• Neurology Confirm the data on the efficacy of a monoclonal antibody that slows the progression of Alzheimer's

  • Interview "With the new drug for Alzheimer's, the rules of the game change in this disease"

Alzheimer's disease

(

AD) is the most common form of dementia, characterized by progressive cognitive and behavioral disorders.

Appropriate

treatment

is essential to lengthen the time it takes for cognitive deficiencies and irreversible dementia to appear, a phenomenon that many authors consider should be accompanied by

early diagnosis

, even more so taking into account the

aging of the world population

and the enormous

social costs

caused for this disease.

Sensitive

neuropsychological assessment

is feasible, but also complex because it is

difficult to perform

routinely for the elderly population.

Imaging

tests, such as PET-CT

, detect early amyloid deposits, but they are expensive methods that also expose patients to radiation.

sensitive biomarker

Biological

biomarkers

come mainly from

invasive tests,

such as cerebrospinal fluid (CSF) and

blood

, which, however, appear to be effective for early diagnosis.

Also the

composition of urine

is complex and may reflect marked changes in metabolism and injury.

Some studies have shown that

urinary biomarkers

have the potential to detect patients with AD.

To know more

Health.

This is the story of how a Swedish mutation has served to design the first drug that will slow down the progression of Alzheimer's

  • Writing: PILAR PÉREZMadrid

  • Writing: JOSETXU L. PIÑEIRO (Illustration)

This is the story of how a Swedish mutation has served to design the first drug that will slow down the progression of Alzheimer's

And this is where the data from a new study, developed by researchers at Shanghai Jiao Tong University in China and published in Frontiers in Aging Neuroscience, comes in,

first to identify formic acid

as a sensitive urinary biomarker that can reveal Alzheimer's disease. in its initial phase.

The study suggests that a simple urinalysis could reveal whether someone has Alzheimer's disease in its earliest stages, which would be a giant step towards applying

low-cost, non-invasive screening programs for

the disease globally. and on a global scale.



A total

of 574

healthy volunteers with

normal cognition

or with different

degrees of disease progression

, ranging from subjective cognitive impairment to established disease, participated.

The researchers analyzed urine and blood samples from the participants and performed

psychological evaluations

.

The study found that

urinary formic acid

levels were significantly increased in all Alzheimer's groups compared with healthy controls, including the early-stage subjective cognitive impairment group, and correlated with cognitive decline.

"This suggests that formic acid could act as a sensitive biomarker for early-stage Alzheimer's disease," says

YifanWang

, one of the study authors, from the Department of Gerontology, Sixth People's Hospital Affiliated with Shanghai Jiao Tong University, Shanghai, China



Interestingly, when researchers looked at urinary formic acid levels

in combination

with Alzheimer's biomarkers

based on blood

, they found they could more accurately predict

what stage

of the disease the patient was in.

However,

more research

is needed to understand the relationship between Alzheimer's and formic acid, the authors say.

In recent years, abnormal

formaldehyde

metabolism has been recognized as one of the essential features of

age-related

cognitive decline .

A previous study by this team already reported a correlation between urinary formaldehyde levels and cognitive function, suggesting that

urinary formaldehyde

is a potential biomarker for the

early diagnosis of AD

.

memory formation

Yan Wei

, co-author of the research, from the Laboratory of Brain and Cognition Sciences, Chinese Academy of Sciences, in Beijing, explains that "in the brain, formaldehyde can promote the

formation of spatial memory

under physiological conditions, and

high concentrations

of formaldehyde can cause protein denaturation and impair memory function."

Formic acid is a

metabolic product of formaldehyde

, and some formic acid is excreted in the urine as formate.

"Urinary formic acid reflects formaldehyde metabolism and has the potential to be a

biomarker

for the diagnosis of

clinical maintenance progression

in AD," Wei explains.

The objective, according to this researcher, was to explore the relationship between urinary formic acid levels and

cognitive changes throughout the progression

of AD.

The relationship between urinary formic acid and allele 4 of apolipoprotein E

(APOE)

, a high-risk gene for AD, was further explored.

The 4 allele is the most important genetic risk factor for AD

after the age of 65

and is associated with various pathological changes and cognitive decline in AD.

"We compared the

diagnostic effects of several

plasma biomarkers and urinary formic acid, as well as the effects of A precipitation on urinary formic acid. Finally, we analyzed the level of urinary formaldehyde to see if there were

synergistic effects or differences

between the two indicators .

urinary tracts in diagnosis," Wei explains.

Routine exams in the elderly

Systematic evaluation of this analysis revealed that urinary formic acid could be a

new biomarker

for the early diagnosis of AD.

"It showed excellent sensitivity for early detection. Urinary biomarker screening for Alzheimer's disease is

convenient and cost-effective

and should be performed during

routine physical examinations of the elderly

," Wang said.

According to the criteria of The Trust Project

Know more

  • Alzheimer's

  • Neurology