Differential Expression of Apoptotic and Low-Grade Inflammatory Markers in Alzheimer Disease Compared to Diabetes Mellitus Type 1 and 2.


Journal

The journal of applied laboratory medicine
ISSN: 2576-9456
Titre abrégé: J Appl Lab Med
Pays: England
ID NLM: 101693884

Informations de publication

Date de publication:
05 2019
Historique:
received: 05 07 2018
accepted: 18 09 2018
entrez: 23 10 2019
pubmed: 23 10 2019
medline: 12 9 2020
Statut: ppublish

Résumé

Neuroinflammation, impaired brain insulin signaling, and neuronal apoptosis may be interrelated in the pathophysiology of people with Alzheimer disease (AD) and diabetes, either type 1 or 2 diabetes (T1D or T2D, respectively). We studied 116 patients: 41 with AD, 20 with T1D, 21 with T2D, and 34 healthy controls. The number (n) of cytokine-secreting peripheral blood mononuclear cells (PBMCs) before and after mitogenic stimulation was determined for interleukin 1β (IL1β), interleukin 6 (IL6), tumor necrosis factor (TNF) by the enzyme-linked-immuno-spot assay. Serum concentrations of C-reactive protein (CRP) and Fas ligand (FASLG) were determined by ELISA. The studied subgroups did not differ in sex but differed in age. Higher CRP concentrations were detected in the AD group than in the T1D group ( Patients with AD display a low-grade systemic inflammation compared to people with diabetes. The FAS-FASLG pathway has a potential role because FASLG concentrations are positively correlated with the inflammatory response in AD. However, this positive correlation cannot be seen in people with diabetes, at least not with the apoptotic markers used in the present study.

Sections du résumé

BACKGROUND
Neuroinflammation, impaired brain insulin signaling, and neuronal apoptosis may be interrelated in the pathophysiology of people with Alzheimer disease (AD) and diabetes, either type 1 or 2 diabetes (T1D or T2D, respectively).
METHODS
We studied 116 patients: 41 with AD, 20 with T1D, 21 with T2D, and 34 healthy controls. The number (n) of cytokine-secreting peripheral blood mononuclear cells (PBMCs) before and after mitogenic stimulation was determined for interleukin 1β (IL1β), interleukin 6 (IL6), tumor necrosis factor (TNF) by the enzyme-linked-immuno-spot assay. Serum concentrations of C-reactive protein (CRP) and Fas ligand (FASLG) were determined by ELISA.
RESULTS
The studied subgroups did not differ in sex but differed in age. Higher CRP concentrations were detected in the AD group than in the T1D group (
CONCLUSIONS
Patients with AD display a low-grade systemic inflammation compared to people with diabetes. The FAS-FASLG pathway has a potential role because FASLG concentrations are positively correlated with the inflammatory response in AD. However, this positive correlation cannot be seen in people with diabetes, at least not with the apoptotic markers used in the present study.

Identifiants

pubmed: 31639691
pii: jalm.2018.027623
doi: 10.1373/jalm.2018.027623
doi:

Substances chimiques

Cytokines 0
Fas Ligand Protein 0
C-Reactive Protein 9007-41-4

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1003-1013

Informations de copyright

© 2018 American Association for Clinical Chemistry.

Auteurs

Krystallenia I Alexandraki (KI)

Department of Biological Chemistry, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece; alexandrakik@gmail.com.
Endocrine Unit, First Department of Propaedeutic Medicine, Laiko University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Nikolaos V Apostolopoulos (NV)

Iaso Maternity Hospital, Marousi, Greece.

Christos Adamopoulos (C)

Department of Biological Chemistry, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

Evangelia Stamouli (E)

Department of Biological Chemistry, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

Georgia Dalagiorgou (G)

Department of Biological Chemistry, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

Theodoros G Papaioannou (TG)

First Department of Cardiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Antonios Analitis (A)

Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Marianna Karamanou (M)

Biomedical Research Foundation of the Academy of Athens, Athens, Greece.

Konstantinos Makrilakis (K)

Diabetologic Center, First Department of Propedeutic Medicine, Laiko University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

Antonios Politis (A)

First Department of Psychiatry, Eginitio Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Christina Piperi (C)

Department of Biological Chemistry, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

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Classifications MeSH