4.5 Article

Uric Acid as a CNS Antioxidant

期刊

JOURNAL OF ALZHEIMERS DISEASE
卷 19, 期 4, 页码 1331-1336

出版社

IOS PRESS
DOI: 10.3233/JAD-2010-1330

关键词

Alzheimer's disease; ascorbic acid; blood-brain barrier; cerebrospinal fluid; uric acid

资金

  1. NCCAM [K23AT004777, P01 AT002034]
  2. VA
  3. Dana Foundation [NIA P30 AG08017]
  4. NATIONAL CENTER FOR COMPLEMENTARY & ALTERNATIVE MEDICINE [P01AT002034, K23AT004777] Funding Source: NIH RePORTER
  5. NATIONAL INSTITUTE ON AGING [P30AG008017] Funding Source: NIH RePORTER

向作者/读者索取更多资源

Oxidative damage is a consistent finding in a number of central nervous system (CNS) disorders. Uric acid (UA) is a potent hydrophilic antioxidant that is modified by diet and drug. Several lines of evidence suggest that plasma UA may modulate outcomes in neurologic disease, but little attention has been paid to CNS levels of UA. Our objective was to test the hypothesis that cerebrospinal fluid (CSF) UA is determined by plasma UA, modified by blood-brain barrier (BBB) integrity and associated with rate of cognitive decline in Alzheimer's disease (AD). Also, since UA and ascorbic acid may act as antioxidants for one another, we also explored a potential interaction between them in the brain. Thirty-two patients with mild to moderate AD (Mini-Mental Status Exam 19 +/- 5) participated in a longitudinal biomarker study for one year involving standardized clinical assessments. CSF and blood were collected at baseline for UA, ascorbic acid, and albumin. Cognitive measures were collected at baseline and again one year later. CSF UA was independent of age, gender, and AD severity. CSF and plasma UA were positively correlated (r = 0.669, p = 0.001) and BBB impairment was associated with higher CSF levels of UA (p = 0.028). Neither plasma nor CSF UA reached significant association with rates of cognitive decline over 1 year. CSF UA and CSF ascorbic acid were positively correlated (r = 0.388, p = 0.001). The hypothesis that CSF UA is determined by plasma UA and BBB integrity is supported, as is the hypothesis that UA and ascorbic acid are associated in CSF but not plasma. Adequately powered prospective studies would help assess any role for UA in primary and secondary prevention of AD.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Clinical Neurology

An integrative multi-omics approach reveals new central nervous system pathway alterations in Alzheimer's disease

Christopher Clark, Loiec Dayon, Mojgan Masoodi, Gene L. Bowman, Julius Popp

Summary: By integrating multi-omics approaches, this study identified novel molecular and pathway alterations associated with Alzheimer's disease pathology. The findings revealed multiple interactions between single 'omics modalities and distinct multi-omics molecular signatures related to amyloid pathology, neuronal injury, and tau hyperphosphorylation. Pathway enrichment analysis highlighted overrepresentation of hemostasis, immune response, and extracellular matrix signaling pathways in association with AD, while combinations of specific molecules improved prediction of AD pathology and cognitive decline.

ALZHEIMERS RESEARCH & THERAPY (2021)

Article Medicine, Research & Experimental

DCE-MRI of Brain Fluid Barriers: In Vivo Water Cycling at the Human Choroid Plexus

Valerie C. Anderson, Ian J. Tagge, Aaron Doud, Xin Li, Charles S. Springer, Joseph F. Quinn, Jeffrey A. Kaye, Katherine Wild, William D. Rooney

Summary: Metabolic deficits at brain-fluid barriers, including reduced water efflux rate constant at the blood-cerebrospinal fluid barrier, are associated with cognitive decline in older adults. Significant associations were observed between water efflux rate constant and cognitive dysfunction, indicating a potential biomarker for cognitive impairment in later life.

TISSUE BARRIERS (2022)

Article Immunology

Systemic and central nervous system neuroinflammatory signatures of neuropsychiatric symptoms and related cognitive decline in older people

Christopher Clark, Jonas Richiardi, Benedicte Marechal, Gene L. Bowman, Loic Dayon, Julius Popp

Summary: This study aimed to investigate the relationship between neuropsychiatric symptoms and inflammation. The results showed that neuroinflammation is involved in the pathophysiology of neuropsychiatric symptoms in older people, and it may explain the link between symptoms and more rapid clinical disease progression.

JOURNAL OF NEUROINFLAMMATION (2022)

Article Cell Biology

Cerebrospinal Fluid Proteome Alterations Associated with Neuropsychiatric Symptoms in Cognitive Decline and Alzheimer's Disease

Magdalena Mroczek, Christopher Clark, Loic Dayon, Gene L. Bowman, Julius Popp

Summary: This study identified cerebrospinal fluid proteome alterations associated with neuropsychiatric symptoms (NPS). These alterations are related to the pathophysiology of Alzheimer's disease (AD) and cognitive decline, and may represent independent processes from AD. Furthermore, some of these protein changes were found to be associated with accelerated cognitive decline.
Article Biochemistry & Molecular Biology

Predictive Modeling of Alzheimer's and Parkinson's Disease Using Metabolomic and Lipidomic Profiles from Cerebrospinal Fluid

Nathan Hwangbo, Xinyu Zhang, Daniel Raftery, Haiwei Gu, Shu-Ching Hu, Thomas J. Montine, Joseph F. Quinn, Kathryn A. Chung, Amie L. Hiller, Dongfang Wang, Qiang Fei, Lisa Bettcher, Cyrus P. Zabetian, Elaine R. Peskind, Ge Li, Daniel E. L. Promislow, Marie Y. Davis, Alexander Franks

Summary: Metabolomics has been utilized to analyze human cerebrospinal fluid samples and found strong separation between PD and AD patients and healthy controls in the metabolome. Key metabolites associated with PD and AD classification were identified, along with metabolic pathways linked to these neurodegenerative diseases.

METABOLITES (2022)

Article Public, Environmental & Occupational Health

Trajectories of cognitive functioning in later life: Disparities by race/ ethnicity, educational attainment, sex, and multimorbidity combinations

Ana R. Quinones, Siting Chen, Corey L. Nagel, Anda Botoseneanu, Heather G. Allore, Jason T. Newsom, Stephen Thielke, Jeffrey Kaye

Summary: Evaluating the associations between multimorbidity combinations, racial/ethnic background, educational attainment, and sex with age-related cognitive changes is crucial. The study found racial/ethnic differences in cognitive trajectories in later life, with significant interactions with sex and education.

SSM-POPULATION HEALTH (2022)

Article Psychology, Clinical

The survey for memory, attention, and reaction time (SMART): Preliminary normative online panel data and user attitudes for a brief web-based cognitive performance measure

Mira Leese, Nora Mattek, John P. K. Bernstein, Katherine E. Dorociak, Sarah Gothard, Jeffrey Kaye, Adriana M. Hughes

Summary: This study aimed to develop a brief web-based cognitive assessment tool and establish preliminary norms. The results showed that age was the only demographic variable associated with performance on the assessment tool, with older adults having slower completion time. Male participants generally had longer completion time compared to females. Overall, the tool was well-accepted by participants, with more than half willing to complete it on a weekly basis.

CLINICAL NEUROPSYCHOLOGIST (2023)

Article Clinical Neurology

Gastrointestinal Motility and Response to Levodopa in Parkinson's Disease: A Proof-of-Concept Study

Delaram Safarpour, Barbara H. Brumbach, Monica Arena, Joseph Quinn, Sarah Diamond, Jay G. Nutt, RonaldF. Pfeiffer

Summary: This study aimed to investigate whether altered segmental gastrointestinal transit time (GITT) correlates with clinical response and plasma levodopa concentration (PLC) variability in patients with Parkinson's disease. The results showed no significant difference in GITT between typical and erratic responders. Additionally, Small Intestinal Bacterial Overgrowth (SIBO) was positive in half of the erratic responders and negative in most typical responders.

MOVEMENT DISORDERS (2022)

Article Geriatrics & Gerontology

Mood and activity changes during the COVID-19 pandemic in rural and urban Veterans and their cohabitants

Jack C. Lennon, Nathan Hantke, Nora Mattek, Chao-Yi Wu, Hiroko Dodge, Rachel Wall, Zachary Beattie, Jeffrey Kaye, Lisa C. Silbert

Summary: A study found that older Veterans and their cohabitants reported significantly higher levels of blue mood and loneliness during the COVID-19 pandemic, as well as a significant decrease in travel away from home. The prevalence of these negative moods was not affected by the rural or urban residence.

CLINICAL GERONTOLOGIST (2023)

Review Clinical Neurology

Nutritional metabolism and cerebral bioenergetics in Alzheimer's disease and related dementias

Hussein N. Yassine, Wade Self, Bilal E. Kerman, Giulia Santoni, NandaKumar Navalpur Shanmugam, Laila Abdullah, Lesley R. Golden, Alfred N. Fonteh, Michael G. Harrington, Johannes Graff, Gary E. Gibson, Raj Kalaria, Jose A. Luchsinger, Howard H. Feldman, Russell H. Swerdlow, Lance A. Johnson, Benedict C. Albensi, Berislav Zlokovic, Rudolph Tanzi, Stephen Cunnane, Cecilia Samieri, Nikolaos Scarmeas, Gene L. Bowman

Summary: Disturbances in brain energy supply increase the risk of synaptic loss, neurodegeneration, and cognitive decline. Nutritional and metabolic interventions that target metabolic pathways may have therapeutic potential for Alzheimer's disease prevention and management. This review explores how nutrition and metabolism can regulate brain bioenergetics and mitigate AD risk, presenting novel therapeutic nutrition approaches integrating gut microbiome studies and neuroimaging.

ALZHEIMERS & DEMENTIA (2023)

Article Health Care Sciences & Services

Using Continuous Passive Assessment Technology to Describe Health and Behavior Patterns Preceding and Following a Cancer Diagnosis in Older Adults: Proof-of-Concept Case Series Study

Chao-Yi Wu, Deanne Tibbitts, Zachary Beattie, Hiroko Dodge, Jackilen Shannon, Jeffrey Kaye, Kerri Winters-Stone

Summary: This study found significant differences in health and behavior changes before and after a cancer diagnosis through continuous passive monitoring of older adults. Over the year preceding a cancer diagnosis, there were gradual reductions in step counts and weight, and gradual increases in pain severity, step count variability, hospitalization or emergency room visits, and days away from home overnight. In the year after the cancer diagnosis, there was a gradual increase in the number of pillbox door openings. The results of this study suggest that continuous passive monitoring can provide important information for health management.

JMIR FORMATIVE RESEARCH (2023)

Article Geriatrics & Gerontology

Nutrition state of science and dementia prevention: recommendations of the Nutrition for Dementia Prevention Working Group

Hussein N. Yassine, Cecilia Samieri, Gill Livingston, Kimberly Glass, Maude Wagner, Christy Tangney, Brenda L. Plassman, M. Arfan Ikram, Robin M. Voigt, Yian Gu, Sid O'Bryant, Anne Marie Minihane, Suzanne Craft, Howard A. Fink, Suzanne Judd, Sandrine Andrieu, Gene L. Bowman, Edo Richard, Benedict Albensi, Emily Meyers, Serly Khosravian, Michele Solis, Maria Carrillo, Heather Snyder, Francine Grodstein, Nikolaos Scarmeas, Lon S. Schneider

Summary: Observational studies suggest potential cognitive benefits of nutritional factors, but systematic reviews of randomised trials show null effects. This article presents limitations in existing nutrition clinical trials for dementia prevention and provides recommendations for future trial developments.

LANCET HEALTHY LONGEVITY (2022)

Article Geriatrics & Gerontology

Omega-3 Supplementation for the Prevention of Cognitive Decline in Older Adults: Does It Depend on Homocysteine Levels?

M. Maltais, P. de Souto Barreto, G. L. Bowman, A. D. Smith, C. Cantet, S. Andrieu, Y. Rolland

Summary: This study found that plasma homocysteine (Hcy) levels may modify the association between red blood cell n-3 PUFA and executive function. Individuals with high Hcy levels may benefit less from n-3 PUFA supplementation to prevent cognitive decline.

JOURNAL OF NUTRITION HEALTH & AGING (2022)

Article Psychology, Developmental

Unobtrusive, in-home assessment of older adults' everyday activities and health events: associations with cognitive performance over a brief observation period

John P. K. Bernstein, Katherine Dorociak, Nora Mattek, Mira Leese, Chelsea Trapp, Zachary Beattie, Jeffrey Kaye, Adriana Hughes

Summary: Assessing everyday activities at home over a period of months to years can help predict cognitive decline in older adults. This study found that even a relatively brief monitoring period of 3 months can provide valuable diagnostic information related to computer use, sleep, medication use, pain, and independence, which are linked to cognitive function.

AGING NEUROPSYCHOLOGY AND COGNITION (2022)

暂无数据