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Calpain and caspase regulate Aβ peptide production via cleavage of KINDLIN2 encoded by the AD-associated gene FERMT2 Calpain和caspase通过切割ad相关基因FERMT2编码的KINDLIN2来调节Aβ肽的产生
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-21 DOI: 10.1016/j.neurobiolaging.2025.04.009
Chloé Najdek , Pauline Walle , Amandine Flaig, Anne-Marie Ayral, Florie Demiautte, Audrey Coulon, Valérie Buiche, Neuro-CEB Brain Bank, Erwan Lambert , Philippe Amouyel, Carla Gelle, Dolores Siedlecki-Wullich, Julie Dumont, Devrim Kilinc, Fanny Eysert , Jean-Charles Lambert, Julien Chapuis
The adapter protein KINDLIN2, encoded by the Alzheimer's disease (AD) genetic risk factor FERMT2, was identified as a modulator of APP processing. KINDLIN2 directly interacts with APP to modulate its metabolism, and KINDLIN2 underexpression impairs long-term potentiation in an APP-dependent manner. Altogether, these data suggest that loss of KINDLIN2 could have a detrimental effect on synaptic function and promote AD pathophysiological process. In this study, we identified KINDLIN2 as a novel substrate of caspases and calpain I, two well-characterized cysteine proteases involved in the regulation of synaptic plasticity. These cleavages resulted in the dissociation of the F0 and F1 domains of KINDLIN2 that are necessary for it to function as an adapter protein. Furthermore, we demonstrate that these cleavages lead to a decrease in KINDLIN2’s ability to control APP processing. Overall, these KINDLIN2 cleavages appear as potential new mechanisms in the regulation of KINDLIN2 functions at the synapse and could be of interest for the pathophysiology of AD.
由阿尔茨海默病(AD)遗传危险因子FERMT2编码的适配蛋白KINDLIN2被确定为APP加工的调节剂。KINDLIN2直接与APP相互作用调节其代谢,并且KINDLIN2过低表达以APP依赖的方式损害长期增强。综上所述,这些数据表明KINDLIN2的缺失可能对突触功能产生不利影响,并促进AD的病理生理过程。在这项研究中,我们发现KINDLIN2是caspases和calpain I的一种新的底物,这两种半胱氨酸蛋白酶都参与突触可塑性的调节。这些分裂导致KINDLIN2的F0和F1结构域的分离,这是它作为一个适配器蛋白发挥作用所必需的。此外,我们证明这些裂解导致KINDLIN2控制APP加工的能力下降。总的来说,这些KINDLIN2裂解似乎是调节KINDLIN2突触功能的潜在新机制,可能对阿尔茨海默病的病理生理感兴趣。
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引用次数: 0
Influence of sleep and cardiovascular health on cognitive trajectories in older adults 睡眠和心血管健康对老年人认知轨迹的影响
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-19 DOI: 10.1016/j.neurobiolaging.2025.04.008
Hannah R. Maybrier , Joshua J. Jackson , Cristina D. Toedebusch , Brendan P. Lucey , Denise Head
Age-related changes in sleep have been associated with cognitive decline, yet causal pathways have not been identified. Evidence suggests reduced cardiovascular health may be a consequence of poor sleep and a precursor to cognitive decline. This observational cohort study used path analyses to determine whether cardiovascular disease risk mediated or moderated effects of sleep on yearly longitudinal change in cognition, estimated with linear growth models. Total sleep time (TST), sleep efficiency (SE), and relative spectral power of slow wave activity (SWA; 1–4 Hz) and slow oscillations (SO; 0.5–1 Hz), were measured with single-channel home EEG. Cardiovascular disease risk (CVR) was estimated as 10-year Framingham Risk Score 1-year post-sleep. Outcomes were yearly change in executive function (EF), episodic memory (EM), and processing speed (PS) over 2–5 years post-sleep. 342 participants (mean age 73.5 +/- 5.6 years, 51 % female) were included. Shorter TST was linearly associated with increased CVR across all models (βs = -0.18(0.058) – -0.19(0.059), ps< 0.002). TST was indirectly associated with EF and PS decline through CVR, such that associations between short TST and cognitive decline were partially due to higher CVR. All other mediating and moderating effects were nonsignificant after multiple comparisons. Indirect associations between short sleep duration and greater decline in executive function and processing speed were found through higher CVR, suggesting a potential mechanism by which sleep leads to cognitive decline. Findings support the prioritization of adequate sleep duration to preserve both cardiovascular and cognitive health in later life.
与年龄相关的睡眠变化与认知能力下降有关,但因果关系尚未确定。有证据表明,心血管健康状况的下降可能是睡眠不足的结果,也是认知能力下降的前兆。这项观察性队列研究使用路径分析来确定心血管疾病风险是否介导或调节睡眠对认知年纵向变化的影响,并使用线性增长模型进行估计。总睡眠时间(TST)、睡眠效率(SE)和慢波活动相对谱功率(SWA);1-4 Hz)和慢振荡(SO;0.5-1 Hz),单通道家庭脑电测量。心血管疾病风险(CVR)以睡眠后1年的10年Framingham风险评分进行评估。结果是在睡眠后2-5年内执行功能(EF)、情景记忆(EM)和处理速度(PS)的年度变化。纳入342名参与者(平均年龄73.5 +/- 5.6岁,51% %为女性)。在所有模型中,较短的TST与CVR增加呈线性相关(βs = -0.18(0.058)- -0.19(0.059),ps<; 0.002)。TST通过CVR间接与EF和PS下降相关,因此短TST与认知能力下降之间的关联部分是由于较高的CVR。经多次比较,其他所有中介和调节效应均不显著。通过较高的CVR发现,短睡眠时间与执行功能和处理速度的较大下降之间存在间接关联,这表明睡眠导致认知能力下降的潜在机制。研究结果支持将充足的睡眠时间放在首位,以在以后的生活中保持心血管和认知健康。
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引用次数: 0
Alzheimer’s disease cerebrospinal fluid biomarker levels and APOE genetic status are associated with hippocampal-cerebellar functional connectivity 阿尔茨海默病脑脊液生物标志物水平和APOE遗传状态与海马-小脑功能连通性相关
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-18 DOI: 10.1016/j.neurobiolaging.2025.04.005
Elizabeth R. Paitel , Corinne Pettigrew , Abhay Moghekar , Michael I. Miller , Andreia V. Faria , Marilyn Albert , Anja Soldan
Recent research suggests that hippocampal-cerebellar (Hp-CB) functional connectivity may be altered early in the course of Alzheimer’s disease (AD), given the early accumulation of AD pathology in the hippocampi and emerging evidence of cerebellar changes in early AD. This study analyzed the role of AD genetic risk (via APOE ε4 carrier status) and cerebrospinal fluid (CSF) biomarkers of AD pathology (ratio of phosphorylated tau (p-tau181) to amyloid beta (Aβ42/Aβ40)) on the relationship between age and functional Hp-CB resting state fMRI connectivity in 161 cognitively unimpaired older adults (M age =67.3; SD =9.0; 37 % APOE ε4 +). In multiple regression analyses with Hp-CB connectivity as the outcome, there were significant interactions between age and APOE ε4 status, and between age and CSF AD biomarkers. Older age was associated with greater Hp-CB connectivity in APOE ε4 non-carriers and participants with less abnormal CSF AD biomarkers. In contrast, Hp-CB connectivity was marginally lower with older age in ε4 carriers and those with more abnormal AD biomarkers. Furthermore, greater Hp-CB connectivity was associated with better episodic memory performance across all groups. These findings suggest that age-related increases in Hp-CB connectivity among APOE ε4 non-carriers and those with low AD biomarker levels reflect age-related changes that are largely unrelated to AD, while age-related decreases in Hp-CB connectivity in APOE ε4 carriers may reflect AD-related alterations. These findings also highlight the importance of cerebellar contributions to cognitive performance among older adults and suggest that Hp-CB connectivity may be altered in preclinical AD.
最近的研究表明,海马体-小脑(Hp-CB)功能连接可能在阿尔茨海默病(AD)的早期过程中发生改变,因为阿尔茨海默病病理在海马体的早期积累以及新出现的阿尔茨海默病早期小脑变化的证据。本研究分析了AD遗传风险(通过APOE ε4载体状态)和AD病理的脑脊液(CSF)生物标志物(磷酸化tau蛋白(p-tau181)与淀粉样蛋白(a - β42/ a - β40)的比值)在161名认知功能未受损老年人(M年龄=67.3;SD = 9.0;37 % apoe ε4 +)。在以Hp-CB连通性为结果的多元回归分析中,年龄与APOE ε4状态、年龄与CSF AD生物标志物之间存在显著的相互作用。年龄越大,APOE ε4非携带者和CSF AD生物标志物异常较少的参与者的Hp-CB连通性越高。相反,在ε4携带者和AD生物标志物异常较多的人群中,随着年龄的增长,Hp-CB连通性略有降低。此外,在所有组中,更大的Hp-CB连通性与更好的情景记忆表现有关。这些发现表明,APOE ε4非携带者和AD生物标志物水平低的人群中,年龄相关的Hp-CB连接增加反映了与AD无关的年龄相关变化,而APOE ε4携带者中年龄相关的Hp-CB连接减少可能反映了AD相关的变化。这些发现还强调了小脑对老年人认知表现的重要性,并表明Hp-CB连接可能在临床前AD中发生改变。
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引用次数: 0
Brain network connectivity underlying neuropsychiatric symptoms in prodromal Lewy body dementia 前驱路易体痴呆的脑网络连接基础神经精神症状
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-17 DOI: 10.1016/j.neurobiolaging.2025.04.007
Laura M. Wright , Paul C. Donaghy , David J. Burn , John-Paul Taylor , John T. O’Brien , Alison J. Yarnall , Fiona E. Matthews , Michael J. Firbank , Hilmar P. Sigurdsson , Julia Schumacher , Alan J. Thomas , Rachael A. Lawson
Neuropsychiatric symptoms (NPS) are prevalent, emerge early, and are associated with poorer outcomes in Lewy body dementia (LBD). Research suggests NPS may reflect LBD-related dysfunction in distributed neuronal networks. This study investigated NPS neural correlates in prodromal LBD using resting-state functional MRI. Fifty-seven participants were included with mild cognitive impairment (MCI) with Lewy bodies (MCI-LB, n = 28) or Parkinson’s disease (PD-MCI, n = 29). Functional MRI assessed connectivity within five resting-state networks: primary visual, dorsal attention, salience, limbic, and default mode networks. NPS were measured using the Neuropsychiatric Inventory. Principal component analyses identified three neuropsychiatric factors: affective disorder (apathy, depression), psychosis (delusions, hallucinations) and anxiety. Seed-to-voxel connectivity maps were analysed to determine associations between NPS and network connectivity. In PD-MCI, affective symptoms and anxiety were associated with greater connectivity between limbic orbitofrontal cortex and default mode areas, including medial prefrontal cortex, subgenual cingulate and precuneus, and weaker connectivity between limbic orbitofrontal cortex and the brainstem and between the salience network and medial prefrontal cortex (all pFWE<0.001). Psychosis severity in PD-MCI correlated with connectivity across multiple networks (all pFWE<0.001). In MCI-LB, no significant correlations were found between NPS severity and network connectivity. However, participants with anxiety demonstrated a trend towards greater connectivity within medial prefrontal areas than those without (pFWE=0.046). Altered connectivity within and between networks associated with mood disorders may explain affective and anxiety symptoms in PD-MCI. Neural correlates of NPS in MCI-LB, however, remain unclear, highlighting the need for research in larger, more diverse LBD populations to identify symptomatic treatment targets.
神经精神症状(NPS)在路易体痴呆(LBD)中普遍存在,出现较早,并且与预后较差相关。研究表明,NPS可能反映了分布式神经网络中与lbd相关的功能障碍。本研究利用静息状态功能MRI研究了前驱LBD的NPS神经相关。57名受试者被纳入轻度认知障碍(MCI)伴路易体(MCI- lb, n = 28)或帕金森病(PD-MCI, n = 29)。功能性MRI评估了五个静息状态网络的连通性:初级视觉网络、背侧注意网络、显著性网络、边缘网络和默认模式网络。使用神经精神量表测量NPS。主成分分析确定了三种神经精神因素:情感障碍(冷漠、抑郁)、精神病(妄想、幻觉)和焦虑。分析种子到体素的连接图,以确定NPS和网络连接之间的关联。在PD-MCI中,情感症状和焦虑与边缘眼窝前额皮质与默认模式区域(包括内侧前额皮质、亚属扣带和楔前叶)之间的连通性更强有关,与边缘眼窝前额皮质与脑干以及突出网络与内侧前额皮质之间的连通性较弱有关(所有pFWE<;0.001)。PD-MCI患者的精神病严重程度与跨多个网络的连通性相关(所有pFWE<;0.001)。在MCI-LB中,NPS严重程度与网络连通性之间没有显著相关性。然而,焦虑的参与者比没有焦虑的参与者表现出内侧前额叶区域更大的连通性(pFWE=0.046)。与情绪障碍相关的网络内部和网络之间连接的改变可以解释PD-MCI的情感和焦虑症状。然而,NPS在MCI-LB中的神经相关性仍不清楚,这表明需要在更大、更多样化的LBD人群中进行研究,以确定对症治疗靶点。
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引用次数: 0
Mnemonic brain state engagement is diminished in healthy aging 在健康的衰老过程中,记忆性大脑状态的参与减少了
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-12 DOI: 10.1016/j.neurobiolaging.2025.03.012
Isabelle L. Moore, Devyn E. Smith, Nicole M. Long
Healthy older adults typically show impaired episodic memory – memory for when and where an event occurred. This selective episodic memory deficit may arise from differential engagement in the retrieval state, a brain state in which attention is focused internally in an attempt to access prior knowledge, and the encoding state, a brain state which supports the formation of new memories and that trades off with the retrieval state. We hypothesize that older adults are biased toward a retrieval state. We recorded scalp electroencephalography while young, middle-aged and older adults performed a memory task in which they were explicitly directed to either encode or retrieve on a given trial. We used multivariate pattern analysis of spectral activity to decode retrieval vs. encoding state engagement. We find that whereas all age groups can follow task demands to selectively engage in encoding or retrieval, mnemonic brain state engagement is diminished for older adults relative to young and middle-aged adults. These findings suggest that differential mnemonic state engagement may underlie age-related memory changes.
健康的老年人通常会表现出外显记忆受损--记忆事件发生的时间和地点。这种选择性外显记忆缺陷可能源于检索状态和编码状态的不同参与,前者是一种将注意力集中于内部以试图获取先前知识的大脑状态,而后者则是一种支持新记忆形成并与检索状态相互抵消的大脑状态。我们假设老年人偏向于检索状态。我们在青年、中年和老年人执行记忆任务时记录了他们的头皮脑电图。我们使用频谱活动的多变量模式分析来解码检索与编码状态的参与。我们发现,虽然所有年龄组的人都能按照任务要求选择性地进行编码或检索,但相对于中青年人而言,老年人的记忆性大脑状态参与程度较低。这些发现表明,不同的记忆状态参与可能是与年龄相关的记忆变化的基础。
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引用次数: 0
Dynamics and role of covalently-closed circular RNAs in Alzheimer's disease: A review of experimental and bioinformatics studies 共价闭合环状rna在阿尔茨海默病中的动力学和作用:实验和生物信息学研究综述
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-11 DOI: 10.1016/j.neurobiolaging.2025.04.002
Nikta Zafarjafarzadeh , Elham Feridouni , Sudabe Sobhani-Moghaddam , Javad Amini , Samaneh Mollazadeh , Reza Ataei , Hamed Ghomi , Cordian Beyer , Nima Sanadgol
Alzheimer's disease (AD) is an age-associated disorder characterized by cognitive decline, with dementia representing the final stage of a complex clinical-biological process rather than simply a more severe form of cognitive decline. Circular RNAs (circRNAs), novel non-coding RNAs, have emerged as key regulators of brain function and associated disorders. This study explores the role of circRNAs in AD by reviewing experimentally validated circRNAs in human and animal models. We identified 10 human (seven pathogenic, three protective) and six animal (three pathogenic, three protective) AD-related circRNAs. Experimental studies have confirmed that human protective circRNAs are predominantly downregulated in AD, where they function by sequestering specific miRNAs within cells, particularly miR-7, miR-142–5p, and miR-217, which have well-recognized neuroinflammatory functions. In-silico analysis revealed that circLPAR1 (pathogenic), circHUWE1 (pathogenic), and circHOMER1 (protective) interact with miRNAs that mainly control AD-related genes. Notably, circHOMER1 plays a key role in regulating multiple AD-related pathways, including autophagy, apoptosis, and PI3K-AKT and amyloid fiber formation. Furthermore, circRNA/protein interaction analysis revealed that circHUWE1 predominantly associates with RNA transport proteins, whereas circHOMER1 interacts with proteins involved in mRNA surveillance pathways. Remarkably, docking analysis demonstrated that circAβ-a (pathogenic) exhibits a strong affinity for eukaryotic translation initiation factor 4A3 protein, while circHOMER1 shows a higher binding affinity for DGCR8 microprocessor complex subunit protein. Our study presents a concise list of circRNAs as potential key targets for further investigation in AD research. Future experimental research is essential to uncover their precise mechanisms and assess their potential as biomarkers, offering promising avenues for developing interventions to alleviate cognitive decline in AD.
阿尔茨海默病(AD)是一种以认知能力下降为特征的年龄相关疾病,痴呆症代表了一个复杂的临床生物学过程的最后阶段,而不仅仅是一种更严重的认知能力下降形式。环状rna (circRNAs)是一种新型非编码rna,已成为脑功能和相关疾病的关键调节因子。本研究通过回顾人类和动物模型中实验验证的环状rna,探讨了环状rna在AD中的作用。我们鉴定了10个人类(7个致病性,3个保护性)和6个动物(3个致病性,3个保护性)ad相关环状rna。实验研究证实,人类保护性环状rna在AD中主要下调,它们通过隔离细胞内特定的mirna发挥作用,特别是miR-7、miR-142-5p和miR-217,它们具有公认的神经炎症功能。芯片分析显示,circLPAR1(致病性)、circHUWE1(致病性)和circHOMER1(保护性)与主要控制ad相关基因的mirna相互作用。值得注意的是,circHOMER1在调节多种ad相关通路中发挥关键作用,包括自噬、凋亡、PI3K-AKT和淀粉样纤维的形成。此外,circRNA/蛋白相互作用分析显示,circHUWE1主要与RNA转运蛋白相关,而circHOMER1则与参与mRNA监视通路的蛋白相互作用。值得注意的是,对接分析表明circAβ-a(致病性)对真核翻译起始因子4A3蛋白具有较强的亲和力,而circHOMER1对DGCR8微处理器复合物亚基蛋白具有较高的结合亲和力。我们的研究提供了一个简明的环状rna列表,作为AD研究中进一步研究的潜在关键靶点。未来的实验研究必须揭示其确切机制并评估其作为生物标志物的潜力,为开发干预措施以减轻AD的认知能力下降提供有希望的途径。
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引用次数: 0
Higher soluble ADAM10 plasma levels are associated with decreased cognitive performance in older adults carrying APOEε4 较高的可溶性ADAM10血浆水平与携带APOEε4的老年人认知能力下降有关
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-11 DOI: 10.1016/j.neurobiolaging.2025.04.003
Lucas Nogueira de Carvalho Pelegrini , Patricia Regina Manzine , Cecilia Patricia Popolin , Sabrina Dorta , Marina Mantellatto Grigoli , Vanessa Alexandre-Silva , Renata Pedroso , Ari Alex Ramos , Henrique Pott , Marcia Regina Cominetti
The APOE gene, particularly its ε4 allele, is a significant genetic risk factor for Alzheimer’s disease (AD) and influences amyloid-β (Aβ) pathology and cognitive decline. This study explores the relationship between APOEε4 genotype, plasma levels of soluble ADAM10 (sADAM10), and cognitive performance in cognitively unimpaired (CU) older adults and those with AD dementia. It is a cross-sectional analysis that included 85 participants assessed for cognitive function, APOE genotype, and plasma sADAM10 levels. ADAM10, a key enzyme in the non-amyloidogenic pathway of Aβ precursor protein (APP) processing, has emerged as a promising biomarker due to its altered levels in AD patients. Our findings revealed significantly higher plasma sADAM10 levels in AD participants compared to CU individuals, with APOEε4 carriers exhibiting a nearly twofold increase in sADAM10 levels. A negative correlation was observed between plasma sADAM10 concentrations and cognitive performance, independent of APOEε4 status. Notably, the study highlights the potential of sADAM10 as a blood-based biomarker, emphasizing its relevance in APOEε4-mediated AD pathology. Importantly, most studies exploring ADAM10 and APOE interactions have been conducted in high-income countries, limiting the generalizability of their findings to diverse populations. This study is the first to be conducted in a Global South country, offering critical insights into underrepresented populations and underscoring the need for more inclusive research in AD. Future research should include larger cohorts and longitudinal designs to validate these findings and explore targeted interventions leveraging sADAM10 activity in the context of APOEε4-associated AD progression.
APOE基因,特别是其ε4等位基因,是阿尔茨海默病(AD)的重要遗传危险因素,并影响淀粉样蛋白-β (a β)病理和认知能力下降。本研究探讨了认知功能未受损(CU)老年人和AD痴呆患者的APOEε4基因型、血浆可溶性ADAM10 (sADAM10)水平和认知表现之间的关系。这是一项横断面分析,包括85名参与者,评估其认知功能、APOE基因型和血浆sADAM10水平。ADAM10是a β前体蛋白(APP)加工非淀粉样变途径的关键酶,由于其在AD患者中的水平改变,已成为一种有希望的生物标志物。我们的研究结果显示,与CU个体相比,AD参与者的血浆sADAM10水平明显更高,APOEε4携带者的sADAM10水平几乎增加了两倍。血浆sADAM10浓度与认知能力呈负相关,与APOEε4状态无关。值得注意的是,该研究强调了sADAM10作为一种基于血液的生物标志物的潜力,强调了它与apoeε 4介导的AD病理的相关性。重要的是,大多数探索ADAM10和APOE相互作用的研究都是在高收入国家进行的,限制了其研究结果在不同人群中的普遍性。这项研究是首次在全球南方国家进行的研究,为代表性不足的人群提供了重要见解,并强调了对阿尔茨海默病进行更具包容性研究的必要性。未来的研究应该包括更大的队列和纵向设计来验证这些发现,并探索在apoeε 4相关AD进展的背景下利用sADAM10活性的有针对性的干预措施。
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引用次数: 0
Persistent blood-brain barrier dysregulation in patients with obstructive sleep apnea following long-term continuous positive airway pressure treatment 长期持续气道正压治疗后阻塞性睡眠呼吸暂停患者持续性血脑屏障失调
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-11 DOI: 10.1016/j.neurobiolaging.2025.04.001
Mariana Fernandes , Fabio Placidi , Francesca Izzi , Marzia Nuccetelli , Sergio Bernardini , Nicola Biagio Mercuri , Claudio Liguori

Introduction

Blood-brain barrier (BBB) dysfunction has been hypothesized to be a triggering factor in neurodegeneration. This study compared moderate-severe obstructive sleep apnea (OSA) patients with controls to evaluate the effects of this sleep disorder on BBB integrity, as well as explore the impact of continuous positive airway pressure (CPAP) treatment on BBB.

Methods

This study included moderate-severe OSA patients, OSA patients being treated with CPAP for at least 12 months (OSA-CPAP), and a control group with no neurological or psychiatric diseases. Participants underwent neurological examination, cognitive assessment (to exclude cognitive impairment) and lumbar puncture for cerebrospinal-fluid (CSF) biomarkers analysis [β-amyloid42 (Aβ42), total-tau, phosphorylated tau, ratio between CSF and serum albumin levels (Qalb)].

Results

38 moderate-severe OSA patients (mean age 65.50 ± 9.16), 12 patients with OSA treated with CPAP (OSA-CPAP, mean age 65.42 ± 6.45) and 25 controls (mean age 65.64 ± 8.10) were included. Moderate-severe OSA patients showed higher Qalb than controls (p = 0.026); also OSA-CPAP patients presented higher Qalb than controls (p = 0.044). Qalb did not differ comparing moderate-severe OSA and OSA-CPAP groups. OSA patients showed lower CSF Aβ42 levels compared to both controls (p < 0.001) and the OSA-CPAP patients (p < 0.001).

Conclusions

These findings confirmed CSF Aβ42 alteration and documented BBB dysfunction, as indicated by the higher Qalb, in OSA patients. The metabolic and oxidative damage caused by hypoxia could account for these phenomenona; however, the BBB impairment seems to be not reversible, as OSA-CPAP patients presented the BBB alteration although normal CSF Aβ42 levels. Further studies exploring BBB function and its clinical implication for neurodegeneration in OSA are needed.
血脑屏障(BBB)功能障碍被假设为神经变性的触发因素。本研究将中重度阻塞性睡眠呼吸暂停(OSA)患者与对照组进行比较,评估这种睡眠障碍对血脑屏障完整性的影响,并探讨持续气道正压通气(CPAP)治疗对血脑屏障的影响。方法本研究包括中重度OSA患者、接受CPAP治疗至少12个月的OSA患者(OSA-CPAP)和无神经或精神疾病的对照组。参与者接受神经学检查、认知评估(以排除认知障碍)和腰椎穿刺进行脑脊液(CSF)生物标志物分析[β-淀粉样蛋白42 (a - β42)、总tau蛋白、磷酸化tau蛋白、CSF与血清白蛋白水平之比(Qalb)]。结果纳入38例中重度OSA患者(平均年龄65.50 ± 9.16),12例经CPAP治疗的OSA患者(OSA-CPAP,平均年龄65.42 ± 6.45)和25例对照组(平均年龄65.64 ± 8.10)。中重度OSA患者Qalb高于对照组(p = 0.026);OSA-CPAP患者的Qalb也高于对照组(p = 0.044)。中重度OSA组与OSA- cpap组比较,Qalb无差异。与对照组(p <; 0.001)和OSA- cpap患者(p <; 0.001)相比,OSA患者的脑脊液Aβ42水平较低。结论:这些发现证实了OSA患者脑脊液Aβ42的改变和血脑屏障功能障碍,如高Qalb所示。缺氧引起的代谢和氧化损伤可以解释这些现象;然而,血脑屏障损伤似乎是不可逆转的,因为OSA-CPAP患者在脑脊液Aβ42水平正常的情况下仍出现血脑屏障改变。需要进一步研究血脑屏障功能及其在OSA患者神经变性中的临床意义。
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引用次数: 0
Editorial Advisory Board 编辑顾问委员会
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-06 DOI: 10.1016/S0197-4580(25)00064-8
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引用次数: 0
Lower aperiodic EEG activity is associated with reduced verbal fluency performance across adulthood 较低的非周期性脑电图活动与成年期语言流畅性下降有关
IF 3.7 3区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2025-04-05 DOI: 10.1016/j.neurobiolaging.2025.03.013
Daniel J. McKeown , Emily Roberts , Anna J. Finley , Nicholas J. Kelley , Hannah A.D. Keage , Victor R. Schinazi , Oliver Baumann , Ahmed A. Moustafa , Douglas J. Angus
Age-related cognitive decline associations with human electroencephalography (EEG) have previously focused on periodic activity. However, EEG primarily consists of non-oscillatory aperiodic activity, characterised with an exponent and offset value. In a secondary analysis of a cohort of 111 healthy participants aged 17 – 71 years, we examined the associations of the aperiodic exponent and offset in resting EEG with a battery of cognitive tests consisting of the Colour-Word Interference Test, Wechsler Adult Intelligence Scale IV Digit Span Test, Rey Auditory Learning Test, Delis-Kaplan Executive Function System Trail Making Test, and the Verbal Fluency Test. Using Principal Component Analysis and K-Means Clustering, we identified clusters of electrodes that exhibited similar aperiodic exponent and offset activity during resting-state eyes-closed EEG. Robust linear models were then used to model how aperiodic activity interacted with age and their associations with performance during each cognitive test. Offset by age interactions were identified for the Verbal Fluency Test, where smaller offsets were associated with poorer performance in adults as early as 33 years of age. Greater aperiodic activity is increasingly related to better verbal fluency performance with age in adulthood.
与年龄相关的认知衰退与人类脑电图(EEG)的关联先前主要集中在周期性活动上。然而,脑电图主要由非振荡非周期活动组成,其特征是指数和偏移值。在对111名年龄在17 - 71岁的健康参与者的二次分析中,我们通过一系列认知测试(包括颜色-单词干扰测试、韦氏成人智力量表IV数字广度测试、Rey听觉学习测试、Delis-Kaplan执行功能系统轨迹制作测试和语言流畅性测试)来检验静息脑电图的非周期性指数和偏倚的关系。利用主成分分析和K-Means聚类,我们确定了在静息状态闭眼脑电图中表现出相似的非周期指数和偏移活动的电极簇。然后使用稳健的线性模型来模拟非周期性活动与年龄的相互作用以及它们与每次认知测试中的表现的关联。在语言流畅性测试中,年龄的相互作用被确定为抵消,在33岁的成年人中,较小的抵消与较差的表现有关。随着成年年龄的增长,更多的非周期性活动与更好的语言流畅性表现越来越相关。
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Neurobiology of Aging
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