Association of plasma C-reactive protein levels with the diagnosis of Alzheimer's disease

作者：Yarchoan Mark; Louneva Natalia; Xie Sharon X; Swenson Frank J; Hu William; Soares Holly; Trojanowski John Q; Lee Virginia M Y; Kling Mitchel A; Shaw Leslie M; Chen Plotkin Alice; Wolk David A; Arnold Steven E^*

来源：Journal of the Neurological Sciences, 2013, 333(1-2): 9-12.

DOI：10.1016/j.jns.2013.05.028

• Alzheimer disease
• Mild cognitive impairment
• C-reactive protein
• Inflammation
• Biological markers
• Apolipoprotein E

C-reactive protein (CRP) participates in the systemic response to inflammation. Previous studies report inconsistent findings regarding the relationship between plasma CRP and Alzheimer's disease (AD). We measured plasma CRP in 203 subjects with AD, 58 subjects with mild cognitive impairment (MCI) and 117 normal aging subjects and administered annual Mini-Mental State Examinations (MMSE) during a 3-year follow-up period to investigate CRP's relationship with diagnosis and progression of cognitive decline. Adjusted for age, sex, and education, subjects with AD had significantly lower levels of plasma CRP than subjects with MCI and normal aging. However, there was no significant association between plasma CRP at baseline and subsequent cognitive decline as assessed by longitudinal changes in MMSE score. Our results support previous reports of reduced levels of plasma CRP in AD and indicate its potential utility as a biomarker for the diagnosis of AD.

• 出版日期2013-10-15