title: Mitochondrial DNA copy number in peripheral blood is associated with cognitive function in apparently healthy elderly women.
abstract: BACKGROUND
  The identification of early markers of dementia is of increasing clinical importance. Recently, impaired mitochondrial function has emerged as a potential marker for age-related diseases and the maintenance of mtDNA copy number is essential for the preservation of mitochondrial function. We investigated the association between mtDNA copy number and cognitive function in elderly women.
  
  
  METHODS
  A total of 107 apparently healthy elderly women were included. Cognitive abilities were assessed using the Mini-Mental State Examination (MMSE). We measured mtDNA copy number in peripheral leukocytes using real-time polymerase chain reaction (PCR) methods. Additionally, cardiometabolic risk factors and physical function were measured.
  
  
  RESULTS
  MMSE scores were negatively correlated with the homeostasis model of insulin resistance (HOMA-IR) scores and positively correlated with gait speed as well as mtDNA copy number. After adjusting for age and level of education, the mean values of MMSE scores gradually increased with mtDNA copy number when divided into quartiles. Using step-wise multiple regression analysis, gait speed, mtDNA copy number, and age were determined to be the strongest predictors of MMSE score.
  
  
  CONCLUSIONS
  These data suggest that reduced mtDNA content may be a possible early marker of dementia, and this finding warrants further study in large, prospective investigations.
authors.affiliation: Department of Family Medicine, Severance Hospital, College of Medicine Yonsei University, Seoul, Republic of Korea.
authors.forename: Ji-Won
authors.initials: JW
authors.lastname: Lee
authors.forename: Ki Deok
authors.initials: KD
authors.lastname: Park
authors.forename: Jee-Aee
authors.initials: JA
authors.lastname: Im
authors.forename: Moo Young
authors.initials: MY
authors.lastname: Kim
authors.forename: Duk-Chul
authors.initials: DC
authors.lastname: Lee
mesh_terms: D000368:Aged; D003071:Cognition; D056915:DNA Copy Number Variations / Q000235:genetics*; D004272:DNA, Mitochondrial / Q000097:blood* / Q000235:genetics; D004522:Educational Status; D005260:Female; D006801:Humans; D007962:Leukocytes / Q000378:metabolism; D012016:Reference Values; D012044:Regression Analysis; D020133:Reverse Transcriptase Polymerase Chain Reaction
chemical_list: D004272:DNA, Mitochondrial