2017
DOI: 10.1371/journal.pone.0175854
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Combined assessment of serum folate and hemoglobin as biomarkers of brain amyloid β accumulation

Abstract: A relationship between Alzheimer's disease (AD) and folate has been reported. Amyloid positron emission tomography (PET) is currently one of the most reliable biomarkers for AD. We investigated the correlation between serum folate levels and amyloid imaging to clarify whether serum folate could be a biomarker for AD. We also examined the usefulness of a combined assessment of serum folate levels and red blood cell hemoglobin content. Apolipoprotein E (APOE) gene polymorphisms were also assessed. Serum folate l… Show more

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Cited by 14 publications
(8 citation statements)
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“…However, idiopathic anemia is a common comorbidity with AD [82], and low hemoglobin associates with greater risk of death among AD patients [83]. On the other hand, in a Japanese study confined solely to dementia patients, subjects had a direct association between greater levels of circulating hemoglobin and brain accumulation of Aβ [84].
Fig.
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Section: Discussionmentioning
confidence: 99%
“…However, idiopathic anemia is a common comorbidity with AD [82], and low hemoglobin associates with greater risk of death among AD patients [83]. On the other hand, in a Japanese study confined solely to dementia patients, subjects had a direct association between greater levels of circulating hemoglobin and brain accumulation of Aβ [84].
Fig.
…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, many protein biomarkers serve for the evaluation and management of myocardial insults and cardiac remodeling; these include BNP, N-terminal proBNP, C-reactive protein, and Troponin T amongst others [ 50 , 51 ]. In addition, hemoglobin content combined with serum folate levels have been suggested as potential biomarkers for Alzheimer’s disease [ 52 ]. Combined, this would support further investigation into the role for acetylated or deacetylated circulating factors as biomarkers for cardiovascular disease; blood analysis from patients serves as a relatively simple and non-invasive procedure in the clinic.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, studies that investigate multiple biomarkers may allow increased precision in the prediction of AD risk and could benefit individuals and communities alike. Interestingly, a recent small study (n = 17) using a ROC curve analysis found SF and red blood cell haemoglobin to be useful biomarkers of Aβ accumulation in the brain with more sensitivity and specificity than APOE genotype or folate alone (18). Future research targeting a combination of biomarkers namely APOE, Hcy, and SF in larger samples is required to support a clinical diagnosis of AD using a simple blood test.…”
Section: Predictor Value Of Plasma Thiols Blood Biomarkers and B-vitamin Status By Receiver Operating Characteristic Curvementioning
confidence: 99%
“…While folic acid and B12 possess antioxidant properties with the capacity to counteract such damage (16), the oxidative stress associated with AD pathology may also be due to Aβ-induced oxidative stress which increases plasma Hcy levels by depleting 5methyltetrahydrofolate (5-MTHF) (16). SF is also proposed as a useful biomarker of Aβ accumulation (18). Nevertheless, Hcy is a known independent risk factor for the development of AD, as is low serum folate (SF) (19).…”
mentioning
confidence: 99%