From: Sex-specific associations of kynurenic acid with neopterin in Alzheimer’s disease
AD women | AD men | CU women | CU men | AD-CU women | AD-CU men | |||
---|---|---|---|---|---|---|---|---|
Patient characteristics | P | P | P | P | ||||
N | 180 (57.9) | 131 (42.1) | 47 (44.8) | 58 (55.2) | ||||
Age, years | 70.0 (66.0; 74.0) | 72.0 (68.0; 75.0) | 0.05 | 71.0 (69.0; 75.0) | 70.0 (66.8; 76.0) | 0.40 | 0.046 | 0.82 |
BMIa | 23.3 (20.2; 27.2) | 24.8 (22.9; 27.5) | 0.008 | NA | NA | |||
APOE ε4 positivea N (%) | 125 (78.1) | 83 (70.3) | 0.14 | 20 (44.4) | 17 (30.9) | 0.16 | < 0.001 | < 0.001 |
CSF AD core biomarkers | ||||||||
Amyloid-β42 (pg/ml) | 549.0 (470.8; 650.8) | 570 (450.0; 670.0) | 0.82 | 702.0 (513.0; 830.0) | 765.5 (580.8; 878.8) | 0.34 | † | † |
Phosphorylated tau181 (pg/ml) | 92.0 (64.0; 116.8) | 86.0 (60.0; 106.0) | 0.18 | 58.0 (45.0; 70.0) | 54.0 (41.5; 66.8) | 0.48 | † | † |
Pathological CSF AD core biomarkers | ||||||||
Amyloid-β42, N(%) | 149 (82.8) | 105 (80.2) | 0.56 | 13 (27.7) | 13 (22.4) | 0.54 | < 0.001 | < 0.001 |
Phosphorylated tau181, N(%) | 108 (60.0) | 74 (56.5) | 0.54 | 20 (42.6) | 21 (36.2) | 0.51 | 0.03 | 0.01 |
CSF inflammatory markers | ||||||||
Neopterin (nM) | 23.2 (19.3; 28.9) | 24.7 (20.0; 29.5) | 0.23 | 30.6 (27.2; 35.1) | 27.1 (23.1; 32.2) | 0.005 | < 0.001 | 0.004 |
IP-10 (ng/mL)a | 1.9 (1.4; 2.4) | 1.8 (1.5; 2.5) | 0.37 | 1.3 (1.1; 1.9) | 1.2 (0.9; 1.6) | 0.13 | < 0.001 | < 0.001 |
CSF kynurenine metabolites | ||||||||
Tryptophan (µM) | 2.5 (2.2;2.9) | 2.7 (2.4; 3.0) | 0.008 | 2.7 (2.3; 3.1) | 2.9 (2.5; 3.4) | 0.045 | 0.06 | 0.02 |
Kynurenine (nM) | 49.9 (41.8; 61.9) | 56.9 (46.5; 70.9) | < 0.001 | 51.9 (43.7; 70.3) | 54.2 (48.3; 69.6) | 0.34 | 0.15 | 0.93 |
Kynurenic acid (nM) | 3.5 (2.5; 4.7) | 3.7 (2.6; 5.3) | 0.33 | 2.5 (1.7; 4.1) | 2.9 (2.1; 4.1) | 0.48 | 0.013 | 0.008 |
Anthranilic acid (nM) | 8.6 (6.7; 12.2) | 7.9 (6.2; 10.6) | 0.06 | 11.3 (8.6; 13.6) | 9.9 (7.1; 14.6) | 0.32 | 0.002 | 0.005 |
3-hydroxykynurenine (nM) | 4.2 (3.4; 6.1) | 4.6 (3.7; 6.8) | 0.04 | 4.3 (3.3; 5.6) | 4.7 (3.9; 7.3) | 0.1 | 0.8 | 0.67 |
Picolinic acid (nM) | 21.4 (16.9; 28.1) | 26.4 (20.7; 34.8) | < 0.001 | 18.9 (14.7; 22.7) | 22.2 (17.9; 28.3) | 0.015 | 0.013 | 0.004 |
Quinolinic acid (nM) | 29.1 (21.9; 40.2) | 37.6 (27.9: 48.2) | < 0.001 | 34.0 (27.0; 47.8) | 42.7 (29.8; 62.9) | 0.11 | 0.011 | 0.14 |
KTR | 20.2 (16.3; 23.2) | 21.3 (17.3; 25.8) | 0.1 | 19.9 (17.0; 24.5) | 19.5 (16.8; 23.7) | 0.62 | 0.65 | 0.16 |
KA/QA ratio | 0.12 (0.08; 0.16) | 0.10 (0.07; 0.13) | 0.001 | 0.08 (0.06; 0.1) | 0.08 (0.05; 0.1) | 0.61 | < 0.001 | < 0.001 |