Δημοσίευση

Prediction of conversion from mild cognitive impairment to Alzheimer's disease by CSF cytochrome c levels and N200 latency.

ΤίτλοςPrediction of conversion from mild cognitive impairment to Alzheimer's disease by CSF cytochrome c levels and N200 latency.
Publication TypeJournal Article
Year of Publication2009
AuthorsPapaliagkas, V. T., Anogianakis G., Tsolaki M. N., Koliakos G., & Kimiskidis V. K.
JournalCurr Alzheimer Res
Volume6
Issue3
Pagination279-84
Date Published2009 Jun
ISSN1875-5828
Λέξεις κλειδιάAcoustic Stimulation, Aged, Aged, 80 and over, Alzheimer Disease, Analysis of Variance, Cognition Disorders, Cytochromes c, Disease Progression, Electroencephalography, Enzyme-Linked Immunosorbent Assay, Evoked Potentials, Auditory, Female, Humans, Male, Mental Status Schedule, Middle Aged, Predictive Value of Tests, Reaction Time
Abstract

The aim of the present study was to investigate the role of CSF cytochrome c levels and auditory event-related potentials (AERPs) on the progress of mild cognitive impairment (MCI) to Alzheimer's disease (AD). Fifty one patients diagnosed with MCI and fourteen healthy individuals underwent lumbar puncture at baseline and their CSF cytochrome c levels were determined. A follow-up examination of cytochrome c levels took place in 20 patients after 11 months and in this period five of the patients progressed to AD. ERP examinations were also performed in all patients both at baseline and follow-up. MCI patients had significantly higher cytochrome c levels compared to healthy controls (Mann-Whitney test, Z=-2.110, p=0.018). Compared to MCI patients who remained stable, the AD-converters, had a higher increase over time in cytochrome c levels (Mann-Whitney test, p=0.002; effect size r=0.63) and significantly prolonged N200 latency (Mann-Whitney test, p<0.001; effect size r=0.50). Amongst investigated ERP variables, only N200 amplitude was significantly correlated with CSF cytochrome c levels (rs=0.310, p=0.03). Both parameters were proved capable of discriminating AD converters from those MCI patients who remained stable, with sensitivity and specificity >75%. Our results suggest that conversion from MCI to AD is associated with a marked elevated N200 latency at baseline and a high increase in cytochrome c levels during a relatively short period of time, and that both parameters could be possibly considered as candidate markers for the discrimination between MCI patients who convert to AD and those who remain stable.

Alternate JournalCurr Alzheimer Res
PubMed ID19519309

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