Frontal lobe phosphorus metabolism and neuropsychological function in aging and in alzheimer's disease

Charles D. Smith, L. Creed Pettigrew, Malcolm J. Avison, John E. Kirsch, Alexander J. Tinkhtman, Frederick A. Schmitt, Daniel P. Wermeling, David R. Wekstein, William R. Marchkesberry

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

31P Magnetic resonance spectroscopy of the frontal lobe was performed in 17 patients with Alzheimer's disease (AD), 8 elderly controls (EC), and 17 young controls (YC). The phosphocreatine/inorganic phosphate (PCr/Pi) ratio in AD (2.32 ± 0.26 SD) was significantly lower than in EC (2.65 ± 0.41). In AD patients, a correlation was observed between the PCr/Pi ratio and the dementia rating scale (r = −0.50, p = 0.04). A significant positive correlation between PCr/Pi ratio and age was observed in both AD (r = 0.67, p 0.003) and YC (r = 0.63, p 0.006) groups, however, suggesting caution in interpretation of this ratio in AD. We did not find differences between AD, EC, or YC in any other spectroscopic measure. A significant sex difference in the phosphomonoester/phosphodiester ratio (PME/PDE) ratio was observed in AD brain. Females had a lower PME/PDE ratio than males.

Original languageEnglish
Pages (from-to)194-201
Number of pages8
JournalAnnals of Neurology
Volume38
Issue number2
DOIs
StatePublished - Aug 1995

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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