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Journal of Lipid Research, Vol. 48, 2485-2498, November 2007
Copyright © 2007 by American Society for Biochemistry and Molecular Biology
Patient-Oriented and Epidemiological Research |









,***






* Phenomenome Discoveries, Inc., Saskatoon, Saskatchewan, Canada
PrecisionMed, Inc., San Diego, CA
Bioserve, Inc., Boston, MA
** Sun Health Research Institute, Sun City, AZ

Case Western Reserve University, Cleveland, OH

Department of Psychiatry, Osaka University Graduate School of Medicine, Osaka, Japan
*** Shoraiso National Hospital, Nara, Japan


Falk Center for Molecular Therapeutics, Northwestern University, Chicago, IL
Published, JLR Papers in Press, August 2, 2007.
1 To whom correspondence should be addressed. e-mail: d.goodenowe{at}phenomenome.com
ABSTRACT
Although dementia of the Alzheimer's type (DAT) is the most common form of dementia, the severity of dementia is only weakly correlated with DAT pathology. In contrast, postmortem measurements of cholinergic function and membrane ethanolamine plasmalogen (PlsEtn) content in the cortex and hippocampus correlate with the severity of dementia in DAT. Currently, the largest risk factor for DAT is age. Because the synthesis of PlsEtn occurs via a single nonredundant peroxisomal pathway that has been shown to decrease with age and PlsEtn is decreased in the DAT brain, we investigated potential relationships between serum PlsEtn levels, dementia severity, and DAT pathology. In total, serum PlsEtn levels were measured in five independent population collections comprising >400 clinically demented and >350 nondemented subjects. Circulating PlsEtn levels were observed to be significantly decreased in serum from clinically and pathologically diagnosed DAT subjects at all stages of dementia, and the severity of this decrease correlated with the severity of dementia. Furthermore, a linear regression model predicted that serum PlsEtn levels decrease years before clinical symptoms. The putative roles that PlsEtn biochemistry play in the etiology of cholinergic degeneration, amyloid accumulation, and dementia are discussed.
Supplementary key words aging peroxisome neurodegeneration amyloid
Abbreviations: PtdCho, phosphatidylcholine
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