PMID- 28681311 OWN - NLM STAT- MEDLINE DCOM- 20180730 LR - 20181113 IS - 1590-3478 (Electronic) IS - 1590-1874 (Linking) VI - 38 IP - 9 DP - 2017 Sep TI - Low plasma BDNF is not a biomarker for cognitive dysfunction in elderly T2DM patients. PG - 1691-1696 LID - 10.1007/s10072-017-3048-9 [doi] AB - Type 2 diabetes mellitus (T2DM) is a known cause of cognitive dysfunction, and brain-derived neurotrophic factor (BDNF) is a key protein in promoting memory growth and survival of neurons. However, the relationship between plasma BDNF and diabetic cognitive dysfunction is still elusive. A total of 89 patients over 60 years with T2DM and 40 well-matched health controls were enrolled. All participants received a set of multi-dimensional neuropsychological tests for the cognitive assessment. The subjects were divided into amnesic mild cognitive impairment (aMCI) and non-aMCI groups. An enzyme-linked immunosorbent assay (ELISA) was used to measure plasma BDNF concentrations for all subjects. No significant difference was found between T2DM patients and healthy control in MMSE scores. The T2DM patients performed significantly worse in four cognitive domains (including episodic memory, executive function, visuospatial function, and information processing speed) compared with the controls (all p < 0.05). The prevalence of aMCI in T2DM population was higher [OR = 4.032 (1.536~10.582), 37/89-6/40]. Additionally, the plasma concentration of BDNF in T2DM patients was significantly lower than that in controls (p < 0.01). However, no significant correlation was found between plasma BDNF and cognitive function in T2DM. Our results suggested that T2DM have a higher prevalence of cognitive impairment. The plasma BDNF concentration in T2DM patients was significantly lower than that in controls, but low BDNF was not a biomarker for cognitive dysfunction in T2DM patients. FAU - Ren, Qing-Guo AU - Ren QG AUID- ORCID: 0000-0001-9758-5268 AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Chang, Jing-Hao AU - Chang JH AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Lu, Wan-Jun AU - Lu WJ AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Gong, Wei-Gang AU - Gong WG AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China. FAU - Zhou, Hong AU - Zhou H AD - Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China. zzhouhongg2015@sina.com. LA - eng GR - 81271218/National Natural Science Foundation of China/ PT - Journal Article DEP - 20170705 PL - Italy TA - Neurol Sci JT - Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology JID - 100959175 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Cognition MH - Cognitive Dysfunction/*blood/epidemiology/*etiology MH - Diabetes Mellitus, Type 2/*blood/*complications/epidemiology/psychology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neuropsychological Tests MH - Prevalence OTO - NOTNLM OT - Amnesic mild cognitive impairment OT - Brain-derived neurotrophic factor OT - Cognitive function OT - Type 2 diabetes mellitus EDAT- 2017/07/07 06:00 MHDA- 2018/07/31 06:00 CRDT- 2017/07/07 06:00 PHST- 2017/02/21 00:00 [received] PHST- 2017/06/21 00:00 [accepted] PHST- 2017/07/07 06:00 [pubmed] PHST- 2018/07/31 06:00 [medline] PHST- 2017/07/07 06:00 [entrez] AID - 10.1007/s10072-017-3048-9 [pii] AID - 10.1007/s10072-017-3048-9 [doi] PST - ppublish SO - Neurol Sci. 2017 Sep;38(9):1691-1696. doi: 10.1007/s10072-017-3048-9. Epub 2017 Jul 5.