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From stage 1 to end-stage renal failure: Amyloid β42, amyloid β40, amyloid β42/40 ratio, p-tau181 and cognitive function relationship

Nefrologia · Kasım 2025

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YÖKSİS Kayıtları
From stage 1 to end-stage renal failure: Amyloid β42, amyloid β40, amyloid β42/40 ratio, p-tau181 and cognitive function relationship
Nefrología (English Edition) · 2025 SCI-Expanded
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Makale Bilgileri

DergiNefrologia
Yayın TarihiKasım 2025
Cilt / Sayfa45
Erişim🔓 Açık Erişim
Özet Introduction and objective: It was aimed to examine the relationship between cognitive impairment (CI) and Aβ40, 42, Aβ42/40 ratio and p-tau181 in chronic kidney disease (CKD) patients at all stages. Patients: The patients were divided into four groups; control, the early stage CKD (stage 1–3), the advanced stage CKD (stage 4–5) and the hemodialysis group. All patients completed the MMSE and MoCA tests for CI. The Aβ40, Aβ42, p-tau181 levels of all participants were measured. Result: The result of the MMSE was significantly lower in CKD group (p = 0.005). There was a significant negative correlation between the MMSE and CKD stages (Spearman's rho = −0.29, p = 0.001). The Aβ42 level was significantly lower in the hemodialysis patients. The highest Aβ40 level was observed in the hemodialysis patients, and the Aβ40 level was significantly higher in the advanced CKD group as compared to the early CKD patients and controls (p < 0.001). The Aβ42/40 ratio was low in the hemodialysis patients (p = 0.001). There was a significant negative correlation between the MMSE and Aβ40 (Spearman's rho = 0.18, p = .018), and a positive correlation between the MMSE and the Aβ42/40 ratio (Spearman's rho = −0.360, p < .001). MoCA was negatively correlated with the Aβ40 levels (Spearman's rho = −0.185, p = .019). In the multiple analysis with the MMSE, it was determined high Aβ40 level was correlated with the low MMSE score. Conclusion: It was found that there was a significant relationship between CI and the Aβ40 level in the CKD patients, that CI increased as the CKD stages progressed, that there was a significant negative correlation between the MMSE and MoCA tests and Aβ40, and there was a significant positive correlation between the MMSE and the Aβ42/Aβ40 ratio.

Yazarlar (6)

1
Yasemin Coşkun Yavuz
2
Zeynep Bıyık
3
Firdevs Sak
4
Muslu Kazım Körez
5
Sedat Abusoglu
ORCID: 0000-0002-2984-0527
6
Lütfullah Altıntepe

Anahtar Kelimeler

Amyloid beta Chronic kidney disease Cognitive impairment Plasma tau

Kurumlar

Selçuk Tip Fakültesi
Konya Turkey