Plasma amyloid beta, neurofilament light chain, and total tau in the Systolic Blood Pressure Intervention Trial (SPRINT).

Plasma amyloid beta, neurofilament light chain, and total tau in the Systolic Blood Pressure Intervention Trial (SPRINT).
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DOI:
10.1002/alz.12496
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发表时间:
2022-08
影响因子:
14
通讯作者:
Williamson, Jeff D.
Williamson, Jeff D.
中科院分区:
医学1区
文献类型:
--
作者:
Pajewski, Nicholas M.;Elahi, Fanny M.;Tamura, Manjula Kurella;Hinman, Jason D.;Nasrallah, Ilya M.;Ix, Joachim H.;Miller, Lindsay M.;Launer, Lenore J.;Wright, Clinton B.;Supiano, Mark A.;Lerner, Alan J.;Sudduth, Tiffany L.;Killeen, Anthony A.;Cheung, Alfred K.;Reboussin, David M.;Wilcock, Donna M.;Williamson, Jeff D.

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Blood pressure (BP) lowering reduces the risk for cognitive impairment and the progression of cerebral white matter lesions. It is unclear whether hypertension control also influences plasma biomarkers related to Alzheimer’s disease and non-disease-specific neurodegeneration. We examined the effect of intensive (<120 mm Hg) vs standard (<140 mm Hg) BP control on longitudinal changes in plasma Aβ40 and Aβ42, total tau, and neurofilament light chain (NfL) in a subgroup of participants from the Systolic Blood Pressure Intervention Trial (N=517). Over 3.8 years, there were no significant between-group differences for Aβ40, Aβ42, Aβ42 / Aβ40, or total tau. Intensive treatment was associated with larger increases in NfL compared to standard treatment. Adjusting for kidney function, but not BP, attenuated the association between intensive treatment and NfL. Intensive BP treatment was associated with changes in NfL, which were correlated with changes in kidney function associated with intensive treatment. clinicaltrials.gov Identifier: NCT01206062
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