常染色体显性阿尔茨海默病临床前患者身体活动与病理和神经炎症生物标志物的关系

Edmarie Guzmán-Vélez, Angelys Rivera-Hernández, Sofia Fabrega, Gabriel Oliveira, Jairo E. Martínez, Ana Baena, Glen Picard, Francisco Lopera, Steven E. Arnold, J Andrew Taylor, Yakeel T. Quiroz
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引用次数: 0

摘要

体育活动(PA)与降低阿尔茨海默病(AD)风险有关。然而,人们对其在阿尔茨海默病临床前阶段的作用知之甚少。我们的目的是研究高PA是否与常染色体显性AD患者由于早老素-1 E280A突变而导致的阿尔茨海默病病理、神经损伤、反应性星形胶质细胞和更好的认知能力较低的血浆生物标志物相关,这些人几乎肯定会发展为痴呆。方法28例认知功能正常的突变携带者(年龄29.28岁)佩戴FitBit Charge-4 14天。我们计算了他们的平均步数来测量运动,并使用心率计算了训练冲量(TRIMP)来量化PAs的强度和持续时间。测定血浆β淀粉样蛋白42/40比值、磷酸化tau 181、神经丝轻链和胶质纤维酸性蛋白(GFAP)。认知评估采用了阿尔茨海默病单词表学习和延迟回忆注册联盟、线索制作测试a部分和韦氏成人智力量表-第四版数字广度向后。我们进行了多重线性回归,控制了年龄、性别、体重指数和教育程度。结果步骤或TRIMP与血浆生物标志物或认知无相关性。较高的TRIMP与较高的GFAP水平相关。结论PA与认知或血浆生物标志物无关。然而,PAs的强度和持续时间越长,GFAP越高。参与者很少参与中度到剧烈的PA。因此,轻PA可能对临床前AD没有明显的保护作用。未来需要更大的样本和纵向数据来进一步阐明PA对临床前阶段AD进展的潜在影响。运动(平均步数)与血浆生物标志物或认知无关。较大的训练负荷(训练冲量)与突变携带者较高的胶质原纤维酸性蛋白水平有关。轻微的体育活动可能不足以对阿尔茨海默病产生保护作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Relationship between physical activity and biomarkers of pathology and neuroinflammation in preclinical autosomal-dominant Alzheimer's disease

Objective

Physical activity (PA) has been linked to reduced Alzheimer's disease (AD) risk. However, less is known about its effects in the AD preclinical stage. We aimed to investigate whether greater PA was associated with lower plasma biomarkers of AD pathology, neural injury, reactive astrocytes, and better cognition in individuals with autosomal-dominant AD due to the presenilin-1 E280A mutation who are virtually guaranteed to develop dementia.

Methods

Twenty-eight cognitively unimpaired mutation carriers (ages x̄ = 29.28) wore a FitBit Charge-4 for 14 days. We calculated their average steps to measure locomotion, and Training Impulse (TRIMP) to quantify the intensity and duration of PAs using heart rate. Plasma amyloid beta 42/40 ratio, phosphorylated tau 181, neurofilament light chain, and glial fibrillary acidic protein (GFAP) were measured. Cognition was assessed with the Consortium to Establish a Registry for Alzheimer's Disease word list learning and delayed recall, Trail Making Test Part A, and Wechsler Adult Intelligence Scale-version IV Digit Span Backward. We conducted multiple linear regressions controlling for age, sex, body mass index, and education.

Results

There were no associations among steps or TRIMP with plasma biomarkers or cognition. Greater TRIMP was related to higher GFAP levels.

Conclusions

PA was not associated with cognition or plasma biomarkers. However, greater intensity and duration of PAs were related to higher GFAP. Participants engaged very little in moderate to vigorous PA. Therefore, light PA may not exert a significant protective effect in preclinical AD. Future work with larger samples and longitudinal data is needed to elucidate further the potential impact of PA on AD progression in the preclinical stages.

Highlights

  • Locomotion (average steps) was not associated with plasma biomarkers or cognition.
  • Greater training load (training impulse) was related to higher glial fibrillary acidic protein levels in mutation carriers.
  • Light physical activity may not suffice to exert a protective effect on Alzheimer's disease.
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来源期刊
CiteScore
10.10
自引率
2.10%
发文量
134
审稿时长
10 weeks
期刊介绍: Alzheimer''s & Dementia: Translational Research & Clinical Interventions (TRCI) is a peer-reviewed, open access,journal from the Alzheimer''s Association®. The journal seeks to bridge the full scope of explorations between basic research on drug discovery and clinical studies, validating putative therapies for aging-related chronic brain conditions that affect cognition, motor functions, and other behavioral or clinical symptoms associated with all forms dementia and Alzheimer''s disease. The journal will publish findings from diverse domains of research and disciplines to accelerate the conversion of abstract facts into practical knowledge: specifically, to translate what is learned at the bench into bedside applications. The journal seeks to publish articles that go beyond a singular emphasis on either basic drug discovery research or clinical research. Rather, an important theme of articles will be the linkages between and among the various discrete steps in the complex continuum of therapy development. For rapid communication among a multidisciplinary research audience involving the range of therapeutic interventions, TRCI will consider only original contributions that include feature length research articles, systematic reviews, meta-analyses, brief reports, narrative reviews, commentaries, letters, perspectives, and research news that would advance wide range of interventions to ameliorate symptoms or alter the progression of chronic neurocognitive disorders such as dementia and Alzheimer''s disease. The journal will publish on topics related to medicine, geriatrics, neuroscience, neurophysiology, neurology, psychiatry, clinical psychology, bioinformatics, pharmaco-genetics, regulatory issues, health economics, pharmacoeconomics, and public health policy as these apply to preclinical and clinical research on therapeutics.
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