首页|阿尔茨海默病患者血清Aβ1-42、NLRP3、P-Tau181水平与认知功能的关系

阿尔茨海默病患者血清Aβ1-42、NLRP3、P-Tau181水平与认知功能的关系

Relationship between serum Aβ1-42,NLRP3 and P-Tau181 and cognitive function in patients with Alzheimer's disease

扫码查看
目的 探讨阿尔茨海默病(alzheimer disease,AD)患者血清β-淀粉样蛋白1-42(β-amyloid protein 1-42,Aβ1-42)、核苷酸结合寡聚化结构域样受体蛋白 3(nucleotide binding oligomerization domain-like receptor protein 3,NLRP3)、磷酸化 Tau-181 蛋白(phosphorylated tau-181 protein,P-Tau181)与认知功能的关系.方法 选取我院132例AD患者为AD组,并纳入同期120例健康体检者作为健康组,分别采用蒙特利尔认知评估量表(Montreal Cognitive Assessment,MoCA)、临床痴呆评估量表评估两组认知功能,根据MoCA评分将AD组患者分为轻度组、中度组和重度组,比较两组患者基线资料、血清Aβ1-42、NLRP3、P-Tau181水平.结果 AD组与健康组患者性别、年龄、体质量、病程、高血压、糖尿病、高血脂、吸烟史比较均无显著差异(P>0.05);AD组患者血清Aβ1-42、NLRP3、P-Tau181水平均显著高于健康组(P<0.05);重度组患者血清Aβ1-42、NLRP3、P-Tau181水平明显高于中、轻度组患者(P<0.05),中度组患者血清Aβ1-42、NLRP3、P-Tau181水平明显高于轻度组患者(P<0.05).结论 AD患者血清Aβ1-42、NLRP3、P-Tau181与疾病发生发展相关,其表达水平与患者认知功能损害程度正相关.
Objective To investigate the relationship between serum β-amyloid protein 1-42(Aβ1-42),nucleotide binding oligomerization domain-like receptor protein 3(NLRP3)and phosphorylated tau-181 protein(P-Taul81)and cognitive function in patients with Alzheimer's disease(AD).Methods The data of 132 patients with Alzheimer's disease in the hospital were selected as AD group,and 120 subjects with physical examination dur-ing the same period were included in healthy group.Montreal Cognitive Assessment(MoCA)and Clinical Dementia Rating were used to assess the cognitive function of the two groups.According to the MoCA score,patients in the AD group were divided into mild group,moderate group and severe group.The baseline data and levels of serum Aβ1-42,NLRP3,P-Tau181 were compared between the two groups.Results There were no significant differences between AD group and healthy group in terms of gender,age,body mass,course of disease,hypertension,diabetes melli-tus,hyperlipidemia and smoking history(P>0.05).The levels of serum Aβ1-42,NLRP3 and P-Tau 181 of AD group were significantly higher than that of healthy group(P<0.05).The levels of serum Aβ1-42,NLRP3 and P-Tau181 in severe group were significantly higher than those in moderate group and mild group(P<0.05).Conclusion Serum Aβ1-42,NLRP3 and P-Tau 181 in patients with AD are related to the occurrence and development of the disease,and their expression levels are positively correlated with the degree of cognitive impairment in patients.

Alzheimer's diseaseCognitive functionβ-amyloid proteinNucleotide binding oligomerization domain-like receptor protein 3Phosphorylated tau-181 proteinCorrelation

薛利敏、李万里、王焕焕、张高才

展开 >

开封市中心医院神经内科六病区(开封,475000)

阿尔茨海默病 认知功能 β淀粉样蛋白 核苷酸结合寡聚化结构域样受体蛋白3 磷酸化tau-181蛋白 相关性

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(4)