Frontal lobe phosphorus metabolism and neuropsychological function in aging and in Alzheimer's disease.

Frontal lobe phosphorus metabolism and neuropsychological function in aging and in Alzheimer's disease.
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额叶磷代谢和衰老和阿尔茨海默病中的神经心理学功能。

DOI:
10.1002/ana.410380211
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发表时间:
1995
期刊:
Annals of neurology.
影响因子:
--
通讯作者:
Markesberry,WR
Markesberry,WR
中科院分区:
--
文献类型:
--
作者:
Smith,CD;Pettigrew,LC;Avison,MJ;Kirsch,JE;Tinkhtman,AJ;Schmitt,FA;Wermeling,DP;Wekstein,DR;Markesberry,WR

文献摘要

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对17例阿尔茨海默病(AD)、8例老年对照(EC)和17例青年对照(YC)进行了额叶31 P磁共振波谱分析。AD组磷酸肌酸/无机磷酸盐(PCr/Pi)比值(2.32 ± 0.26 SD)显著低于EC组(2.65 ± 0.41 SD)。在AD患者中,观察到PCr/Pi比值与痴呆评定量表之间存在相关性(r=-0.50,p = 0.04)。在AD组(r= 0.67,p0.003)和YC组(r= 0.63,p0.006)中均观察到PCr/Pi比值与年龄呈显著正相关,但提示在AD中解释该比值时应谨慎。我们在任何其他光谱测量中没有发现AD、EC或YC之间的差异。在AD脑中观察到磷酸单酯/磷酸二酯比率(PME/PDE)的显著性别差异。女性的PME/PDE比率低于男性。
31P Magnetic resonance spectroscopy of the frontal lobe was performed in 17 patients with Alzheimer's disease (AD), 8 elderly controls (EC), and 17 young controls (YC). The phosphocreatine/inorganic phosphate (PCr/Pi) ratio in AD (2.32 ± 0.26 SD) was significantly lower than in EC (2.65 ± 0.41). In AD patients, a correlation was observed between the PCr/Pi ratio and the dementia rating scale (r= −0.50,p= 0.04). A significant positive correlation between PCr/Pi ratio and age was observed in both AD (r= 0.67,p0.003) and YC (r= 0.63,p0.006) groups, however, suggesting caution in interpretation of this ratio in AD. We did not find differences between AD, EC, or YC in any other spectroscopic measure. A significant sex difference in the phosphomonoester/phosphodiester ratio (PME/PDE) ratio was observed in AD brain. Females had a lower PME/PDE ratio than males.