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Plasma BDNF is reduced among middle-aged and elderly women with impaired insulin function: Evidence of a compensatory mechanism
Authors:Alyssa Arentoft   Victoria Sweat   Vanessa Starr   Stephen Oliver   Jason Hassenstab   Hannah Bruehl   Aziz Tirsi   Elizabeth Javier   Pauline F. McHugh  Antonio Convit  
Affiliation:aDepartment of Psychiatry, New York University School of Medicine, Millhauser Laboratories, HN-400, 550 First Avenue, New York, NY 10016, USA;bDepartment of Medicine, New York University School of Medicine, 550 First Avenue, New York, NY 10016, USA;cNathan Kline Institute for Psychiatric Research, 140 Old Orangeburg Rd., Orangeburg, NY 10962, USA
Abstract:Brain-derived neurotrophic factor (BDNF) plays a regulatory role in neuronal differentiation and synaptic plasticity and has been linked to glucose regulation and cognition. Associations among plasma BDNF, cognition, and insulin function were explored. Forty-one participants with impaired insulin function (IIF), ranging from insulin resistance to type 2 diabetes mellitus (T2DM), were matched with 41 healthy controls on gender, age, education, and IQ. Participants received complete medical, neurological, psychiatric, and neuropsychological evaluations. IIF individuals had significantly lower plasma BDNF levels than controls, particularly females, and higher BDNF levels were associated with poorer explicit memory in IIF females, suggesting that higher levels within this group may reflect the body’s efforts to respond to damage. After accounting for age, education, and HbA1c, BDNF significantly predicted 13.1–23.5% of the variance in explicit memory in IIF women. These findings suggest that BDNF elevations within diseased groups may not always be a marker of health.
Keywords:BDNF   Memory   Cognition   Insulin resistance   Type 2 diabetes gender
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