The Relationship Between Plasma DPP4 Activity to BDNF Ratio and Mild Cognitive Impairment in Elderly Population With Normal Glucose Tolerance

Objective: Since decreased brain-derived neurotrophic factor (BDNF) and increased dipeptidyl peptidase-4 (DPP4) activity have both been implicated in the pathogenesis of mild cognitive impairment (MCI), the aim of our study was to evaluate the association of MCI with plasma DPP4 activity to BDNF rat...

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Main Authors: Liuping Xiao, Bo Ge, Xu Chen, Bo Chen, Linyuan Qin, Xueping Hu, Haidong Pan, Yujie Chen, Li Tian, Yun Gao, Tianpeng Zheng
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-03-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fnagi.2019.00033/full
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author Liuping Xiao
Bo Ge
Xu Chen
Bo Chen
Linyuan Qin
Xueping Hu
Haidong Pan
Yujie Chen
Li Tian
Yun Gao
Tianpeng Zheng
Tianpeng Zheng
author_facet Liuping Xiao
Bo Ge
Xu Chen
Bo Chen
Linyuan Qin
Xueping Hu
Haidong Pan
Yujie Chen
Li Tian
Yun Gao
Tianpeng Zheng
Tianpeng Zheng
author_sort Liuping Xiao
collection DOAJ
description Objective: Since decreased brain-derived neurotrophic factor (BDNF) and increased dipeptidyl peptidase-4 (DPP4) activity have both been implicated in the pathogenesis of mild cognitive impairment (MCI), the aim of our study was to evaluate the association of MCI with plasma DPP4 activity to BDNF ratio (DBR) in an elderly population with normal glucose tolerance.Methods: We cross-sectionally measured C-reactive protein, interleukin-6, nitrotyrosine, 8-iso-PGF2a, DPP4 activity BDNF and calculated the DBR in a total of 1,066 elderly participants in China. MCI was determined by the Montreal Cognitive Assessment and finally confirmed by neurologists.Results: An inverse correlation was found between DPP4 activity and BDNF (r = -0.456, P < 0.001) and this inverse correlation was partly mediated by nitrotyrosine and 8-iso-PGF2a. Across rising quartiles of DBR, nitrotyrosine, 8-iso-PGF2a, C-reactive protein and interleukin-6 progressively increased, whereas the Montreal Cognitive Assessment score progressively decreased. Subjects in the lowest quartile of BDNF and highest quartiles of DBR and DPP4 activity, had higher MCI risk compared with subjects in the highest quartile of the BDNF and lowest quartiles of DBR and DPP4 activity, respectively (all P < 0.05). The odds ratio for MCI became more pronounced with decreased BDNF and increased DPP4.Conclusion: In conclusion, a negative correlation was found between DPP4 activity and BDNF, and this negative correlation was partly mediated by oxidative stress, not inflammation. The DBR was positively associated with MCI and thus may be used as a novel risk biomarker for MCI in an elderly population with normal glucose tolerance.
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spelling doaj.art-0b2cf450c0284b3689fcad0b5f094cf42022-12-21T18:50:03ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652019-03-011110.3389/fnagi.2019.00033436161The Relationship Between Plasma DPP4 Activity to BDNF Ratio and Mild Cognitive Impairment in Elderly Population With Normal Glucose ToleranceLiuping Xiao0Bo Ge1Xu Chen2Bo Chen3Linyuan Qin4Xueping Hu5Haidong Pan6Yujie Chen7Li Tian8Yun Gao9Tianpeng Zheng10Tianpeng Zheng11Department of Endocrinology and Metabolism, The Second Affiliated Hospital of Guilin Medical University, Guilin, ChinaDepartment of Urology, The Second Affiliated Hospital of Guilin Medical University, Guilin, ChinaCollege of Pharmacy, Guilin Medical University, Guilin, ChinaDepartment of Human Anatomy, Southwest Medical University, Luzhou, ChinaDepartment of Epidemiology and Health Statistics, Guilin Medical University, Guilin, ChinaDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Guilin Medical University, Guilin, ChinaDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Guilin Medical University, Guilin, ChinaDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Guilin Medical University, Guilin, ChinaDepartment of Endocrinology and Metabolism, West China Hospital, Chengdu, ChinaDepartment of Endocrinology and Metabolism, West China Hospital, Chengdu, ChinaDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Guilin Medical University, Guilin, ChinaCenter of Diabetic Systems Medicine, Guangxi Key Laboratory of Excellence, Guilin Medical University, Guilin, ChinaObjective: Since decreased brain-derived neurotrophic factor (BDNF) and increased dipeptidyl peptidase-4 (DPP4) activity have both been implicated in the pathogenesis of mild cognitive impairment (MCI), the aim of our study was to evaluate the association of MCI with plasma DPP4 activity to BDNF ratio (DBR) in an elderly population with normal glucose tolerance.Methods: We cross-sectionally measured C-reactive protein, interleukin-6, nitrotyrosine, 8-iso-PGF2a, DPP4 activity BDNF and calculated the DBR in a total of 1,066 elderly participants in China. MCI was determined by the Montreal Cognitive Assessment and finally confirmed by neurologists.Results: An inverse correlation was found between DPP4 activity and BDNF (r = -0.456, P < 0.001) and this inverse correlation was partly mediated by nitrotyrosine and 8-iso-PGF2a. Across rising quartiles of DBR, nitrotyrosine, 8-iso-PGF2a, C-reactive protein and interleukin-6 progressively increased, whereas the Montreal Cognitive Assessment score progressively decreased. Subjects in the lowest quartile of BDNF and highest quartiles of DBR and DPP4 activity, had higher MCI risk compared with subjects in the highest quartile of the BDNF and lowest quartiles of DBR and DPP4 activity, respectively (all P < 0.05). The odds ratio for MCI became more pronounced with decreased BDNF and increased DPP4.Conclusion: In conclusion, a negative correlation was found between DPP4 activity and BDNF, and this negative correlation was partly mediated by oxidative stress, not inflammation. The DBR was positively associated with MCI and thus may be used as a novel risk biomarker for MCI in an elderly population with normal glucose tolerance.https://www.frontiersin.org/article/10.3389/fnagi.2019.00033/fullmild cognitive impairmentDPP4 activity to BDNF ratiooxidative stressinflammationnormal glucose tolerance
spellingShingle Liuping Xiao
Bo Ge
Xu Chen
Bo Chen
Linyuan Qin
Xueping Hu
Haidong Pan
Yujie Chen
Li Tian
Yun Gao
Tianpeng Zheng
Tianpeng Zheng
The Relationship Between Plasma DPP4 Activity to BDNF Ratio and Mild Cognitive Impairment in Elderly Population With Normal Glucose Tolerance
Frontiers in Aging Neuroscience
mild cognitive impairment
DPP4 activity to BDNF ratio
oxidative stress
inflammation
normal glucose tolerance
title The Relationship Between Plasma DPP4 Activity to BDNF Ratio and Mild Cognitive Impairment in Elderly Population With Normal Glucose Tolerance
title_full The Relationship Between Plasma DPP4 Activity to BDNF Ratio and Mild Cognitive Impairment in Elderly Population With Normal Glucose Tolerance
title_fullStr The Relationship Between Plasma DPP4 Activity to BDNF Ratio and Mild Cognitive Impairment in Elderly Population With Normal Glucose Tolerance
title_full_unstemmed The Relationship Between Plasma DPP4 Activity to BDNF Ratio and Mild Cognitive Impairment in Elderly Population With Normal Glucose Tolerance
title_short The Relationship Between Plasma DPP4 Activity to BDNF Ratio and Mild Cognitive Impairment in Elderly Population With Normal Glucose Tolerance
title_sort relationship between plasma dpp4 activity to bdnf ratio and mild cognitive impairment in elderly population with normal glucose tolerance
topic mild cognitive impairment
DPP4 activity to BDNF ratio
oxidative stress
inflammation
normal glucose tolerance
url https://www.frontiersin.org/article/10.3389/fnagi.2019.00033/full
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