Association of F2-isoprostane levels with Alzheimer’s disease in observational studies: a systematic review and meta-analysis

Introduction - The association between F2-isoprostanes and Alzheimer’s disease (AD) has been controversially discussed in the literature since the 1990s. However, no systematic review has been performed so far. - Methods - A systematic review of observational studies on the associations of F2-isopro...

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Main Authors: Trares, Kira (Author) , Chen, Li-Ju (Author) , Schöttker, Ben (Author)
Format: Article (Journal)
Language:English
Published: 2022
In: Ageing research reviews
Year: 2022, Volume: 74, Pages: 1-9
ISSN:1872-9649
DOI:10.1016/j.arr.2021.101552
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.arr.2021.101552
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1568163721002993
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Author Notes:Kira Trares, Li-Ju Chen, Ben Schöttker

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520 |a Introduction - The association between F2-isoprostanes and Alzheimer’s disease (AD) has been controversially discussed in the literature since the 1990s. However, no systematic review has been performed so far. - Methods - A systematic review of observational studies on the associations of F2-isoprostanes and the specific biomarker 8-iso-prostaglandin F2α with AD were conducted. Random-effects model meta-analyses were performed. - Results - 29 studies were included in the systematic review, including four longitudinal studies. In an overall meta-analysis of the 25 cross-sectional studies, F2-isoprostane levels were statistically significantly associated with AD (Hedge’s g [95% confidence interval]: 1.00 [0.69-1.32]). When studies were grouped by biomarker and sample specimen, F2-isoprostane and 8-iso-prostaglandin F2α levels were statistically significantly elevated in tissue samples of the frontal lobe of AD patients. Moreover, F2-isoprostane levels in cerebrospinal fluid and 8-iso-prostaglandin F2α levels in blood samples of AD patients were significantly increased. Meta-analyses of the few longitudinal studies did not reach statistical significance. - Discussion - Increased concentrations of F2-isoprostanes were found in AD patients. However, due to the lack of adjustment in most cross-sectional case-control studies, results must be interpreted carefully. In addition, the causality of the association is uncertain because evidence from well-conducted longitudinal studies was conflicting, and further longitudinal studies are required to reinforce the results. 
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