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刚地弓形虫是否与阿尔茨海默病有关?

Could Toxoplasma gondii have any role in Alzheimer disease?

机构信息

Department of Neurology, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, Turkey.

出版信息

Alzheimer Dis Assoc Disord. 2011 Jan-Mar;25(1):1-3. doi: 10.1097/WAD.0b013e3181f73bc2.

Abstract

BACKGROUND

Alzheimer disease (AD), a chronic progressive neurodegenerative disorder, has a mainly unknown multifactorial etiology. Neuroinflammatory mechanisms might contribute to the cascade of events leading to neuronal degeneration. Central nervous system infections have been previously suggested as possible etiological agents in the development of sporadic AD. Toxoplasmosis can be associated with various neuropsychiatric disorders. In this study, we aimed to investigate the possible association between toxoplasma infection and AD.

METHODS

This study evaluated the serum anti-Toxoplasma gondii IgG levels. It included an age-matched and sex-matched study and control groups that consisted of 34 patients with AD and 37 healthy individuals, respectively. There were no difference between the socio economic states of the patients and control subjects. serecm anti-I-gondi IgG levels were measured by using ELISA.

RESULTS

According to the statistical analysis, there were no significant differences among the patients and the control participants with respect to age (68.05±15.98, 62.91±5.89 y, P=0.072; respectively) and sex. The seropositivity rate for anti-T. gondii IgG antibodies among AD patients and control groups were 44.1% and 24.3%, respectively, and there was significant difference between the serum anti-T. gondii IgG levels (P=0.005).

CONCLUSIONS

Our findings suggest that toxoplasma infection may be involved in the pathogenetic mechanisms of AD. If confirmed, a positive correlation between toxoplasmosis and AD may lead to new approaches for the management of AD.

摘要

背景

阿尔茨海默病(AD)是一种慢性进行性神经退行性疾病,其病因主要为多因素不明。神经炎症机制可能导致导致神经元变性的级联事件。先前有研究提示中枢神经系统感染可能是散发性 AD 发展的潜在病因。弓形虫病可与多种神经精神疾病相关。本研究旨在探讨弓形虫感染与 AD 之间的可能关联。

方法

本研究评估了血清抗弓形虫 IgG 水平。纳入了年龄和性别相匹配的 AD 患者组(n=34)和健康对照组(n=37)。患者和对照组的社会经济状况无差异。采用 ELISA 法检测血清抗-I-gondi IgG 水平。

结果

根据统计分析,患者组和对照组在年龄(68.05±15.98 岁和 62.91±5.89 岁,P=0.072)和性别方面无显著差异。AD 患者组和对照组的抗-T. gondii IgG 抗体血清阳性率分别为 44.1%和 24.3%,两组间血清抗-T. gondii IgG 水平存在显著差异(P=0.005)。

结论

本研究结果提示,弓形虫感染可能参与 AD 的发病机制。如果得到证实,弓形虫病与 AD 之间的正相关可能为 AD 的治疗提供新方法。

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