title: Enhanced soluble CD40 ligand and Alzheimer's disease: evidence of a possible pathogenetic role.
abstract: It has been suggested that cerebrovascular factors contribute to Alzheimer's disease. Soluble CD40 ligand (sCD40L) is directly involved in the development of vascular damage. We tested the hypothesis that sCD40L may be enhanced in Alzheimer's disease and predictive of its clinical course. Plasma sCD40L levels were evaluated in three groups of 40 consecutive patients each referring for mild or moderate or severe Alzheimer's disease, as assessed by the Clinical Dementia Rating (CDR), and in 40 healthy subjects. Seventy-seven patients with mild or moderate disease were re-evaluated after 2 years. Cross-sectional comparisons revealed higher plasma sCD40L levels in Alzheimer's disease patients than in controls (9.3+/-4.7 ng/mL versus 3.4+/-1.3 ng/mL, p<0.0001). Circulating sCD40L levels significantly increased through the three CDR stages (p=0.0011 or less) and were correlated with MMSE (r=-0.574, p<0.0001) and ADAS-cog subscale (r=0.538, p<0.0001) scores. Longitudinal evaluation identified sCD40L as an independent predictor of MMSE (beta=-0.157, t=-3.650, p=0.0005) and ADAS-cog subscale (beta=0.484, t=3.890, p=0.0002) score changes after 2 years. Patients with plasma sCD40L level>or=6.0 ng/mL, identified by ROC curve analysis as the best discriminating value for disease progression, had a three-fold increase in the risk of progression toward a worse CDR stage (odd ratio: 3.0, C.I. 95% 1.2-8.1). In conclusion, circulating sCD40L is enhanced in patients with Alzheimer's disease and independently associated with the severity and progression of the disease. These data might suggest a pathogenetic role for sCD40L in Alzheimer's disease.
authors.affiliation: Department of Internal Medicine and Public Health, University of L'Aquila, L'Aquila, Italy. giovambattista.desideri@cc.univaq.it
authors.forename: Giovambattista
authors.initials: G
authors.lastname: Desideri
authors.forename: Francesco
authors.initials: F
authors.lastname: Cipollone
authors.forename: Stefano
authors.initials: S
authors.lastname: Necozione
authors.forename: Carmine
authors.initials: C
authors.lastname: Marini
authors.forename: Maria Carmela
authors.initials: MC
authors.lastname: Lechiara
authors.forename: Guglielmo
authors.initials: G
authors.lastname: Taglieri
authors.forename: Giovanni
authors.initials: G
authors.lastname: Zuliani
authors.forename: Renato
authors.initials: R
authors.lastname: Fellin
authors.forename: Andrea
authors.initials: A
authors.lastname: Mezzetti
authors.forename: Ferdinando
authors.initials: F
authors.lastname: di Orio
authors.forename: Claudio
authors.initials: C
authors.lastname: Ferri
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000097:blood* / Q000209:etiology*; D000704:Analysis of Variance; D023201:CD40 Ligand / Q000097:blood*; D003430:Cross-Sectional Studies; D018450:Disease Progression; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008609:Mental Status Schedule; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D018709:Statistics, Nonparametric
chemical_list: D023201:CD40 Ligand