Elevated Soluble TNF-Receptor 1 in the Serum of Predementia Subjects with Cerebral Small Vessel Disease

Tumor necrosis factor-receptor 1 (TNF-R1)-mediated signaling is critical to the regulation of inflammatory responses. TNF-R1 can be proteolytically released into systemic blood circulation in a soluble form (sTNF-R1), where it binds to circulating TNF and functions to attenuate TNF-mediated inflamma...

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Main Authors: Kaung H. T. Salai, Liu-Yun Wu, Joyce R. Chong, Yuek Ling Chai, Bibek Gyanwali, Caroline Robert, Saima Hilal, Narayanaswamy Venketasubramanian, Gavin S. Dawe, Christopher P. Chen, Mitchell K. P. Lai
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/13/3/525
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author Kaung H. T. Salai
Liu-Yun Wu
Joyce R. Chong
Yuek Ling Chai
Bibek Gyanwali
Caroline Robert
Saima Hilal
Narayanaswamy Venketasubramanian
Gavin S. Dawe
Christopher P. Chen
Mitchell K. P. Lai
author_facet Kaung H. T. Salai
Liu-Yun Wu
Joyce R. Chong
Yuek Ling Chai
Bibek Gyanwali
Caroline Robert
Saima Hilal
Narayanaswamy Venketasubramanian
Gavin S. Dawe
Christopher P. Chen
Mitchell K. P. Lai
author_sort Kaung H. T. Salai
collection DOAJ
description Tumor necrosis factor-receptor 1 (TNF-R1)-mediated signaling is critical to the regulation of inflammatory responses. TNF-R1 can be proteolytically released into systemic blood circulation in a soluble form (sTNF-R1), where it binds to circulating TNF and functions to attenuate TNF-mediated inflammation. Increases of peripheral sTNF-R1 have been reported in both Alzheimer’s disease (AD) dementia and vascular dementia (VaD). However, the status of sTNF-R1 in predementia subjects (cognitive impairment, no dementia, CIND) is unknown, and putative associations with cerebral small vessel disease (CSVD), as well as with longitudinal changes in cognitive functions are unclear. We measured baseline serum sTNF-R1 in a longitudinally assessed cohort of 93 controls and 103 CIND, along with neuropsychological evaluations and neuroimaging assessments. Serum sTNF-R1 levels were increased in CIND compared with controls (<i>p</i> < 0.001). Higher baseline sTNF-R1 levels were specifically associated with lacunar infarcts (rate ratio = 6.91, 95% CI 3.19–14.96, <i>p</i> < 0.001), as well as lower rates of cognitive decline in the CIND subgroup. Our data suggest that sTNF-R1 interacts with vascular cognitive impairment in a complex manner at predementia stages, with elevated levels associated with more severe CSVD at baseline, but which may subsequently be protective against cognitive decline.
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spelling doaj.art-2b962bbbaffa486fa4c0edbaeda7fab62023-11-17T09:52:32ZengMDPI AGBiomolecules2218-273X2023-03-0113352510.3390/biom13030525Elevated Soluble TNF-Receptor 1 in the Serum of Predementia Subjects with Cerebral Small Vessel DiseaseKaung H. T. Salai0Liu-Yun Wu1Joyce R. Chong2Yuek Ling Chai3Bibek Gyanwali4Caroline Robert5Saima Hilal6Narayanaswamy Venketasubramanian7Gavin S. Dawe8Christopher P. Chen9Mitchell K. P. Lai10Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, SingaporeDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, SingaporeDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, SingaporeDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, SingaporeDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, SingaporeDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, SingaporeDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, SingaporeRaffles Neuroscience Centre, Raffles Hospital, Singapore 188770, SingaporeDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, SingaporeDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, SingaporeDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, SingaporeTumor necrosis factor-receptor 1 (TNF-R1)-mediated signaling is critical to the regulation of inflammatory responses. TNF-R1 can be proteolytically released into systemic blood circulation in a soluble form (sTNF-R1), where it binds to circulating TNF and functions to attenuate TNF-mediated inflammation. Increases of peripheral sTNF-R1 have been reported in both Alzheimer’s disease (AD) dementia and vascular dementia (VaD). However, the status of sTNF-R1 in predementia subjects (cognitive impairment, no dementia, CIND) is unknown, and putative associations with cerebral small vessel disease (CSVD), as well as with longitudinal changes in cognitive functions are unclear. We measured baseline serum sTNF-R1 in a longitudinally assessed cohort of 93 controls and 103 CIND, along with neuropsychological evaluations and neuroimaging assessments. Serum sTNF-R1 levels were increased in CIND compared with controls (<i>p</i> < 0.001). Higher baseline sTNF-R1 levels were specifically associated with lacunar infarcts (rate ratio = 6.91, 95% CI 3.19–14.96, <i>p</i> < 0.001), as well as lower rates of cognitive decline in the CIND subgroup. Our data suggest that sTNF-R1 interacts with vascular cognitive impairment in a complex manner at predementia stages, with elevated levels associated with more severe CSVD at baseline, but which may subsequently be protective against cognitive decline.https://www.mdpi.com/2218-273X/13/3/525Alzheimer’s diseasebiomarkercerebral small vessel diseasespredementiaserumTNF-receptor 1
spellingShingle Kaung H. T. Salai
Liu-Yun Wu
Joyce R. Chong
Yuek Ling Chai
Bibek Gyanwali
Caroline Robert
Saima Hilal
Narayanaswamy Venketasubramanian
Gavin S. Dawe
Christopher P. Chen
Mitchell K. P. Lai
Elevated Soluble TNF-Receptor 1 in the Serum of Predementia Subjects with Cerebral Small Vessel Disease
Biomolecules
Alzheimer’s disease
biomarker
cerebral small vessel diseases
predementia
serum
TNF-receptor 1
title Elevated Soluble TNF-Receptor 1 in the Serum of Predementia Subjects with Cerebral Small Vessel Disease
title_full Elevated Soluble TNF-Receptor 1 in the Serum of Predementia Subjects with Cerebral Small Vessel Disease
title_fullStr Elevated Soluble TNF-Receptor 1 in the Serum of Predementia Subjects with Cerebral Small Vessel Disease
title_full_unstemmed Elevated Soluble TNF-Receptor 1 in the Serum of Predementia Subjects with Cerebral Small Vessel Disease
title_short Elevated Soluble TNF-Receptor 1 in the Serum of Predementia Subjects with Cerebral Small Vessel Disease
title_sort elevated soluble tnf receptor 1 in the serum of predementia subjects with cerebral small vessel disease
topic Alzheimer’s disease
biomarker
cerebral small vessel diseases
predementia
serum
TNF-receptor 1
url https://www.mdpi.com/2218-273X/13/3/525
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