[Plasma levels of endogenous hydrogen sulfide and homocysteine in patients with Alzheimer's disease and vascular dementia and the significance thereof].
OBJECTIVE
To investigate the plasma levels of endogenous hydrogen sulfide (H2S), a gasotransmitter, and homocysteine (Hcy) in patients with Alzheimer's disease (AD), vascular dementia (VD), and cerebrovascular disease (CVD) and their role in the pathogenesis of AD and VD.


METHODS
31 AD patients, 28 VD patients, 20 CVD patients , and 23 normal controls (NC group) underwent examination of plasma concentrations of H2S and Hcy, mini mental state examination (MMSE), activity of daily living scale (ADL), Hachinski ischemic score (HIS) , and Hamilton's depression scale (HRSD). The severity of AD and VD was evaluated according to the global deterioration scale (GDS).


RESULTS
(1) The plasma H2S levels of the AD, VD, and CVD patients were (34 +/- 7), (36 +/- 5), and (37 +/- 7) micromol/L respectively, all significantly lower than that of the NC group [(45 +/- 7) micromol/L, all P < 0.01]. However, there were no significant differences in the plasma H2S level among the AD, VD, and CVD patients (all P > 0.05). The plasma H2S concentration was negatively correlated the severity of AD. (2) The plasma Hcy levels of the AD, VD, and CVD patients were (14.0 +/- 3.0), (16.0 +/- 6.1), and (14.4 +/- 4.9) micromol/L respectively, all significantly higher than that of the NC group [(9.8 +/- 2.5) micromol/L, P < 0.01). However, there was no significant difference in the plasma Hcy level among these 3 groups (all P > 0.05). The plasma Hcy concentration was positively correlated with the severity of AD or VD.


CONCLUSIONS
H2S and Hcy are both involved in the pathogenesis of AD, VD, and CVD, and its alteration in level may be associated with the severity of AD and VD.
Liu
Xiang-qin
XQ
Department of Neurology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Liu
Xiao-qi
XQ
Jiang
Ping
P
Huang
Hua
H
Yan
Yong
Y
D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000097:blood* / Q000523:psychology; D015140:Dementia, Vascular / Q000097:blood* / Q000523:psychology; D005260:Female; D006710:Homocysteine / Q000097:blood*; D006801:Humans; D006862:Hydrogen Sulfide / Q000097:blood*; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales
D006710:Homocysteine; D006862:Hydrogen Sulfide