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.
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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
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