临床表现 临床表现
Taylor F Levine1, Genna M Mashinchi2, Emily Post1
1Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
炎症对西班牙裔/拉丁裔女性和具有正常认知能力的男性的口头记忆有不同的影响,女性对瘤亡因子α (TNF-α) 具有弹性. 在阿尔茨海默病 (AD) 中,这些性别差异因种族而异.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 老年学是一门学科.
背景情况:
- 患有阿尔茨海默氏症 (AD) 的女性最初表现出口语学习优势,但下降速度更快.
- 在阿尔茨海默病进展的性别差异尚未完全理解,但炎症可能起作用.
- 之前在非西班牙裔白人 (NHW) 队伍中进行的研究表明,女性的口头记忆强大到适度的炎症.
研究的目的:
- 在一个种族多样化的AD队列中调查炎症对口头学习和记忆的影响的性别差异.
- 检查炎症标志物 (TNF-α,IL-6,IL-10) 如何影响西班牙裔/拉丁裔 (HL) 和NHW个体的口头记忆.
- 假设认知正常 (CN) 的女性将保持口头记忆,尽管炎症,不像轻度认知障碍 (MCI) 的女性.
主要方法:
- 分析了661名NHW和631名HL参与者在健康和衰老大脑研究中的健康差异数据.
- 评估了血炎症标志物与口头学习/记忆之间的关系的纵向性别差异.
- 用西班牙语英语口头学习测试来学习和延迟回忆措施.
主要成果:
- 在CN西班牙裔/拉丁裔个体中,女性的口头记忆不受瘤亡因子α (TNF-α) 水平的影响,而男性显示下降 (p=0.035).
- 在MCI西班牙裔/拉丁裔个体中,性对TNF-α对口头记忆的影响没有适度.
- 在CN或MCI组的NHW队列中,没有发现炎症对口头记忆的影响有显著的性别适度.
结论:
- 在阿尔茨海默病中,女性的口头学习和记忆优势受种族和炎症标志物TNF-α的影响.
- 需要进一步的研究,以了解对AD的弹性和脆弱性的种族差异.
- 对跨种族和民族群体的这些复杂模式的因果因素的调查是必不可少的.
相关概念视频
Chronic Kidney Disease II: Clinical Manifestations
520
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
520
Coronary Artery Disease III: Clinical Manifestations
299
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
299
Endocarditis II: Clinical Features of Infective Endocarditis
364
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
364
Heart Failure III: Clinical Manifestations
436
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
436
Gastroesophageal Reflux Disease II: Clinical Features and Management
652
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
652
Hypertension III: Clinical Manifestations and Diagnostic Studies
437
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
437


