Association Between Serum Triglycerides and Cerebral Amyloidosis in Cognitively Normal Elderly

Am J Geriatr Psychiatry. 2016 Aug;24(8):604-612. doi: 10.1016/j.jagp.2016.03.001. Epub 2016 Mar 11.

Abstract

Objectives: Although many preclinical studies have suggested the possible linkage between dyslipidemia and cerebral amyloid deposition, the association between serum lipid measures and cerebral amyloid-beta (Aβ) deposition in human brain is still poorly known. We aimed to investigate the association in cognitively normal (CN) elderly individuals.

Design: Cross-sectional study.

Setting: University hospital dementia clinic.

Participants: 59 CN elderly.

Measurements: The study measures included comprehensive clinical and neuropsychological assessment based on the CERAD protocol, magnetic resonance imaging and (11)C-labelled Pittsburgh Compound B positron emission tomography scans, and quantification for serum lipid biomarkers.

Results: Multiple linear regression analyses showed that a higher serum triglycerides level was associated with heavier global cerebral Aβ deposition even after controlling age, sex, and apolipoprotein E ε4 genotype. Serum apolipoprotein B also showed significant positive association with global cerebral Aβ deposition, but the significance disappeared after controlling serum triglycerides level. No association was found between other lipid measures and global cerebral Aβ deposition.

Conclusions: The findings suggest that serum triglycerides are closely associated with cerebral amyloidosis, although population-based prospective studies are needed to provide further evidence of the causative effect of triglycerides on cerebral amyloidosis.

Keywords: Alzheimer disease; PET; brain amyloid; lipid; triglycerides.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging / blood*
  • Amyloid beta-Peptides / metabolism
  • Amyloidosis / blood
  • Amyloidosis / diagnostic imaging*
  • Apolipoprotein E4 / genetics
  • Apolipoproteins B / blood
  • Biomarkers / blood
  • Brain / diagnostic imaging
  • Brain / pathology*
  • Cognition
  • Cross-Sectional Studies
  • Female
  • Humans
  • Linear Models
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Positron-Emission Tomography
  • Republic of Korea
  • Triglycerides / blood*

Substances

  • Amyloid beta-Peptides
  • Apolipoprotein E4
  • Apolipoproteins B
  • Biomarkers
  • Triglycerides