Association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s disease

Objective To investigate the association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s disease (AD). Methods A total of 1 079 individuals without AD were selected as subjects from the China Alzheimer’s Biomarker and Lifestyle study cohort, and Framingham General Cardiovascu...

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Main Author: CHEN Yanming, HU Heying, CUI Ruiping, HU Hao, TAN Chenchen, TAN Lan
Format: Article
Language:zho
Published: Editorial Office of Journal of Precision Medicine 2025-08-01
Series:精准医学杂志
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Online Access:https://jpmed.qdu.edu.cn/fileup/2096-529X/PDF/1754471563770-418729497.pdf
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author CHEN Yanming, HU Heying, CUI Ruiping, HU Hao, TAN Chenchen, TAN Lan
author_facet CHEN Yanming, HU Heying, CUI Ruiping, HU Hao, TAN Chenchen, TAN Lan
author_sort CHEN Yanming, HU Heying, CUI Ruiping, HU Hao, TAN Chenchen, TAN Lan
collection DOAJ
description Objective To investigate the association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s disease (AD). Methods A total of 1 079 individuals without AD were selected as subjects from the China Alzheimer’s Biomarker and Lifestyle study cohort, and Framingham General Cardiovascular Risk Score (FGCRS) was used to assess the vascular risk of the subjects. The multiple linear regression model was used to investigate the correlation of FGCRS with AD biomarkers in cerebrospinal fluid (CSF) (β-amyloid 42 [Aβ42], β-amyloid 40 [Aβ40], phosphorylated tau [P-tau], total tau [T-tau], Aβ42/Aβ40 ratio, T-tau/Aβ42 ratio, and P-tau/Aβ42 ratio], neuroinflammatory factors in CSF (soluble triggering receptor expressed on myeloid cells 2 [sTREM2] and progranulin [PGRN]), and peripheral blood inflammatory cells (white blood cell count [WBC], neutrophil count [NEU], lymphocyte count [LY], monocyte count [MONO], and neutrophil-to-lymphocyte ratio [NLR]). Mediation models were constructed with sTREM2 and PGRN as mediators to investigate the mediating effect of neuroinflammatory factors between vascular risk and AD biomarkers. Results FGCRS was positively correlated with the levels of Aβ42, Aβ40, P-tau, and T-tau in CSF (β=0.066-0.242,t=2.020-7.928,P<0.05), and it was also positively correlated with the levels of sTREM2 and PGRN in CSF and the levels of WBC, NEU, NLR, and MONO in peripheral blood (β=0.120-0.228,t=3.285-5.705,P<0.05). PGRN and sTREM2 mediated the association between FGCRS and AD biomarkers in CSF (Aβ40, P-tau, T-tau, and Aβ42), with a mediation ratio of 26.75%-81.82% for sTREM2 and 9.66%-31.03% for PGRN. Conclusion The increase in vascular risk may influence the levels of AD biomarkers in CSF by increasing the levels of neuroinflammatory factors in CSF, thereby promoting the development and progression of AD.
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spelling doaj-art-3b045ffff6844244a0d4645fa99e781b2025-08-20T04:00:28ZzhoEditorial Office of Journal of Precision Medicine精准医学杂志2096-529X2025-08-0140433133510.13362/j.jpmed.202540070Association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s diseaseCHEN Yanming, HU Heying, CUI Ruiping, HU Hao, TAN Chenchen, TAN Lan0Qingdao Medical College of Qingdao University, Qingdao 266071, ChinaObjective To investigate the association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s disease (AD). Methods A total of 1 079 individuals without AD were selected as subjects from the China Alzheimer’s Biomarker and Lifestyle study cohort, and Framingham General Cardiovascular Risk Score (FGCRS) was used to assess the vascular risk of the subjects. The multiple linear regression model was used to investigate the correlation of FGCRS with AD biomarkers in cerebrospinal fluid (CSF) (β-amyloid 42 [Aβ42], β-amyloid 40 [Aβ40], phosphorylated tau [P-tau], total tau [T-tau], Aβ42/Aβ40 ratio, T-tau/Aβ42 ratio, and P-tau/Aβ42 ratio], neuroinflammatory factors in CSF (soluble triggering receptor expressed on myeloid cells 2 [sTREM2] and progranulin [PGRN]), and peripheral blood inflammatory cells (white blood cell count [WBC], neutrophil count [NEU], lymphocyte count [LY], monocyte count [MONO], and neutrophil-to-lymphocyte ratio [NLR]). Mediation models were constructed with sTREM2 and PGRN as mediators to investigate the mediating effect of neuroinflammatory factors between vascular risk and AD biomarkers. Results FGCRS was positively correlated with the levels of Aβ42, Aβ40, P-tau, and T-tau in CSF (β=0.066-0.242,t=2.020-7.928,P<0.05), and it was also positively correlated with the levels of sTREM2 and PGRN in CSF and the levels of WBC, NEU, NLR, and MONO in peripheral blood (β=0.120-0.228,t=3.285-5.705,P<0.05). PGRN and sTREM2 mediated the association between FGCRS and AD biomarkers in CSF (Aβ40, P-tau, T-tau, and Aβ42), with a mediation ratio of 26.75%-81.82% for sTREM2 and 9.66%-31.03% for PGRN. Conclusion The increase in vascular risk may influence the levels of AD biomarkers in CSF by increasing the levels of neuroinflammatory factors in CSF, thereby promoting the development and progression of AD.https://jpmed.qdu.edu.cn/fileup/2096-529X/PDF/1754471563770-418729497.pdfalzheimer disease|inflammation|risk factors|vascular risk|amyloid|progranulins|blood cell count|cerebrospinal fluid|soluble triggering receptor expressed on myeloid cells 2|biomarkers
spellingShingle CHEN Yanming, HU Heying, CUI Ruiping, HU Hao, TAN Chenchen, TAN Lan
Association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s disease
精准医学杂志
alzheimer disease|inflammation|risk factors|vascular risk|amyloid|progranulins|blood cell count|cerebrospinal fluid|soluble triggering receptor expressed on myeloid cells 2|biomarkers
title Association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s disease
title_full Association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s disease
title_fullStr Association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s disease
title_full_unstemmed Association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s disease
title_short Association between neuroinflammation, vascular risk, and biomarkers in Alzheimer’s disease
title_sort association between neuroinflammation vascular risk and biomarkers in alzheimer s disease
topic alzheimer disease|inflammation|risk factors|vascular risk|amyloid|progranulins|blood cell count|cerebrospinal fluid|soluble triggering receptor expressed on myeloid cells 2|biomarkers
url https://jpmed.qdu.edu.cn/fileup/2096-529X/PDF/1754471563770-418729497.pdf
work_keys_str_mv AT chenyanminghuheyingcuiruipinghuhaotanchenchentanlan associationbetweenneuroinflammationvascularriskandbiomarkersinalzheimersdisease