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, 333 (1-2), 9-12

Association of Plasma C-reactive Protein Levels With the Diagnosis of Alzheimer's Disease

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Association of Plasma C-reactive Protein Levels With the Diagnosis of Alzheimer's Disease

Mark Yarchoan et al. J Neurol Sci.

Abstract

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.

Keywords: Alzheimer disease; Apolipoprotein E; Biological markers; C-reactive protein; Inflammation; Mild cognitive impairment.

Figures

Figure 1
Figure 1
Cross sectional analysis demonstrating significantly lower plasma CRP levels in established AD as compared to normal or MCI Error bars represent standard error of the mean. Abbreviations: AD – Alzheimer’s Disease, MCI – Mild cognitive impairment
Figure 2
Figure 2
Plasma CRP levels among carriers and non-carriers of the apolipoprotein E4 genotype Error bars represent standard error of the mean.

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