Glutamate-glutamine and GABA in brain of normal aged and patients with cognitive impairment.

Objectives: To explore the changes of glutamate-glutamine (Glx) and gamma-aminobutyric acid (GABA) in the brain in normal old age and cognitive impairment using magnetic resonance spectroscopy (MRS).Methods: Seventeen normal young controls (NYC), 15 normal elderly controls (NEC), 21 patients with mi...

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Publicado en:European Radiology Vol. 27; no. 7; pp. 2698 - 2706
Autores principales: Huang, Dandan, Liu, Dan, Yin, Jianzhong, Qian, Tianyi, Shrestha, Susan, Ni, Hongyan
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Jul2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2017
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-016-4669-8
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        atl: Glutamate-glutamine and GABA in brain of normal aged and patients with cognitive impairment.
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          Huang, Dandan
          Liu, Dan
          Yin, Jianzhong
          Qian, Tianyi
          Shrestha, Susan
          Ni, Hongyan
        affil: Department of Radiology, First Central Clinical College , Tianjin Medical University , Tianjin 300070 China
      sug:
        subj:
          Limbic System Metabolism
          Alzheimer's Disease Metabolism
          GABA Metabolism
          Hippocampus Metabolism
          Glutamine Metabolism
          Glutamic Acid Metabolism
          Magnetic Resonance Imaging
          Early Diagnosis
          Aged
          Middle Age
          Female
          Male
          Case Control Studies
          Magnetic Resonance Spectroscopy Methods
          Young Adult
          Analysis of Variance
          Adult
          Aging
          Human
          Aged: 65+ years
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
          Male
      ab: Objectives: To explore the changes of glutamate-glutamine (Glx) and gamma-aminobutyric acid (GABA) in the brain in normal old age and cognitive impairment using magnetic resonance spectroscopy (MRS).Methods: Seventeen normal young controls (NYC), 15 normal elderly controls (NEC), 21 patients with mild cognitive impairment (MCI) and 17 with Alzheimer disease (AD) patients were included in this study. Glx and GABA+ levels in the anterior cingulate cortex (ACC) and right hippocampus (rHP) were measured by using a MEGA-PRESS sequence. Glx/Cr and GABA+/Cr ratios were compared between NYC and NEC and between the three elderly groups using analysis of covariance (ANCOVA); the tissue fractions of voxels were used as covariates. The relationships between metabolite ratios and cognitive performance were analysed using Spearman correlation coefficients.Results: For NEC and NYC groups, Glx/Cr and GABA+/Cr ratios were lower in NEC in ACC and rHP. For the three elderly groups, Glx/Cr ratio was lower in AD in ACC compared to NEC and MCI; Glx/Cr ratio was lower in AD in rHP compared to NEC. There was no significant decrease for GABA+/Cr ratio.Conclusions: Glx and GABA levels may decrease simultaneously in normal aged, and Glx level decreased predominantly in AD, and it is helpful in the early diagnosis of AD.Key Points: • Glx and GABA levels may decrease simultaneously in normal aged. • Glx level may decrease predominantly in Alzheimer disease. • The balance in excitatory-inhibitory systems may be broken in AD. • Decreased Glx level may be helpful in early diagnosis of AD.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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