Vitamin D and Folate as Predictors of MMSE in Alzheimer's Disease: A Machine Learning Analysis.

Alzheimer’s disease Vitamin D biomarkers folate machine learning

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
24 May 2021
Historique:
received: 06 05 2021
revised: 21 05 2021
accepted: 23 05 2021
entrez: 2 6 2021
pubmed: 3 6 2021
medline: 3 6 2021
Statut: epublish

Résumé

Vitamin D (VD) and micronutrients, including folic acid, are able to modulate both the innate and the adaptive immune responses. Low VD and folic acid levels appear to promote cognitive decline as in Alzheimer's disease (AD). A machine learning approach was applied to analyze the impact of various compounds, drawn from the blood of AD patients, including VD and folic acid levels, on the Mini-Mental State Exam (MMSE) in a cohort of 108 patients with AD. The first analysis was aimed at predicting the MMSE at recruitment, whereas a second investigation sought to predict the MMSE after a 4 year follow-up. The simultaneous presence of low levels of VD and folic acid allow to predict MMSE, suggestive of poorer cognitive function. Such results suggest that the low levels of VD and folic acid could be associated with more severe cases of cognitive impairment in AD. It could be hypothesized that simultaneous supplementation of VD and folic acid could slow down the progression of cerebral degeneration at least in a subset of AD individuals.

Identifiants

pubmed: 34073931
pii: diagnostics11060940
doi: 10.3390/diagnostics11060940
pmc: PMC8225187
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Eur J Neurol. 2014 Dec;21(12):1436-e95
pubmed: 25041065
J Psychiatr Res. 1975 Nov;12(3):189-98
pubmed: 1202204
Lancet Neurol. 2018 Nov;17(11):1006-1015
pubmed: 30244829
J Alzheimers Dis. 2020;78(4):1509-1518
pubmed: 33164936
Arch Neurol. 2005 Apr;62(4):641-5
pubmed: 15824266
Autoimmun Rev. 2019 Sep;18(9):102350
pubmed: 31323357
Eur J Neurosci. 2017 May;45(10):1279-1288
pubmed: 28370677
Mech Ageing Dev. 2018 Sep;174:86-94
pubmed: 29037490
Trends Neurosci. 1997 Jul;20(7):298-303
pubmed: 9223222
Nanomaterials (Basel). 2020 Nov 09;10(11):
pubmed: 33182343
Trends Neurosci. 2019 Apr;42(4):293-306
pubmed: 30795846
J Aging Res. 2020 Apr 30;2020:6097820
pubmed: 32399297
Curr Alzheimer Res. 2018;15(6):561-569
pubmed: 29283046
Expert Rev Neurother. 2021 Mar;21(3):287-301
pubmed: 33406925
Curr Nutr Rep. 2020 Sep;9(3):210-225
pubmed: 32681411
Ageing Res Rev. 2015 Jul;22:9-19
pubmed: 25939915
Eur Psychiatry. 2018 Apr;50:60-69
pubmed: 29503098
Am J Alzheimers Dis Other Demen. 2018 Sep;33(6):342-352
pubmed: 29742909
Eur J Neurol. 2015 Jan;22(1):106-15, e6-7
pubmed: 25117780
Neuroscience. 2005;135(3):839-50
pubmed: 16154277
Curr Pharm Des. 2012;18(1):34-42
pubmed: 22211682
Proc Natl Acad Sci U S A. 2014 Oct 14;111(41):E4359-66
pubmed: 25267625
Ann N Y Acad Sci. 1999;890:301-11
pubmed: 10668435
Front Neurosci. 2020 Aug 25;14:792
pubmed: 32982661
Lancet. 2007 Jan 20;369(9557):208-16
pubmed: 17240287
Eur J Nutr. 2016 Jun;55(4):1503-13
pubmed: 26130325
Nutrients. 2020 Oct 14;12(10):
pubmed: 33066591
Dig Dis Sci. 2019 Feb;64(2):324-344
pubmed: 30370494
J Immunol. 2007 Aug 1;179(3):1634-47
pubmed: 17641030
J Geriatr Psychiatry Neurol. 2010 Sep;23(3):151-7
pubmed: 20231732
J Alzheimers Dis. 2017;58(3):871-883
pubmed: 28505973
Proteomics. 2007 Mar;7(5):769-80
pubmed: 17295352
Ann N Y Acad Sci. 2009 Feb;1153:240-6
pubmed: 19236346
Am J Med Genet B Neuropsychiatr Genet. 2010 Dec 5;153B(8):1373-90
pubmed: 20886543
J Steroid Biochem Mol Biol. 2007 Mar;103(3-5):538-45
pubmed: 17293106
Pharmacol Biochem Behav. 2019 Sep;184:172743
pubmed: 31356838
Front Immunol. 2019 Jan 15;9:3160
pubmed: 30697214
J Am Med Dir Assoc. 2020 Oct;21(10):1513.e1-1513.e17
pubmed: 32001171

Auteurs

Giuseppe Murdaca (G)

Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy.
Ospedale Policlinico San Martino IRCCS, 16132 Genoa, Italy.

Sara Banchero (S)

Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy.
Ospedale Policlinico San Martino IRCCS, 16132 Genoa, Italy.

Alessandro Tonacci (A)

Clinical Physiology Institute, National Research Council of Italy (IFC-CNR), 56124 Pisa, Italy.

Alessio Nencioni (A)

Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy.
Ospedale Policlinico San Martino IRCCS, 16132 Genoa, Italy.

Fiammetta Monacelli (F)

Department of Internal Medicine, University of Genoa, 16132 Genoa, Italy.
Ospedale Policlinico San Martino IRCCS, 16132 Genoa, Italy.

Sebastiano Gangemi (S)

School and Operative Unit of Allergy and Clinical Immunology, Department of Clinical and Experimental Medicine, University of Messina, 98125 Messina, Italy.

Classifications MeSH