Brain-derived neurotrophic factor Val66Met polymorphism is associated with mild cognitive impairment in elderly patients with type 2 diabetes: a case-controlled study

Background Brain-derived neurotrophic factor ( BDNF) Val66Met polymorphism is reported to be associated with cognitive dysfunction, an important comorbidity factor in patients with type 2 diabetes mellitus (T2DM), especially in elderly populations, however, the underlying pathophysiological mechanis...

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Veröffentlicht in:Aging clinical and experimental research 2021-06, Vol.33 (6), p.1659-1666
Hauptverfasser: Liu, Jia, Yang, Wei, Luo, Hongyu, Ma, Yixin, Zhao, Huan, Dan, Xiaojuan
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container_issue 6
container_start_page 1659
container_title Aging clinical and experimental research
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creator Liu, Jia
Yang, Wei
Luo, Hongyu
Ma, Yixin
Zhao, Huan
Dan, Xiaojuan
description Background Brain-derived neurotrophic factor ( BDNF) Val66Met polymorphism is reported to be associated with cognitive dysfunction, an important comorbidity factor in patients with type 2 diabetes mellitus (T2DM), especially in elderly populations, however, the underlying pathophysiological mechanisms are unclear. Aim This study was performed to investigate the association between BDNF Val66Met polymorphism and mild cognitive impairment (MCI) in elderly patients with T2DM. Methods In total, 105 MCI and 105 normal cognition controls of T2DM patients were enrolled; all of the patients underwent neuropsychological assessments. BDNF Val66Met polymorphism was genotyped via TaqMan SNP genotyping assay. Data from clinical and laboratory-based examinations were collected. Results The frequency of the BDNF Met allele was significantly higher in the MCI group than in the controls. Multiple regression analysis indicated an association of the Met allele with MCI in patients with T2DM (OR = 2.54; 95% CI 1.33–4.84; p  = 0.005). Stratified by educational level, the BDNF Met allele was significantly associated with MCI in elderly T2DM patients (OR = 3.29; 95% CI 1.26–8.57; p  = 0.015) among the group of low educational levels (
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Aim This study was performed to investigate the association between BDNF Val66Met polymorphism and mild cognitive impairment (MCI) in elderly patients with T2DM. Methods In total, 105 MCI and 105 normal cognition controls of T2DM patients were enrolled; all of the patients underwent neuropsychological assessments. BDNF Val66Met polymorphism was genotyped via TaqMan SNP genotyping assay. Data from clinical and laboratory-based examinations were collected. Results The frequency of the BDNF Met allele was significantly higher in the MCI group than in the controls. Multiple regression analysis indicated an association of the Met allele with MCI in patients with T2DM (OR = 2.54; 95% CI 1.33–4.84; p  = 0.005). Stratified by educational level, the BDNF Met allele was significantly associated with MCI in elderly T2DM patients (OR = 3.29; 95% CI 1.26–8.57; p  = 0.015) among the group of low educational levels (&lt; 12 years); however, the association was insignificant among those with higher educational levels. Discussion BDNF Met allele carriers showed a higher frequency of MCI than Val/Val homozygotes in elderly T2DM patients. However, this association was only significant in patients with low education levels. Conclusion BDNF Val66Met polymorphism may have a potential role in MCI in elderly T2DM patients, especially those with low educational levels.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-020-01687-w</identifier><identifier>PMID: 32892314</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Brain-derived neurotrophic factor ; Brain-Derived Neurotrophic Factor - genetics ; Cognitive ability ; Cognitive Dysfunction - genetics ; Diabetes ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - genetics ; Genotype ; Geriatrics/Gerontology ; Humans ; Medicine ; Medicine &amp; Public Health ; Neuropsychological Tests ; Original Article ; Polymorphism ; Polymorphism, Single Nucleotide</subject><ispartof>Aging clinical and experimental research, 2021-06, Vol.33 (6), p.1659-1666</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Springer Nature Switzerland AG 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-618d2d41acd27befb3449d228386c1f13d4b6878dd7c1200eb8298c3817c02fa3</citedby><cites>FETCH-LOGICAL-c375t-618d2d41acd27befb3449d228386c1f13d4b6878dd7c1200eb8298c3817c02fa3</cites><orcidid>0000-0001-6568-3090</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40520-020-01687-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40520-020-01687-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32892314$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Jia</creatorcontrib><creatorcontrib>Yang, Wei</creatorcontrib><creatorcontrib>Luo, Hongyu</creatorcontrib><creatorcontrib>Ma, Yixin</creatorcontrib><creatorcontrib>Zhao, Huan</creatorcontrib><creatorcontrib>Dan, Xiaojuan</creatorcontrib><title>Brain-derived neurotrophic factor Val66Met polymorphism is associated with mild cognitive impairment in elderly patients with type 2 diabetes: a case-controlled study</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description>Background Brain-derived neurotrophic factor ( BDNF) Val66Met polymorphism is reported to be associated with cognitive dysfunction, an important comorbidity factor in patients with type 2 diabetes mellitus (T2DM), especially in elderly populations, however, the underlying pathophysiological mechanisms are unclear. Aim This study was performed to investigate the association between BDNF Val66Met polymorphism and mild cognitive impairment (MCI) in elderly patients with T2DM. Methods In total, 105 MCI and 105 normal cognition controls of T2DM patients were enrolled; all of the patients underwent neuropsychological assessments. BDNF Val66Met polymorphism was genotyped via TaqMan SNP genotyping assay. Data from clinical and laboratory-based examinations were collected. Results The frequency of the BDNF Met allele was significantly higher in the MCI group than in the controls. Multiple regression analysis indicated an association of the Met allele with MCI in patients with T2DM (OR = 2.54; 95% CI 1.33–4.84; p  = 0.005). Stratified by educational level, the BDNF Met allele was significantly associated with MCI in elderly T2DM patients (OR = 3.29; 95% CI 1.26–8.57; p  = 0.015) among the group of low educational levels (&lt; 12 years); however, the association was insignificant among those with higher educational levels. Discussion BDNF Met allele carriers showed a higher frequency of MCI than Val/Val homozygotes in elderly T2DM patients. However, this association was only significant in patients with low education levels. Conclusion BDNF Val66Met polymorphism may have a potential role in MCI in elderly T2DM patients, especially those with low educational levels.</description><subject>Aged</subject><subject>Brain-derived neurotrophic factor</subject><subject>Brain-Derived Neurotrophic Factor - genetics</subject><subject>Cognitive ability</subject><subject>Cognitive Dysfunction - genetics</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - genetics</subject><subject>Genotype</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neuropsychological Tests</subject><subject>Original Article</subject><subject>Polymorphism</subject><subject>Polymorphism, Single Nucleotide</subject><issn>1720-8319</issn><issn>1594-0667</issn><issn>1720-8319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9UcuO1TAMjRCIecAPsECR2LAp5HXbXHYwggFpEBtgG6WJO5NR2pQ45ao_xHeSqw4PsWBhObbPObZyCHnC2QvOWPcSFdsJ1rBj8FZ3zeEeOeVdLbXk-_t_vU_IGeItY4rX4iE5kULvheTqlPx4k22YGg85fAdPJ1hyKjnNN8HRwbqSMv1qY9t-hELnFNcx5TrDkQakFjG5YEvlHUK5oWOInrp0PYVSxWgYZxvyCFOhYaIQ64640tmWUFu4Uco6AxXUB9tDAXxFLXUWoXFpqlfEWKWxLH59RB4MNiI8vsvn5Mu7t58v3jdXny4_XLy-apzsdqVpufbCK26dF10PQy-V2nshtNSt4wOXXvX1o7T3neOCMei12GsnNe8cE4OV5-T5pjvn9G0BLGYM6CBGO0Fa0AilWNuqKlGhz_6B3qYlT_U6I3aKqbbTeldRYkO5nBAzDGbOYbR5NZyZo4tmc9GwYxxdNIdKenonvfQj-N-UX7ZVgNwAWEfTNeQ_u_8j-xN_4ato</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Liu, Jia</creator><creator>Yang, Wei</creator><creator>Luo, Hongyu</creator><creator>Ma, Yixin</creator><creator>Zhao, Huan</creator><creator>Dan, Xiaojuan</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6568-3090</orcidid></search><sort><creationdate>20210601</creationdate><title>Brain-derived neurotrophic factor Val66Met polymorphism is associated with mild cognitive impairment in elderly patients with type 2 diabetes: a case-controlled study</title><author>Liu, Jia ; 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Aim This study was performed to investigate the association between BDNF Val66Met polymorphism and mild cognitive impairment (MCI) in elderly patients with T2DM. Methods In total, 105 MCI and 105 normal cognition controls of T2DM patients were enrolled; all of the patients underwent neuropsychological assessments. BDNF Val66Met polymorphism was genotyped via TaqMan SNP genotyping assay. Data from clinical and laboratory-based examinations were collected. Results The frequency of the BDNF Met allele was significantly higher in the MCI group than in the controls. Multiple regression analysis indicated an association of the Met allele with MCI in patients with T2DM (OR = 2.54; 95% CI 1.33–4.84; p  = 0.005). Stratified by educational level, the BDNF Met allele was significantly associated with MCI in elderly T2DM patients (OR = 3.29; 95% CI 1.26–8.57; p  = 0.015) among the group of low educational levels (&lt; 12 years); however, the association was insignificant among those with higher educational levels. Discussion BDNF Met allele carriers showed a higher frequency of MCI than Val/Val homozygotes in elderly T2DM patients. However, this association was only significant in patients with low education levels. Conclusion BDNF Val66Met polymorphism may have a potential role in MCI in elderly T2DM patients, especially those with low educational levels.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32892314</pmid><doi>10.1007/s40520-020-01687-w</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-6568-3090</orcidid></addata></record>
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subjects Aged
Brain-derived neurotrophic factor
Brain-Derived Neurotrophic Factor - genetics
Cognitive ability
Cognitive Dysfunction - genetics
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - genetics
Genotype
Geriatrics/Gerontology
Humans
Medicine
Medicine & Public Health
Neuropsychological Tests
Original Article
Polymorphism
Polymorphism, Single Nucleotide
title Brain-derived neurotrophic factor Val66Met polymorphism is associated with mild cognitive impairment in elderly patients with type 2 diabetes: a case-controlled study
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