The objective was to study the association between cerebrospinal fluid (CSF) levels of amyloid-β (Aβ)(1-42), t-tau, and p-tau and cognitive performance along the Alzheimer's disease (AD) continuum from healthy subjects to AD patients and, specifically, among patients in the pre-dementia stage of the disease. A total of 101 subjects were studied: 19 healthy controls (CTR), 17 subjects with subjective memory complaints (SMC), 47 with mild cognitive impairment (MCI), and 18 AD patients. Only memory performance significantly correlated with CSF levels of Aβ(1-42), t-tau, and p-tau along the AD continuum. Subgroup analyses revealed that in SMC patients Aβ(1-42) levels positively correlated with the total recall score of the Free and Cued Selective Reminding Test (FCRST) (r = 0.666; p < 0.005), Digit Span (r = 0.752; p < 0.005), and CERAD world list learning (r = 0.697; p < 0.005). In MCI patients, a significant inverse correlation was found between the word list recall score from the CERAD and t-tau (r = -0.483; p < 0.005) and p-tau levels (r = -0.495; p < 0.005), as well as between the total recall subtest score from the FCRST and both t-tau (r = -0.420; p < 0.005) and p-tau levels (r = -0.422; p < 0.005). No significant correlations were found between other aspects of cognition and CSF levels in CTR or AD patients. These results indicate that memory performance is related to Aβ(1-42) levels in SMC, while it is associated with tau in the prodromal stage of the disease. This suggests that in the continuum from healthy aging to AD, memory performance is first related with Aβ(1-42) levels and then with t-tau or p-tau, before becoming independent of biomarker levels in the dementia stage.

译文

目的是研究淀粉样蛋白 β (a β)(1-42),t-tau和p-tau的脑脊液 (CSF) 水平与从健康受试者到AD患者的阿尔茨海默氏病 (AD) 连续体的认知表现之间的关系,特别是,在痴呆症前期的患者中。共研究了101名受试者: 19名健康对照 (CTR),17名主观记忆抱怨 (SMC),47名轻度认知障碍 (MCI) 和18名AD患者。沿AD连续体,只有记忆表现与CSF的a β(1-42),t-tau和p-tau水平显着相关。亚组分析显示,在SMC患者中,a β(1-42) 水平与自由和提示选择性提醒测试 (FCRST) 的总回忆得分呈正相关 (r = 0.666; p <0.005),数字跨度 (r = 0.752; p <0.005),和CERAD世界列表学习 (r = 0.697; p <0.005)。在MCI患者中,CERAD和t-tau的单词列表回忆得分 (r = -0.483; p < 0.005) 与p-tau水平 (r = -0.495; p < 0.005) 之间存在显着的负相关,以及来自FCRST的总回忆子测试分数与t-tau (r = -0.420; p < 0.005) 和p-tau水平 (r = -0.422; p < 0.005) 之间。在CTR或AD患者中,认知的其他方面与CSF水平之间没有发现显着相关性。这些结果表明,记忆性能与SMC中的a β(1-42) 水平有关,而与疾病前驱期的tau有关。这表明,在从健康衰老到AD的连续过程中,记忆性能首先与a β(1-42) 水平相关,然后与t-tau或p-tau相关,然后在痴呆阶段变得独立于生物标志物水平。

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