Stroke:血脑屏障功能障碍居然和老年痴呆有关!

2017-09-05 MedSci MedSci原创

近期,一项发表在杂志Stroke上的研究测试了MRC CFAS(医学研究委员会认知功能研究)中皮质下白质的血脑屏障功能障碍与老年人的白质异常或临床痴呆风险之间的关系(n = 126;平均年龄86.4岁,SD:7.7岁)。此项研究使用数字化病理学,研究者们量化了血脑屏障功能障碍(由血浆标志物纤维蛋白原的免疫组织化学标记定义)。这由尸检的T2磁共振成像(MRI)收集的皮质下白质组织样品进行评估——从正

近期,一项发表在杂志Stroke上的研究测试了MRC CFAS(医学研究委员会认知功能研究)中皮质下白质的血脑屏障功能障碍与老年人的白质异常或临床痴呆风险之间的关系(n = 126;平均年龄86.4岁,SD:7.7岁)。此项研究使用数字化病理学,研究者们量化了血脑屏障功能障碍(由血浆标志物纤维蛋白原的免疫组织化学标记定义)。这由尸检的T2磁共振成像(MRI)收集的皮质下白质组织样品进行评估——从正常出现的白质(远离共存的MRI定义的高信号)以及正常大脑MRI的等效区域检测到的白质高信号。使用吞噬小胶质细胞标记物(CD68,克隆PGM1)定义组织病理学病变。此项研究结果显示:纤维蛋白原标记的程度与MRI(优势比,0.90;95%置信区间,0.79-1.03;P = 0.130)或组织病理学(优势比,0.93;95%置信区间,0.77 -1.12;P = 0.452)定义的白质异常无显著相关性。在正常MRI(无可检测白质高信度)的参与者中,纤维蛋白原增加与临床痴呆风险降低显着相关(优势比为0.74;95%置信区间,0.58-0.94;P = 0.013)。在组织病变的受试者中,纤维蛋白原增

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    2017-09-19 虈亣靌

    希望中国医疗卫生能给世界卫生带来一点贡献.

    0

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    2017-09-06 虈亣靌

    学习一下谢谢分享

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2022457, encodeId=3ddb202245e64, content=<a href='/topic/show?id=5b4d4e717dd' target=_blank style='color:#2F92EE;'>#屏障功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47717, encryptionId=5b4d4e717dd, topicName=屏障功能)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=72bf2500198, createdName=小小小向日葵, createdTime=Sat Jun 30 21:06:00 CST 2018, time=2018-06-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=245754, encodeId=f41d245e54f8, content=希望中国医疗卫生能给世界卫生带来一点贡献., beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Tue Sep 19 19:49:17 CST 2017, time=2017-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1262336, encodeId=74821262336db, content=<a href='/topic/show?id=ff3c89946de' target=_blank style='color:#2F92EE;'>#血脑屏障#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89946, encryptionId=ff3c89946de, topicName=血脑屏障)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=68b666, createdName=zhangying8788, createdTime=Thu Sep 07 12:06:00 CST 2017, time=2017-09-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1421099, encodeId=ade91421099cf, content=<a href='/topic/show?id=09d33294eb8' target=_blank style='color:#2F92EE;'>#功能障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32947, encryptionId=09d33294eb8, topicName=功能障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b3493649807, createdName=naiwu78, createdTime=Thu Sep 07 12:06:00 CST 2017, time=2017-09-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=241174, encodeId=a1592411e48a, content=学习一下谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Wed Sep 06 22:54:06 CST 2017, time=2017-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=240819, encodeId=7fce24081929, content=好东西学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Tue Sep 05 22:04:20 CST 2017, time=2017-09-05, status=1, ipAttribution=)]
    2017-09-05 thlabcde

    好东西学习了!

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