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Low serum VEGF levels are associated with Alzheimer's disease
Author(s) -
Mateo I.,
Llorca J.,
Infante J.,
RodríguezRodríguez E.,
FernándezViadero C.,
Peña N.,
Berciano J.,
Combarros O.
Publication year - 2007
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.2006.00775.x
Subject(s) - medicine , vascular dementia , vascular endothelial growth factor , dementia , endocrinology , disease , alzheimer's disease , vegf receptors , gastroenterology
Objective –  As vascular endothelial growth factor (VEGF) determines important neurotrophic and neuroprotective actions, we postulated serum VEGF levels could be abnormally low in patients with Alzheimer's disease (AD). Methods –  We measured serum VEGF levels (VEGF 165 isoform by ELISA) in 51 patients with AD by National Institute of Neurological and Communicative Disorders and Stroke‐Alzheimer's Disease and Related Disorder Association criteria and compared with 66 age‐ and gender‐matched non‐demented controls. Patients with AD were stratified into levels of dementia severity by the Clinical Dementia Rating scale. Serum VEGF levels were stratified into upper (>309 pg/ml), middle (207–309 pg/ml), and lower (<207 pg/ml) tertiles. VEGF (−2578) (rs 699947) and VEGF (−634) (rs 2010963) polymorphisms were genotyped in patients with AD and controls. Results –  The mean concentration of VEGF in the serum of patients with AD (215.9 pg/ml, SD 101.5) was significantly lower than that of the controls (308.6 pg/ml, SD 223.9, P  = 0.004), and decreased serum VEGF levels were associated with AD in a dose‐dependent manner, the lower tertile of serum VEGF levels being associated with a fivefold increased risk for AD when compared with the upper tertile. There was no significant correlation between serum VEGF levels and age, sex, APOE alleles, AD dementia severity nor VEGF gene polymorphisms. Conclusion –  Decrease in serum VEGF levels could contribute to the neurodegenerative process in AD.

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