Serum amyloid beta 42 levels correlated with metabolic syndrome and its components

Front Endocrinol (Lausanne). 2024 Feb 8:15:1278477. doi: 10.3389/fendo.2024.1278477. eCollection 2024.

Abstract

Introduction: Beta-amyloid accumulation in the brain appears to be a key initiating event in Alzheimer's disease (AD), and factors associated with increased deposition of beta-amyloid are of great interest. Enhanced deposition of amyloid-β peptides is due to an imbalance between their production and elimination. Previous studies show that diminished levels of CSF amyloid beta 42 (Aβ42) is a biomarker in AD; however, the role of serum Aβ42 in AD is contradictory. BMI and obesity have been reported to be related to increased serum Aβ42 levels. Therefore, we aimed to investigate the relation between metabolic syndrome (MetS), its clinical measures (abdominal obesity, high glucose, high triglyceride, low high-density lipoprotein cholesterol level, and hypertension), and serum Aβ42 levels.

Methods: A total of 1261 subjects, aged 18-89 years in Chengdu, China, were enrolled from January 2020 to January 2021 to explore the correlation of serum Aβ42 levels with body mass index (BMI), blood lipids, and blood pressure. Furthermore, as the risk of MetS is closely related to age, 1,212 participants (N = 49 with age ≥ 80 years old were excluded) were analyzed for the correlation of serum Aβ42 level and MetS clinical measures.

Results: The results showed that log-transformed serum Aβ42 level was positively correlated with BMI (R = 0.29; p < 0.001), log-transformed triglyceride (R = 0.14; p < 0.001), and diastolic blood pressure (DBP) (R = 0.12; p < 0.001) and negatively correlated with high-density lipoprotein (HDL-c) (R = -0.18; p < 0.001). After adjusting for age, sex, and other covariates, elevated serum Aβ42 level was correlated with higher values of BMI (βmodel1 = 2.694, βmodel2 = 2.703) and DBP (βmodel1 = 0.541, βmodel2 = 0.546) but a lower level of HDL-c (βmodel2 = -1.741). Furthermore, serum Aβ42 level was positively correlated with MetS and its clinical measures, including BMI and DBP, and negatively correlated with HDL-c level in the Han Chinese population. However, the level of serum Aβ42 did not show a significant correlation with high glucose or high triglyceride.

Discussion: These observations indicate that MetS and its components are associated with higher levels of serum Aβ42 and hence limit the potential of serum Aβ42 as a suitable diagnostic biomarker for AD. As such, we recommend serum Aβ42 serve as a direct risk biomarker for MetS rather than for AD.

Keywords: Alzheimer’s disease (AD); blood lipids; blood pressure; body mass index (BMI); metabolic syndrome; serum amyloid beta 42 (Aβ42).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged, 80 and over
  • Alzheimer Disease*
  • Amyloid beta-Peptides
  • Biomarkers
  • Glucose
  • Humans
  • Lipoproteins, HDL
  • Metabolic Syndrome*
  • Obesity / epidemiology
  • Triglycerides

Substances

  • Amyloid beta-Peptides
  • Triglycerides
  • Lipoproteins, HDL
  • Biomarkers
  • Glucose

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by a Grant from the Natural Science Foundation of China (No. 81670893), the National Natural Science Foundation of China (No. 82372339), a Grant from the Science and Technology Department of Sichuan Province (No. 2021JDZH0031), the Clinical Research and Transformation Fund of Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital (2021LY04 and 2022QN21), the Sichuan Science and Technology Program (2022YFS0638), and the Health Care Committee of Sichuan Province (CGY2021-227).