%0 Journal Article %T Serum concentrations of vitamin E and carotenoids are altered in Alzheimer's disease: A case-control study. %A Mullan K %A Williams MA %A Cardwell CR %A McGuinness B %A Passmore P %A Silvestri G %A Woodside JV %A McKay GJ %J Alzheimers Dement (N Y) %V 3 %N 3 %D Sep 2017 %M 29067349 暂无%R 10.1016/j.trci.2017.06.006 %X BACKGROUND: Oxidative stress has been implicated in the pathogenesis of Alzheimer's disease (AD). We investigated associations between serum levels of lipophilic antioxidants and AD.
METHODS: Serum concentrations of retinol, two forms of vitamin E (α- and γ-tocopherol) and six carotenoids were quantified by high-performance liquid chromatography from patients with AD (n = 251) and cognitively intact controls (n = 308) and assessed by regression analyses.
RESULTS: Serum levels of α-tocopherol and all six carotenoids were significantly lower in patients with AD compared with cognitively intact controls (P < .001). In contrast, γ-tocopherol was significantly higher in the serum of patients with AD (odds ratio = 1.17 [confidence intervals: 1.05-1.31]).
CONCLUSIONS: Our findings implicate compromised serum antioxidant defenses in AD pathogenesis and differing biological roles for vitamin E isoforms. This highlights the need for improved understanding in the balanced upregulation of exogenous antioxidants related to dietary intake or supplement use in future nutritional intervention studies.