Alzheimer&Dementia:大脑氧提取分数变化与血管和阿尔茨海默病的关系

2022-07-10 MedSci原创 MedSci原创

由此可见,老年人的OEF纵向变化主要与血管病变有关。

脑氧提取分数(OEF)是大脑氧消耗和供应的重要生理指标,已被认为是中风、阿尔茨海默病、多发性硬化症、镰状细胞病和代谢紊乱等多种疾病的潜在生物标志物。然而,为了使氧气提取分数成为个性化疾病诊断的敏感生物标志物,必须最小化或考虑正常受试者的受试者间差异,否则这将掩盖其解释。

近期,发表在Alzheimer&Dementia杂志上的研究纵向测量了老年人的OEF,以研究其与阿尔茨海默病(AD)和血管病变标志物的关系。

研究人员对137名参与者进行了两个时间点的研究,间隔时间为2.16年。使用T2松弛-下旋标记(TRUST)磁共振成像(MRI)测量OEF。研究了OEF与血管风险、白质增生(WMH)、脑脊液(CSF)中淀粉样β(Aβ)、总tau(t-tau)和磷酸化tau181(p-tau181)之间的关系。

结果显示,从基线到随访,OEF有所增加。与低血管风险者相比,高血管风险者的OEF增加更为突出,并与血管风险的发展和WMH体积的增加有关。OEF的变化与AD病理的CSF标志物或其进展无关。

由此可见,老年人的OEF纵向变化主要与血管病变有关。

 

参考文献:

Longitudinal changes in brain oxygen extraction fraction (OEF) in older adults: Relationship to markers of vascular and Alzheimer's pathology. https://doi.org/10.1002/alz.12727

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