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Low circulating adropin concentrations predict increased risk of cognitive decline in community-dwelling older adults
Open accessPreprint — published as 10.1007/s11357-023-00824-3 · Paper page
Abstract
The secreted peptide adropin is highly expressed in human brain tissues and correlates with RNA and proteomic risk indicators for dementia. Here we report that plasma adropin concentrations predict risk for cognitive decline in the Multidomain Alzheimer Preventive Trial ( ClinicalTrials.gov Identifier, NCT00672685 ; mean age 75.8y, SD=4.5y, 60.2% female, n=452). Cognitive ability was evaluated using a composite cognitive score (CCS) that assessed four domains: memory, language, executive function, and orientation. Relationships between plasma adropin concentrations and changes in CCS (ΔCCS) were examined using Cox Proportional Hazards Regression, or by grouping into tertiles ranked low to high by adropin values and controlling for age, time between baseline and final visits, baseline CCS, and other risk factors (e.g., education, medication, APOE4 status). Risk of cognitive decline (defined as a ΔCCS of -0.3 or more) decreased with increasing plasma adropin concentrations (hazard ratio = 0.873, 95%CI 0.780-0.977, P=0.018). Between adropin tertiles, ΔCCS was significantly different (P=0.01; estimated marginal mean±SE for the 1 st -to 3 rd -tertile, -0.317±0.064; -0.275±0.063; -0.042±0.071; n=133,146, and 130, respectively; P<0.05 for 1 st vs. 2 nd and 3 rd adropin tertiles). Normalized plasma Aβ 42/40 ratio and plasma neurofilament light chain, indicators of neurodegeneration, were significantly different between adropin tertile. These differences were consistent with reduced risk of cognitive decline with higher plasma adropin levels. Overall, these results suggest cognitive decline is reduced in community-dwelling older adults with higher circulating adropin levels. Further studies are needed to determine the underlying causes of the relationship and whether increasing adropin levels can delay cognitive decline.
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Metadata
- Authors
- Aggarwal, G., Morley, J. E., Vellas, B., Nguyen, A. D., Butler, A. A., & the MAPT/DSA Group
- Affiliations
- Washington University in St. Louis (US)
- Centre Hospitalier Universitaire de Toulouse (FR)
- The University of Western Australia (AU)
- Corresponding author
- Nguyen, Andrew D.
- Butler, Andrew A.
- Venue
- GeroScience
- Publisher
- openRxiv
- Published
- 2023-03-25
- Volume
- 46
- Issue
- 1
- Pages
- 897-911
- ISSN
- 2152-4041 (ISSN-L)
- PMC
- PMC10828274
- OpenAlex
- W4378347872
- Cited by
- 13
- References
- 3
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 3 · 2023: 2
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- GeroScience (publishedVersion, other-oa)
- medRxiv (acceptedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, cc-by)
- Oskar-Bordeaux (Universite de Bordeaux) (submittedVersion, cc-by)
- Funders
- Saint Louis University
- Les Laboratories Pierre Fabre
- Institut National de la Santé et de la Recherche Médicale
- Centre Hospitalier Universitaire de Toulouse
- Avid Radiopharmaceuticals
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- adropin, cognitive decline, plasma biomarkers, dementia risk, community-dwelling older adults, Alzheimer's disease, amyloid-beta 42/40 ratio, neurofilament light chain, neurodegeneration
- MeSH terms
- Aged, Alzheimer Disease, Cognition, Female, Humans, Male, Proteomics, Independent Living, Cognitive Dysfunction
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