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Cognitive Reserve and Cognitive Functioning among Oldest Old Adults: Findings from the Georgia Centenarian Study. 高龄老人的认知储备和认知功能:佐治亚州百岁老人研究的结果。
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2023-07-01 Epub Date: 2022-08-05 DOI: 10.1080/0361073X.2022.2106717
Peter Martin, Yasuyuki Gondo, Gina Lee, John L Woodard, L Steven Miller, Leonard W Poon

Objectives: Living a long life does not guarantee the maintenance of optimal cognitive functioning; however, similar to older adults in general, cognitive reserve may also protect oldest-old adults from cognitive decline. The purpose of this study was to assess cognitive reserve among centenarians and octogenarians and to evaluate a process model of cognitive reserve.

Methods: A total of 321 centenarians and octogenarians from the Georgia Centenarian Study were included in this study. Cognitive reserve components included level of education, occupational responsibility, current social engagement, past engaged lifestyle, and activity. Cognitive functioning was measured with the Mini-Mental Status Examination.

Results: Structural equation modeling was computed, and the overall model fit well, χ2 (df = 3) = 5.02, p = .17; CFI = .99, RMSEA = .05. Education is directly and indirectly related to cognitive functioning through occupational responsibility and past engaged lifestyle. Current social engagement is related to cognitive functioning directly and indirectly through current activities. The four direct predictors (i.e., education, current social engagement, current activity, and past engaged lifestyle) explained 35% of the variance in cognitive functioning.

Conclusion: The results provide important information for cognitive reserve theories with implications for interventions that build cognitive reserve.

目的:长寿并不能保证保持最佳的认知功能;然而,与一般老年人类似,认知储备也可以保护最年长的老年人免于认知功能衰退。本研究旨在评估百岁老人和八旬老人的认知储备,并评估认知储备的过程模型:本研究共纳入了佐治亚百岁老人研究(Georgia Centenarian Study)中的 321 名百岁老人和八旬老人。认知储备的组成部分包括教育水平、职业责任、当前社会参与度、过去参与的生活方式和活动。认知功能通过小型精神状况检查进行测量:计算了结构方程模型,整体模型拟合良好,χ2(df = 3)= 5.02,p = .17;CFI = .99,RMSEA = .05。教育通过职业责任和过去参与的生活方式与认知功能直接或间接相关。当前的社会参与通过当前的活动直接或间接地与认知功能相关。四个直接预测因子(即教育、当前社会参与、当前活动和过去参与的生活方式)解释了认知功能变异的 35%:结论:研究结果为认知储备理论提供了重要信息,并对建立认知储备的干预措施产生了影响。
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引用次数: 0
Aerobic Training with Naringin Supplementation Improved Spatial Cognition via H2S Signaling Pathway in Alzheimer's Disease Model Rats. 有氧训练加柚皮苷通过H2S信号通路改善阿尔茨海默病模型大鼠的空间认知
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1080/0361073X.2022.2101303
Mojtaba Salehpour, Ghorbangol Ashabi, Majid Kashef, Elahe Sadat Marashi, Tayyebeh Ghasemi

Objectives: This study examined the effects of one-month naringin administration and exercise training on cognitive impairment and H2S signaling pathway in an Amyloid β (Aβ)-injected rat.

Methods: Rats were divided into four groups: control group; rats underwent Aβ microinjection surgery, exercise group; rats underwent Aβ microinjection surgery and trained by treadmill for four weeks, naringin group; rats underwent Aβ microinjection surgery, and rats orally administrated 80 mg.kg-1 naringin for four weeks, naringin+exercise group; rats underwent Aβ microinjection surgery and were trained by treadmill for four weeks, and also, rats orally administrated 80 mg.kg-1 naringin for four weeks. After one month of treatment, spatial learning and memory were measured, and then hippocampi were sampled. S-adenosylmethionine (SAM), cystathionine-β-synthase (CBS), hydrogen sulfide (H2S) levels, and neuronal death were detected in the hippocampi of rats.

Results: Naringin and exercise improved spatial learning (latency time, P < .001) and memory (P < .001) in the Morris Water Maze test in Aβ-injected rats compared with the control group. SAM (P < .01), CBS (P < .001), and H2S (P < .01) levels are increased in the naringin+exercise group compared with the control group.

Conclusion: The result of this study supports the effect of exercise and/or naringin to improve cognitive dysfunction and cell death through the production of H2S.

目的:研究一个月柚皮苷和运动训练对β淀粉样蛋白(Aβ)注射大鼠认知功能障碍和H2S信号通路的影响。方法:将大鼠分为4组:对照组;大鼠进行Aβ显微注射手术,运动组;柚皮苷组大鼠进行Aβ显微注射手术和跑步机训练4周;大鼠进行Aβ显微注射手术,大鼠口服80 mg。Kg-1柚皮素治疗四周,柚皮素+运动组;大鼠进行Aβ显微注射手术并在跑步机上训练4周,大鼠口服80 mg。Kg-1进行为期四周的训练。治疗一个月后,测量空间学习和记忆,然后对海马体进行采样。检测大鼠海马组织中s -腺苷甲硫氨酸(SAM)、胱硫氨酸-β合酶(CBS)、硫化氢(H2S)水平及神经元死亡情况。结果:柚皮苷和运动可改善大鼠空间学习(潜伏期)、p2s (P)。结论:本研究结果支持运动和/或柚皮苷通过产生H2S改善认知功能障碍和细胞死亡。
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引用次数: 1
Mastering the Relationship between the Body and the Brain? The Case of a Female Master Athlete. 掌握身体和大脑的关系?一位女运动健将的案例。
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1080/0361073X.2022.2109340
Kathia Saillant, Brittany Intzandt, Béatrice Bérubé, Safa Sanami, Claudine Gauthier, Louis Bherer

Background: Physical inactivity significantly increases risk of cardiovascular diseases, which are highly prevalent in aging. Conversely, higher levels of physical activity in aging have been associated with benefits for physical and cognitive health and is hypothesized to prevent and reduce development of cardiovascular risk factors. However, those older adults with the highest activity levels (i.e., Master Athletes [MA]) are relatively understudied, and even fewer studies involve female MA.

Objective: The aim of this study was to compare the physiological, physical, and cognitive profiles of an 83-year-old track-and-field MA runner to a sample of inactive age-matched females.

Results: Results revealed the MA had a high peak oxygen uptake and had superior performance on visuospatial memory tasks compared to her inactive counterparts. Cerebral blood flow was slightly elevated in the MA, but lower cerebrovascular reactivity was revealed compared to the other female included in the magnetic resonance imaging portion.

Conclusion: Our results suggest that high levels of physical activity have benefits on multiple aspects of an aging female's life and that more studies should include MA, as well as a spectrum of cardiorespiratory fitness to further understand the role of physical activity in female aging.

背景:缺乏身体活动会显著增加心血管疾病的风险,而心血管疾病在老年人中非常普遍。相反,老年人高水平的身体活动与身体和认知健康有关,并被认为可以预防和减少心血管风险因素的发展。然而,那些具有最高运动水平的老年人(即大师级运动员[MA])的研究相对较少,涉及女性MA的研究更少。目的:本研究的目的是比较一名83岁的田径田径运动员和一名年龄相匹配的不运动女性的生理、身体和认知特征。结果:结果显示,与不活动的对照组相比,MA具有较高的峰值摄氧量,在视觉空间记忆任务中表现优异。脑血流在MA中略有升高,但与磁共振成像部分的其他女性相比,脑血管反应性较低。结论:我们的研究结果表明,高水平的体育活动对老年女性生活的多个方面都有好处,更多的研究应该包括MA,以及心肺健康的频谱,以进一步了解体育活动在女性衰老中的作用。
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引用次数: 2
Overload and Emotional Wellbeing in a Sample of Spanish Caregivers of Alzheimer's Patients during COVID-19 pandemic. COVID-19大流行期间西班牙阿尔茨海默病患者护理人员样本中的超载和情绪健康
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1080/0361073X.2022.2115739
Álvaro Rodríguez-Mora, Tania Mateo Guirola, José M Mestre

Introduction: Carers of Alzheimer's suffer from caregiver overload, anxiety and depression. Changes in caregiving brought about by pandemic restrictions (COVID-19) may play a role. The aim was to explore the caregiver profile and assess the influence of the pandemic on informal and formal caregivers in a Spanish sample.

Method: Sixty caregivers participated. An ad hoc questionnaire, ZBI, STAI and BDI were administered.

Results: Informal caregivers were more overloaded, anxious and depressed than professional caregivers. Both groups perceived themselves to be more sad, worried and stressed than in the pre-pandemic situation. The pandemic-generated variables associated with caregiving did not influence caregiver overload in both groups. In informal caregivers, worsening of the patient with stress and changes in perceived social support with anxiety and depression. In professional caregivers, changes in routine were associated with stress and lower depression and changes in perceived social support with higher caregiver strain. Changes in caregiving routine and changes in perceived social support were predictors of overload and emotional distress in both caregivers.

Conclusions: Overload was not influenced by the pandemic situation. Changes in caregiving routine and lack of social support were found to be predictors of overload and emotional distress in both types of caregivers.

导读:阿尔茨海默氏症的照顾者承受着照顾超负荷、焦虑和抑郁的痛苦。大流行限制措施(COVID-19)带来的护理变化可能发挥了作用。目的是在西班牙样本中探索护理人员概况,并评估大流行对非正式和正式护理人员的影响。方法:60名护理人员参与。进行问卷调查,ZBI, STAI和BDI。结果:非正式护理人员比专业护理人员有更多的负荷、焦虑和抑郁。这两个群体都认为自己比大流行前更加悲伤、担忧和紧张。在两组中,与照顾相关的流行病产生的变量没有影响照顾者超载。在非正式护理人员中,患者的压力恶化和感知社会支持的变化伴焦虑和抑郁。在专业照顾者中,日常生活的改变与压力和抑郁程度的降低有关,而感知到的社会支持的变化与照顾者压力的增加有关。照护常规的改变和感知到的社会支持的改变是两个照护者的负荷和情绪困扰的预测因子。结论:超载不受疫情影响。照护常规的改变和缺乏社会支持被发现是两种类型照护者超载和情绪困扰的预测因素。
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引用次数: 0
Older Adult Health Condition as a Moderator of How Middle-Aged Adults' Ageist Attitudes and Aging Anxiety Relate to Their Compassion for and Emotional Distance from Older Adults. 老年人健康状况对中年人年龄歧视态度和衰老焦虑对老年人同情和情感距离的调节作用
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2023-05-01 DOI: 10.1080/0361073X.2022.2091329
Hannah M Bashian, Grace I L Caskie

Objectives: Using Terror Management Theory and Social Identity Theory as frameworks, we examined whether the relationship of aging anxiety to compassion for and emotional distance from older adults was mediated by ageist attitudes and whether an older adult's health condition moderated these relationships.

Method: Using an experimental design, 292 middle-aged adults (40-55 years) were assigned to read a description of an older adult with Alzheimer's Disease (AD), prostate cancer, or who was healthy.

Results: The relationship of aging anxiety to compassion was mediated by ageist attitudes in both the AD and prostate cancer conditions. More ageist attitudes related to less compassion more strongly for unhealthy older adult conditions than for the healthy older adult condition as well as for the AD condition compared to the cancer condition. Ageist attitudes related to more emotional distance from the older adult with AD than the older adult with cancer.

Discussion: Older adults with AD may evoke a stronger relationship of ageist attitudes with emotions toward older adults. These findings extend previous research by examining middle-aged participants, a population often serving as caregivers to their aging relatives.

目的:以恐惧管理理论和社会认同理论为框架,探讨老年焦虑与老年人同情和情感距离的关系是否受年龄歧视态度的调节,以及老年人的健康状况是否调节这些关系。方法:采用实验设计,292名中年人(40-55岁)被分配阅读老年阿尔茨海默病(AD)、前列腺癌或健康的老年人的描述。结果:老年焦虑与同情的关系在老年痴呆和前列腺癌患者中均受年龄歧视态度的介导。更多的年龄歧视态度与更少的同情心相关不健康的老年人情况比健康的老年人情况更强烈老年痴呆症情况比癌症情况更强烈。年龄歧视态度与老年AD患者的情感距离比老年癌症患者的情感距离大。讨论:老年阿尔茨海默氏症患者可能会引起老年人的年龄歧视态度和对老年人的情绪之间更强的关系。这些发现扩展了之前的研究,对中年参与者进行了调查,这一人群经常照顾他们年迈的亲人。
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引用次数: 0
Relationship between Health Literacy and Frailty in Older Adults with Chronic Kidney Disease. 老年慢性肾病患者健康素养与虚弱的关系
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2023-05-01 DOI: 10.1080/0361073X.2022.2068326
Burcu Candemir, Funda Yıldırım, Emre Yaşar, Yasemin Erten, Berna Göker

Background: Chronic kidney disease (CKD) is associated with an increased risk of frailty, morbidity, and mortality in older adults. Limited health literacy (HL) is a condition that can cause frailty in CKD. Frailty leads to a decreased resistance to stress situations caused by activities of daily living and increased morbidity and mortality. The aim of this study was to investigate the relationship between HL and frailty in older adults with stage 4-5 CKD.

Methods: A total of 109 patients with stage 4-5CKD were included. All patients underwent a comprehensive geriatric assessment. Health literacy was assessed by the Turkish version of the European Health Literacy Questionnaire. Frailty status was measured using the Fried Frailty Index.

Results: The median age was 72 (68-80) years and 72 patients (66.1%) had lowHL. Forty-six patients (42.2%) were frail, and frailty was more common in the low HL group.

Conclusion: The present study demonstrated that low HL level was common in geriatric patients with stage 4-5 CKD and was associated with frailty, as well as a decrease in daily and instrumental life activities, decrease in acceptance of illness scale, and compliance with medical treatment.

背景:慢性肾脏疾病(CKD)与老年人虚弱、发病率和死亡率的风险增加有关。有限的健康素养(HL)是一种可能导致CKD虚弱的条件。虚弱导致对日常生活活动造成的压力情况的抵抗力下降,发病率和死亡率增加。本研究的目的是研究4-5期CKD老年人HL与虚弱之间的关系。方法:共纳入109例4-5期ckd患者。所有患者都进行了全面的老年评估。卫生知识普及程度由土耳其版《欧洲卫生知识普及调查表》进行评估。虚弱状态用Fried虚弱指数来衡量。结果:中位年龄为72(68 ~ 80)岁,低whl 72例(66.1%)。46例(42.2%)患者虚弱,虚弱在低HL组中更为常见。结论:本研究表明,低HL水平在老年4-5期CKD患者中很常见,并与虚弱、日常生活和工具性生活活动减少、疾病量表接受度降低、药物治疗依从性降低有关。
{"title":"Relationship between Health Literacy and Frailty in Older Adults with Chronic Kidney Disease.","authors":"Burcu Candemir,&nbsp;Funda Yıldırım,&nbsp;Emre Yaşar,&nbsp;Yasemin Erten,&nbsp;Berna Göker","doi":"10.1080/0361073X.2022.2068326","DOIUrl":"https://doi.org/10.1080/0361073X.2022.2068326","url":null,"abstract":"<p><strong>Background: </strong>Chronic kidney disease (CKD) is associated with an increased risk of frailty, morbidity, and mortality in older adults. Limited health literacy (HL) is a condition that can cause frailty in CKD. Frailty leads to a decreased resistance to stress situations caused by activities of daily living and increased morbidity and mortality. The aim of this study was to investigate the relationship between HL and frailty in older adults with stage 4-5 CKD.</p><p><strong>Methods: </strong>A total of 109 patients with stage 4-5CKD were included. All patients underwent a comprehensive geriatric assessment. Health literacy was assessed by the Turkish version of the European Health Literacy Questionnaire. Frailty status was measured using the Fried Frailty Index.</p><p><strong>Results: </strong>The median age was 72 (68-80) years and 72 patients (66.1%) had lowHL. Forty-six patients (42.2%) were frail, and frailty was more common in the low HL group.</p><p><strong>Conclusion: </strong>The present study demonstrated that low HL level was common in geriatric patients with stage 4-5 CKD and was associated with frailty, as well as a decrease in daily and instrumental life activities, decrease in acceptance of illness scale, and compliance with medical treatment.</p>","PeriodicalId":12240,"journal":{"name":"Experimental Aging Research","volume":"49 3","pages":"201-213"},"PeriodicalIF":1.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9242246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Time-Varying Effect Models for Examining Age-Dynamic Associations in Gerontological Research. 用于检查老年学研究中年龄动态关联的时变效应模型。
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2023-05-01 Epub Date: 2022-07-03 DOI: 10.1080/0361073X.2022.2095606
Darcé M Costello, Terrence E Murphy

Objectives: Dynamic processes unfolding over later adulthood are of prime interest to gerontological researchers. Time-varying effect modeling (TVEM) accommodates dynamic change trajectories, but its use in gerontological research is limited. We introduce and demonstrate TVEM with an empirical example based on the National Health and Aging Trends Study (NHATS).

Methods: We examined (a) age-varying prevalence of past month elevated symptoms of depression and anxiety and (b) age-varying associations between older adults' elevated symptoms of depression and anxiety and needing help with basic activities of daily living and educational attainment.

Results: The proportion of participants reporting elevated symptoms of depression and anxiety in the past month increased gradually from 23-29% across the ages 70-92. Individuals needing help with ADLs had higher odds of reporting elevated symptoms of depression and anxiety, however the association was strongest for those in their 60s versus 80s. Across all ages, adults with lower education levels had higher odds of reporting elevated symptoms of depression and anxiety, an association that also varied by age.

Conclusion: We demonstrated TVEM's value for studying dynamic associations that vary across chronological age. With the recent availability of free, user-friendly software for implementing TVEM, gerontological researchers have a new tool for exploring complex change processes that characterize older adults' development.

目的:老年学研究人员最感兴趣的是成年后的动态变化过程。时变效应建模(TVEM)可适应动态变化轨迹,但其在老年学研究中的应用还很有限。我们以全国健康与老龄化趋势研究(NHATS)为例,介绍并演示了时变效应模型:我们研究了(a) 过去一个月抑郁和焦虑症状升高的不同年龄流行率和(b) 老年人抑郁和焦虑症状升高与需要帮助进行基本日常生活活动和教育程度之间的不同年龄关联:报告过去一个月抑郁和焦虑症状加重的参与者比例在 70-92 岁之间逐渐增加,从 23% 增加到 29%。需要帮助进行日常生活基本活动的人报告抑郁和焦虑症状加重的几率更高,但60多岁与80多岁的人的相关性最强。在所有年龄段中,教育水平较低的成年人报告抑郁和焦虑症状加重的几率较高,这种关联也因年龄而异:我们证明了 TVEM 在研究不同年龄段动态关联方面的价值。随着最近用于实施 TVEM 的免费、用户友好型软件的推出,老年学研究人员有了一种新的工具来探索作为老年人发展特征的复杂变化过程。
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引用次数: 0
Observed Strategies on Naturalistic Associative Memory Tasks in Healthy Older Adults and Amnestic Mild Cognitive Impairment. 健康老年人和遗忘性轻度认知障碍患者自然联想记忆任务的观察策略。
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2023-05-01 DOI: 10.1080/0361073X.2022.2068327
Kerryn E Pike, Bradley J Wright, Glynda J Kinsella

Background: Understanding the strategies people with amnestic mild cognitive impairment (aMCI) spontaneously use can inform targeted memory training.

Method: Strategy use was observed for 99 people with aMCI and 100 healthy older adults (HOA) on two memory tasks.

Results: No differences were found between aMCI and HOA in the amount or types of strategies used, but strategy use varied with task. Association was more effective for one task, whereas on the other task, use of written notes or multiple strategies were detrimental to performance and related to poorer performance than active (spaced) retrieval, for aMCI.

Conclusion: Our findings suggest the importance of identifying ineffective habits, in addition to instruction in more beneficial approaches.

背景:了解遗忘性轻度认知障碍(aMCI)患者自发使用的策略可以为有针对性的记忆训练提供信息。方法:观察99名aMCI患者和100名健康老年人(HOA)在两项记忆任务上的策略使用情况。结果:aMCI和HOA在使用策略的数量和类型上没有差异,但策略的使用因任务而异。联想在一项任务中更有效,而在另一项任务中,使用书面笔记或多种策略对表现有害,并且与主动(间隔)检索相比,对aMCI的表现更差。结论:我们的研究结果表明,除了以更有益的方法进行指导外,识别无效习惯的重要性。
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引用次数: 0
Amelioration of Cholesterol Rich diet-induced Impaired Cognition in AD Transgenic Mice by an LXR Agonist TO901317 Is Associated with the Activation of the LXR-β-RXR-α-ABCA1 Transmembrane Transport System and Improving the Composition of Lipid Raft. LXR激动剂TO901317对富含胆固醇饮食诱导的AD转基因小鼠认知障碍的改善与激活LXR-β-RXR-α-ABCA1跨膜转运系统和改善脂质筏的组成有关。
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2023-05-01 Epub Date: 2022-07-06 DOI: 10.1080/0361073X.2022.2095605
Yang Na, Lin Ke, Zhang Jie, Wang Jinping, Meng Tao, Zhu Jie, Yang Liu, Zhou Yueqin

Background: It has been reported that LXR agonist can inhibit Aβ generation and alleviate Aβ-induced various adverse reactions in vivo and in vitro experiments, but the mechanisms have not been clarified. The study aimed to observe the effect of LXR agonist TO901317 on the cognitive function of AD transgenic mice fed with cholesterol-rich diet (CRD), and to explore the possible mechanism. Methods: 32 male 6-month-old double transgenic AD mice were enrolled and randomly divided into 4 groups: control (normal diet) group, CRD treatment group, TO901317 treatment group and GSK2033 treatment group. After 3 month, Morris water maze was for the changes of spatial exploration and memory ability; ELISA was for detecting the production of Aβ42 in the brain; the concentration of total cholesterol (TC), low density lipoprotein (LDL) and high density lipoprotein (HDL) in serum were detected by cholesterol enzyme colorimetry; Finally, the expression of LXR-β, RXR-α, ABCA1, caveolin-1, BACE1 and APP at protein level in the brains was measured by Western blotting.

Results: Compared with the control group, the learning, memory ability and spatial exploration ability of the mice were more significantly serious in the CRD group (P<0.05); The contents of TC and LDL in the serum and the production of Aβ42 in the brains were significantly increased (P<0.05), but HDL was remarkably decreased (P<0.05); The protein levels of LXR-β, RXR-α and ABCA1 were also significantly decreased (P<0.05); The expression of caveolin-1, APP and BACE1 were evidently increased (P<0.05). However, after treatment with TO901317, the impaired learning and memory and spatial exploration ability of the mice were significantly improved (P<0.05); The contents of TC and LDL in serum and the production of Aβ42 in the brains were significantly decreased (P<0.05), but HLD was increased (P<0.05); The protein levels of LXR-β, RXR-α, ABCA1were all significantly increased (P<0.05), while, the expression of caveolin-1, APP and BACE1 were all significantly decreased (P<0.05). All the changes were reversed by GSK2033 (P<0.05).

Conclusions: TO901317 attenuated the more serious impairment of spatial exploration, learning and memory in transgenic AD mice induced by CRD, and the mechanism may be that TO901317 could activate the LXR-β/RXR-α/ABCA1 transmembrane transport system, promote the cholesterol efflux, and decreased caveolin-1, APP and BACE1, further reduce Aβ42 in the brains.

背景:据报道,LXR激动剂在体内和体外实验中可抑制Aβ生成,缓解Aβ诱导的各种不良反应,但其机制尚未明确。本研究旨在观察LXR激动剂TO901317对富含胆固醇饮食(CRD)喂养的AD转基因小鼠认知功能的影响,并探讨其可能的机制。方法:选取32只6月龄雄性双转基因AD小鼠,随机分为4组:对照组(正常饮食)、CRD治疗组、TO901317治疗组和GSK2033治疗组。3个月后,用莫里斯水迷宫检测小鼠空间探索和记忆能力的变化;用ELISA检测脑内Aβ42的生成;用胆固醇酶比色法检测血清中总胆固醇(TC)、低密度脂蛋白(LDL)和高密度脂蛋白(HDL)的浓度;最后,用Western印迹法检测脑内LXR-β、RXR-α、ABCA1、caveolin-1、BACE1和APP在蛋白水平上的表达。结果与对照组相比,CRD 组小鼠的学习能力、记忆能力和空间探索能力明显下降(PConclusions:TO901317减轻了CRD诱导的转基因AD小鼠更严重的空间探索、学习和记忆障碍,其机制可能是TO901317能激活LXR-β/RXR-α/ABCA1跨膜转运系统,促进胆固醇外流,减少洞穴素-1、APP和BACE1,进一步减少脑内Aβ42。
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引用次数: 0
No Common Factor Underlying Decline of Visual Abilities in Mild Cognitive Impairment. 轻度认知障碍患者视觉能力下降无共同因素。
IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2023-05-01 DOI: 10.1080/0361073X.2022.2094660
Simona Garobbio, Karin S Pilz, Marina Kunchulia, Michael H Herzog

Introduction: Recent work has shown an association between cognitive and visual impairments and two main theories were advanced, namely the sensory deprivation and the common cause theories. Most studies considered only basic visual functions such as visual acuity or visual field size and evaluated the association with dementia.

Objectives: To reconcile between these theories and to test the link between visual and cognitive decline in mildly cognitive impaired people.

Methods: We employed a battery of 19 visual tasks on 39 older adults with mild cognitive impairment and 91 without any evidence of cognitive decline, as measured by the Montreal Cognitive Assessment.

Results: Our results show a strong association between visual impairment and mild cognitive impairment. In agreement with previous results with younger and healthy older adults, we found also only weak correlations between most tests in older adults with mild cognitive impairment.

Conclusion: Our results suggest that visual and cognitive abilities decline simultaneously, but they do so independently across visual and cognitive functions and across participants.

近年来的研究表明认知障碍与视觉障碍之间存在联系,并提出了两种主要的理论,即感觉剥夺理论和共同原因理论。大多数研究只考虑基本的视觉功能,如视力或视野大小,并评估与痴呆的关系。目的:调和这些理论,并测试轻度认知障碍人群的视觉和认知能力下降之间的联系。方法:我们对39名有轻度认知障碍的老年人和91名没有任何认知衰退迹象的老年人进行了19项视觉任务,这些都是通过蒙特利尔认知评估来测量的。结果:我们的研究结果显示视力障碍和轻度认知障碍之间有很强的联系。与先前对年轻和健康老年人的研究结果一致,我们还发现,在患有轻度认知障碍的老年人中,大多数测试之间的相关性也很弱。结论:我们的研究结果表明,视觉和认知能力是同时下降的,但它们在视觉和认知功能以及参与者之间是独立下降的。
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引用次数: 3
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Experimental Aging Research
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