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Parkinson’s Disease, Diabetes, Functional Decline and Cognitive Impairment: A Comparative Study of Elderly Mexican Americans and Non-Hispanic Whites 帕金森病、糖尿病、功能衰退和认知障碍:墨西哥裔美国人和非西班牙裔白人的比较研究
Pub Date : 2019-07-11 DOI: 10.23937/2643-4539/1710008
P. L. Heller, D. Briones, J. Wilcox, J. D. Rosa
Objective: Assess moderating effects of functional decline on the associations between late-life cognitive impairment (CImp) and diabetes and Parkinson’s disease (PD); including controls for Mexican-American ethnicity, education, life satisfaction, age, and sex. Methods: In-home interviews with 1,252 elderly Mexican-American (N = 799) and non-Hispanic white (N = 353) residents of El Paso County, Texas. CImp measured by MMSE, CLOXI and CLOXII; functional impairment (ADLimp) as impairment in 1-10 activities of daily living. Our hypothesis is that ethnicity will effect variance of diabetes, hence cognitive decline. Results: Logistic regression analyses--After controlling for effects of all above-cited variables, PD remains significantly associated with the three measures of CImp, including impairment in executive control function. Controlling for ADLimp does not extinguish the significant association between diabetes and CImp on any of the three measures. However, no significant degree of association between diabetes and CImp remains after other control variables (including Mexican-American ethnicity) have been added to the equation. Conclusions: 1) PD findings are statistically and clinically meaningful. After controlling for all other variables, the OR for respondents diagnosed with PD (compared to their non-diagnosed counterparts) is 1.42 for MMSE impairment (95% CI1.10-15.53); 4.12 for CLOXI impairment (95% CI 1.07-15.85); and 10.51 for CLOXII impairment (95% CI 2.55-43.41). 2) The connection between diabetes and CImp is problematic; our findings suggest that many of the earlierreported research findings linking diabetes with CImp may be an artifact of other intervening phenomena such as regional and ethnic differentials in prevalence rates for diabetes. 3) The relationship between CImp and ADLimp is strong and clinically meaningful; for each unit increase in ADLimp there is a corresponding 1.33 increase in odds for MMSE impairment (95% CI 1.15-1.55). For impairment on CLOX1 and CLOX2 the ORs are 1.22 (95% CI 1.05-1.42) and 1.21 (95% CI 1.03-1.42). 4) When coupled with other research findings, Mexican-American ethnicity may itself represent a risk factor for CImp. After controlling for effects all other variables, El Paso’s elderly Mexican Americans possess odds 2.46 times greater than those for NHWs in MMSE impairment (95% CI 1.42-4.25); 1.53 (95% CI 1.06-2.20) times greater for impairment in executive control function (CLOXI); and 2.35 times greater for impairment in ability to perform a simple copying task (1.35-4.09). 5) Our findings point to the importance of utilizing a number of different screening devices for assessment of cognitive function in order to increase the likelihood that results can be taken as valid, dependable, and clinically meaningful for elderly individuals a Hispanic ethnicity.
目的:评估功能下降对晚期认知障碍(CImp)与糖尿病和帕金森病(PD)之间关系的调节作用;包括对墨西哥裔美国人种族、教育、生活满意度、年龄和性别的控制。方法:对德克萨斯州埃尔帕索县1252名墨西哥裔美国老年人(N=799)和非西班牙裔白人(N=353)进行家庭访谈。通过MMSE、CLOXI和CLOXII测量的CImp;功能损害(ADImp)是指日常生活中1-10项活动的损害。我们的假设是,种族会影响糖尿病的变异,从而导致认知能力下降。结果:Logistic回归分析——在控制了上述所有变量的影响后,PD仍然与CImp的三个指标显著相关,包括执行控制功能的损害。ADImp的控制并不能消除糖尿病和CImp之间在这三项指标中的任何一项上的显著关联。然而,在将其他控制变量(包括墨西哥裔美国人)添加到等式中后,糖尿病和CImp之间没有显著的相关性。结论:1)帕金森病的临床表现具有统计学意义。在控制了所有其他变量后,被诊断为PD的受访者(与未被诊断的受访者相比)的MMSE损伤OR为1.42(95%CI1.10-15.53);4.12 CLOXI损伤(95%CI 1.07-15.85);CLOXII损伤为10.51(95%CI 2.55-43.41)。2)糖尿病与CImp之间的联系存在问题;我们的研究结果表明,许多早期报道的将糖尿病与CImp联系起来的研究结果可能是其他干预现象的产物,如糖尿病患病率的地区和种族差异。3) CImp和ADImp之间的关系很强,具有临床意义;ADImp每增加一个单位,MMSE损伤的几率就会相应增加1.33(95%CI 1.15-1.55)。对于CLOX1和CLOX2的损伤,OR分别为1.22(95%CI1.05-1.42)和1.21(95%CI1.03-1.42)。4)结合其他研究结果,墨西哥裔美国人本身可能是CImp的风险因素。在控制了所有其他变量的影响后,El Paso的墨西哥裔老年人的MMSE损伤几率是NHW的2.46倍(95%CI 1.42-4.25);执行控制功能损伤(CLOXI)的1.53倍(95%CI 1.06-2.20);5)我们的研究结果表明,利用多种不同的筛查设备来评估认知功能的重要性,以增加结果对西班牙裔老年人有效、可靠和有临床意义的可能性。
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引用次数: 1
Identification of PSEN1 and PSEN2 Gene Variants and Clinical Findings with the Literature PSEN1和PSEN2基因变异的鉴定及临床研究
Pub Date : 2019-04-11 DOI: 10.23937/IJND-2017/1710007
Randa Nadide Cemre, Bora Elçin, A. Esra, Öz Özlem, Yener Görsev, Ulgenalp Ayfer
• Page 1 of 8 • Citation: Randa NC, Bora E, Ataman E, Öz O, Yener G, et al. (2019) Identification of PSEN1 and PSEN2 Gene Variants and Clinical Findings with the Literature. Int J Neurodegener Dis 2:007 Accepted: April 09, 2019; Published: April 11, 2019 Copyright: © 2019 Randa NC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
•引用本文:Randa NC, Bora E, Ataman E, Öz O, Yener G等。(2019)PSEN1和PSEN2基因变异的鉴定及临床研究。国际神经退行性疾病杂志2:07接受日期:2019年04月09日;出版日期:2019年4月11日版权所有:©2019 Randa NC, et al。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是要注明原作者和来源。
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引用次数: 3
Rare and Hereditary Causes of Stroke-A Literature Review 中风的罕见遗传原因——文献综述
Pub Date : 2018-12-31 DOI: 10.23937/ijnd-2017/1710005
C. Eyisi, I. Onwuekwe, Ig Eyisi, O. Ekenze
• Page 1 of 6 • Citation: Eyisi CS, Onwuekwe IO, Eyisi IG, Ekenze O (2018) Rare and Hereditary Causes of Stroke-A Literature Review. Int J Neurodegener Dis 1:005 Accepted: November 17, 2018; Published: November 19, 2018 Copyright: © 2018 Eyisi CS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
•第1页,共6页•引文:Eyisi CS,Onwuekwe IO,Eyisi IG,Ekenze O(2018)中风的罕见和遗传原因——文献综述。Int J Neurodener Dis 1:005接受时间:2018年11月17日;发布时间:2018年11月19日版权所有:©2018 Eyisi CS等人。这是一篇根据知识共享署名许可证条款分发的开放获取文章,该许可证允许在任何媒体上不受限制地使用、分发和复制,前提是原作者和来源可信。
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引用次数: 1
A Clinicopathologic Case Report of a Female with Valosin-Containing Protein (VCP) Gene Mutation Related Disease 一例女性含缬氨酸蛋白(VCP)基因突变相关疾病的临床病理报告
Pub Date : 2018-12-31 DOI: 10.23937/ijnd-2017/1710006
Surampalli Abhilasha, N. Angèle, D. Sandra, K. Manaswitha, Wang Annabel, C. Rudolph, Yin-Tsan Hong, R. Ana, P. Payal, W. John, Mozaffar Tahseen, E. KimonisVirginia
• Page 1 of 5 • Citation: Surampalli A, Nalbandian A, Donkervoort S, Khare M, Wang AK, et al. (2018) A Clinicopathologic Case Report of a Female with Valosin-Containing Protein (VCP) Gene Mutation Related Disease. Int J Neurodegener Dis 1:006 Accepted: December 17, 2018; Published: December 19, 2018 Copyright: © 2018 Surampalli A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
•引用本文:Surampalli A, Nalbandian A, Donkervoort S, Khare M, Wang AK,等(2018)1例女性含Valosin-Containing Protein (VCP)基因突变相关疾病的临床病理病例报告。中华神经退行性疾病杂志,1:06;出版日期:2018年12月19日版权所有:©2018 Surampalli A, et al。这是一篇根据知识共享署名许可协议发布的开放获取文章,该协议允许在任何媒体上不受限制地使用、分发和复制,前提是要注明原作者和来源。
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引用次数: 5
Amyotrophic Lateral Sclerosis (ALS) Linked to Intestinal Microbiota Dysbiosis & Systemic Microbial Infection in Human Patients: A Cross-Sectional Clinical Study 肌萎缩侧索硬化症(ALS)与人类肠道微生物群失调和系统微生物感染的相关性:一项横断面临床研究
Pub Date : 2018-12-31 DOI: 10.23937/IJND-2017/1710003
Steenblock David A, Ikrar Taruna, Antonio Andrew S San, Wardaningsih Elfi, Azizi Masoud J
• Page 1 of 4 • Citation: Steenblock DA, Ikrar T, Antonio ASS, Wardaningsih E, Azizi MJ (2018) Amyotrophic Lateral Sclerosis (ALS) Linked to Intestinal Microbiota Dysbiosis & Systemic Microbial Infection in Human Patients: A Cross-Sectional Clinical Study. Int J Neurodegener Dis 1:003. Accepted: September 10, 2018; Published: September 12, 2018 Copyright: © 2018 Steenblock DA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
•第1页,共4页•引文:Steenblock DA,Ikrar T,Antonio ASS,Wardaninsih E,Azizi MJ(2018)与人类患者肠道微生物群失调和系统性微生物感染相关的肌萎缩性侧索硬化症(ALS):一项横断面临床研究。Int J Neurodener Dis 1:003。受理时间:2018年9月10日;发布时间:2018年9月12日版权所有:©2018 Steenblock DA等人。这是一篇根据知识共享署名许可证条款分发的开放获取文章,该许可证允许在任何媒体上不受限制地使用、分发和复制,前提是原作者和来源可信。
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引用次数: 6
Multiple Episodes of Full-Body Tremors: An Unexpected Adverse Effect during an Alzheimer's Disease Investigational Drug Study 全身震颤的多次发作:阿尔茨海默病研究性药物研究中意想不到的不良反应
Pub Date : 2018-12-31 DOI: 10.23937/IJND-2017/1710004
T ApterJeffrey, A BillonesIvy, White Kaylee
• Page 1 of 2 • Citation: Apter JT, Billones IA, White K (2018) Multiple Episodes of Full-Body Tremors: An Unexpected Adverse Effect during an Alzheimer’s Disease Investigational Drug Study. Int J Neurodegener Dis 1:004. Accepted: November 14, 2018; Published: November 16, 2018 Copyright: © 2018 Apter JT, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
•第1页,共2页•引文:Apter JT,Billones IA,White K(2018)《全身震颤的多发作:阿尔茨海默病药物研究中的意外不良反应》。Int J Neurodener Dis 1:004。受理时间:2018年11月14日;发布时间:2018年11月16日版权所有:©2018 Apter JT等人。这是一篇根据知识共享署名许可证条款分发的开放获取文章,该许可证允许在任何媒体上不受限制地使用、分发和复制,前提是原作者和来源可信。
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引用次数: 0
Epilepsy Increase in the Elderly: Role of not Evolutive Epileptogenic Brain Lesions (NEEBLs) 老年人癫痫增加:非进化性癫痫性脑损伤(NEEBLs)的作用
Pub Date : 2018-12-06 DOI: 10.36959/459/598
Chirchiglia Domenico
Epilepsy in the elderly is a very debated case because much depends on the causes and associated pathologies. In particular, in the presence of comorbidity it is often difficult to find an effective and safe antiepileptic therapy that does not interfere with other drugs and therefore must be personalized. New-onset epilepsy in the elderly is caused by two types of cerebral lesions: The first concerns progressive, evolutive lesions, on which one can intervene, such as tumors or cerebrovascular pathologies, often acute.
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引用次数: 0
Near Infrared Spectroscopy alike Magnetic Resonance Imaging: Complementary Data in Rat Brain after Cocaine Treatment 近红外光谱与磁共振成像:可卡因治疗后大鼠脑的互补数据
Pub Date : 2018-11-03 DOI: 10.36959/459/597
Crespi Francesco, Formenti Francesca, Congestri Francesco
Magnetic Resonance Imaging (MRI) and Near Infrared Spectroscopy (NIRS) are two major in vivo non invasive methodologies more and more applied in research. The first more than the second is largely used also in clinical domain. Both techniques are more or less related to the effectiveness of oxygen levels and/or functionality in blood and this can be exploited to monitor the influence of various factors and conditions upon the living tissue, in particular the brain. Here the complementarity of these two methodologies is challenged via comparison of the effect of cocaine treatment upon NIRS as well as MRI parameters monitored in vivo in rat brain. The aim of the study is to further support recent data obtained with our early introduced NIRS prototype to monitor hematic changes in CNS showing that NIRS is allowing evaluating rat blood brain barrier penetration of exogenous agents and demonstrating parallel alteration of brain metabolism following alcohol intake in rodents and man. Positive evidence will further confirm the utility of such prototype for real time translational rodent-man in vivo non invasive studies. The parallel MRI-NIRS data monitored confirm previous results obtained with these two non invasive methodologies and further support NIRS as a valuable tool for non invasive in vivo real time analysis of brain metabolism AND of drug treatments in the CNS.
磁共振成像(MRI)和近红外光谱(NIRS)是两种主要的体内无创技术,在研究中得到越来越多的应用。第一种比第二种更广泛地用于临床领域。这两种技术或多或少都与血液中氧水平和/或功能的有效性有关,这可以用来监测各种因素和条件对活组织的影响,特别是对大脑的影响。在这里,通过比较可卡因治疗对近红外光谱的影响以及在大鼠脑内监测的MRI参数,挑战了这两种方法的互补性。该研究的目的是进一步支持我们早期引入的近红外光谱(NIRS)原型所获得的数据,以监测中枢神经系统的血液变化,表明近红外光谱可以评估外源性药物对大鼠血脑屏障的渗透,并证明啮齿动物和人类在饮酒后脑代谢的平行改变。积极的证据将进一步证实这种原型在实时翻译啮齿动物-人体内非侵入性研究中的实用性。平行监测的MRI-NIRS数据证实了之前用这两种非侵入性方法获得的结果,并进一步支持NIRS作为无创体内实时分析脑代谢和中枢神经系统药物治疗的有价值工具。
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引用次数: 1
The Dilemma of Raised Blood Levels of Folate and B12 in Autism 自闭症患者血液中叶酸和B12水平升高的困境
Pub Date : 2018-06-20 DOI: 10.36959/459/596
L. D
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引用次数: 1
Apolipoprotein E Fragmentation within Lewy Bodies of the Human Parkinson's Disease Brain. 载脂蛋白E在人类帕金森病脑路易体中的碎片化。
Pub Date : 2018-01-01 Epub Date: 2018-02-23 DOI: 10.23937/IJND-2017/1710002
Troy T Rohn, Jacob M Mack

Although harboring the Apolipoprotein E4 (APOE4) allele is a well-known risk factor in Alzheimer's disease (AD), whether a similar risk holds true for Parkinson's disease (PD) is currently not known. To investigate whether apoE pathology is present in PD, an immunohistochemical study was undertaken with fixed, human PD brain sections from the substantia nigra utilizing a recently characterized antibody that detects an amino-terminal fragment of apoE. This antibody, termed the apoE cleavage fragment p17 (nApoECFp17) antibody specifically detects an amino-terminal 17 kDa fragment of apoE without reacting with full-length forms of the protein. Application of this antibody revealed the presence of this fragment in Lewy bodies in all cases examined. Colocalization of nApoECFp17 with an antibody to alpha-synuclein (α-Syn), which served as a general marker for Lewy bodies, indicated the presence of this apoE fragment in 87.5% of all identified Lewy bodies. In addition, localization of nApoECFp17 was also evident within oligodendrocytes, the nucleus of melatonin-containing neurons, and blood vessels. Conversely, little staining was observed in the substantia nigra from Pick's disease or in the frontal cortex of dementia with Lewy bodies (DLB) cases, suggesting a specificity for nApoECFp17 immunoreactivity in PD. Collectively, these data have identified widespread evidence for apoE fragmentation in the human PD brain and documented for the first time the presence of apoE within Lewy bodies, the major pathological marker for this neurodegenerative disease.

虽然载脂蛋白E4 (APOE4)等位基因是众所周知的阿尔茨海默病(AD)的危险因素,但目前尚不清楚帕金森病(PD)是否也存在类似的风险。为了研究载脂蛋白e病理是否存在于帕金森病中,一项免疫组织化学研究利用一种最近鉴定的抗体检测载脂蛋白e的氨基末端片段,对从黑质提取的固定的人类帕金森病脑切片进行了研究。该抗体被称为apoE裂解片段p17 (nApoECFp17)抗体,特异性检测apoE的氨基末端17 kDa片段,而不与全长形式的蛋白质发生反应。该抗体的应用揭示了该片段存在于所有检查的路易小体中。nApoECFp17与α-突触核蛋白(α-Syn)抗体共定位,表明该apoE片段存在于87.5%的路易小体中。α-突触核蛋白是路易小体的一般标记。此外,在少突胶质细胞、含褪黑素神经元的细胞核和血管中,也明显存在napecfp17的定位。相反,在匹克病的黑质或路易体痴呆(DLB)病例的额皮质中几乎没有观察到染色,这表明nApoECFp17免疫反应性在PD中具有特异性。总的来说,这些数据已经确定了人类PD大脑中apoE碎片化的广泛证据,并首次记录了apoE在路易体中的存在,路易体是这种神经退行性疾病的主要病理标志。
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引用次数: 8
期刊
International journal of neurodegenerative disorders
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