RE-PERG in early-onset Alzheimer's disease: A double-blind, electrophysiological pilot study.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2020
Historique:
received: 18 11 2019
accepted: 08 07 2020
entrez: 14 8 2020
pubmed: 14 8 2020
medline: 29 9 2020
Statut: epublish

Résumé

To evaluate the ability of re-test pattern electroretinogram (RE-PERG), a non-invasive and fast steady-state PERG, to detect inner retinal bioelectric function anomalies in patients with early-onset Alzheimer's disease (AD). The study population consisted of 17 patients with AD-related mild cognitive impairment (MCI), 16 patients with vascular dementia (VD)-related MCI, both assessed using the neuropsychological Mini-Mental State Examination (MMSE) and by structural magnetic resonance imaging, and 19 healthy, age-matched normal controls (NC). All participants were visually asymptomatic, had normal or near-normal general cognitive functioning and no or minimal impairments in daily life activities. Visual field (VF) test, optical coherence tomography (OCT) and RE-PERG, sampled in five consecutive blocks of 130 events, were performed. There was no statistically significant difference among the three groups with respect to age, VF parameters (mean and pattern standard deviations) and OCT parameters (ganglion cell complex thickness and retinal nerve fiber layer thickness). The mean amplitude in the RE-PERG was significantly lower, but only weakly in the AD group than in NC (p = 0.1) whereas the intrinsic variability of the 2nd harmonic phase was significantly higher in the AD group than in either the VD or NC group (p<0.001). RE-PERG is altered in early-stage AD, showing a reduced amplitude with high intrinsic phase variability. It also allows the discrimination of AD from VD. A high intrinsic variability in the PERG signal, determined using RE-PERG, may thus be a new promising test for neurodegenerative diseases.

Identifiants

pubmed: 32790788
doi: 10.1371/journal.pone.0236568
pii: PONE-D-19-31892
pmc: PMC7425894
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0236568

Déclaration de conflit d'intérêts

The Authors have declared that no competing interest exist.

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Auteurs

Alberto Mavilio (A)

Social Health District, Glaucoma Center, Azienda Sanitaria Locale-Brindisi, Brindisi, Italy.

Dario Sisto (D)

Department of Neurosciences, Institute of Ophthalmology, University of Bari, Bari, Italy.

Florenza Prete (F)

Social Health District, Alzheimer Evaluation Units, Azienda Sanitaria Locale-Brindisi, Brindisi, Italy.

Viviana Guadalupi (V)

Social Health District, Alzheimer Evaluation Units, Azienda Sanitaria Locale-Brindisi, Brindisi, Italy.

Rosanna Dammacco (R)

Department of Neurosciences, Institute of Ophthalmology, University of Bari, Bari, Italy.

Giovanni Alessio (G)

Department of Neurosciences, Institute of Ophthalmology, University of Bari, Bari, Italy.

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