,阳性粉样蛋白PET状态,高的p-tau217,以及较大的海马和皮质缩预测了更高的WMH得分.
- 年龄,海马缩和扩散皮质缩在总样本的多重回归模型中是显著的预测因素;种族不是一个显著的预测因素.
结论:
- 主要预测WMH的严重程度是年龄和神经退行症 (大脑缩) 的测量,而不是心血管风险因素.
- 在西班牙裔和非西班牙裔白人之间没有观察到WMH或CV风险因素的显著差异.
- 研究结果表明,WMH与不同种族的神经退行有关.
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