Bilberry/red grape juice decreases plasma biomarkers of inflammation and tissue damage in aged men with subjective memory impairment –a randomized clinical trial

Abstract Background Few randomized clinical trials have explored the health effects of bilberries in humans. The aim was to test the effect of bilberry and red grape-juice consumption on visual memory, motor speed and dexterity as well as inflammatory and tissue damage biomarkers of plasma in aged men with subjective memory impairment. Methods Nine-week double-blind, placebo-controlled, dietary intervention study of aged men (n = 60, age ≥ 67 years) with subjective memory impairment randomized to consume a 50/50 mix of bilberry/red grape-juice or an iso-caloric placebo juice. A selection of Cambridge Cognition Test Battery (CANTAB), Grooved Pegboard tests and blood-sampling for biomarker analysis were performed before and after the intervention. Results Compared to placebo the selected memory and motor test scores were un-affected by the bilberry/red grape intervention. However, the plasma levels of tissue damage biomarkers decreased significantly more in the bilberry/red grape group. In particular lactate dehydrogenase (LDH) decreased from 362 U/L (median, baseline) to 346 U/L (median, post intervention) in the bilberry/red grape group. Also, several biomarkers of inflammation (EGF, IL6, IL9, IL10 and TNFα) decreased significantly more in the bilberry/red grape group. Furthermore, several plasma polyphenols; p-coumaric acid, hippuric acid, protocatechuic acid, 3HPAA and vanillic acid, increased significantly more in the bilberry/red grape group compared to placebo with the largest increase in p-coumaric acid with 116%; from 2.2 [1.0,5.5] to 4.7 [2.8,8.1] μM/L (median [95% CL]). Conclusions The results indicate that a nine-week bilberry/red grape juice intervention has no measurable effects on the selected memory scores in aged men experiencing memory problems but decreases the level of biomarkers of inflammation and tissue damage. Whether the dampening effects on inflammation and tissue damage biomarkers have relevance for neuroinflammatory brain pathology remains to be established. Trial registration Registration number (ClinicalTrials.gov: NCT00972972), September 9, 2009.

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The Anterior-posterior Functional Connectivity Disconnection in the Elderly with Subjective Memory Impairment and Amnestic Mild Cognitive Impairment

Current Alzheimer Research ◽

10.2174/1567205017666200525015017 ◽

2020 ◽

Vol 17 (4) ◽

pp. 373-381

Author(s):

Wuhai Tao ◽

Jinping Sun ◽

Xin Li ◽

Wen Shao ◽

Jing Pei ◽

...

Keyword(s):

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Functional Connectivity ◽

Memory Impairment ◽

Amnestic Mild Cognitive Impairment ◽

Magnetic Resonance Imaging Scan ◽

Subjective Memory ◽

Long Distance ◽

Whole Brain ◽

Subjective Memory Impairment

Background: Subjective Memory Impairment (SMI) may tremendously increase the risk of Alzheimer’s Disease (AD). The full understanding of the neuromechanism of SMI will shed light on the early intervention of AD. Methods: In the current study, 23 Healthy Controls (HC), 22 SMI subjects and 24 amnestic Mild Cognitive Impairment (aMCI) subjects underwent the comprehensive neuropsychological assessment and the resting-state functional magnetic resonance imaging scan. The difference in the connectivity of the Default Mode Network (DMN) and Functional Connectivity (FC) from the Region of Interest (ROI) to the whole brain were compared, respectively. Results: The results showed that HC and SMI subjects had significantly higher connectivity in the region of the precuneus area compared to aMCI subjects. However, from this region to the whole brain, SMI and aMCI subjects had significant FC decrease in the right anterior cingulum, left superior frontal and left medial superior frontal gyrus compared to HC. In addition, this FC change was significantly correlated with the cognitive function decline in participants. Conclusion: Our study indicated that SMI subjects had relatively intact DMN connectivity but impaired FC between the anterior and posterior brain. The findings suggest that long-distance FC is more vulnerable than the short ones in the people with SMI.

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Parental dementia and subjective memory impairment in the health and retirement study

Aging & Mental Health ◽

10.1080/13607863.2021.1910790 ◽

2021 ◽

pp. 1-9

Author(s):

Tyler R. Bell ◽

Nikki L. Hill ◽

Sakshi Bhargava ◽

Jacqueline Mogle

Keyword(s):

Memory Impairment ◽

Health And Retirement Study ◽

Subjective Memory ◽

Subjective Memory Impairment ◽

Retirement Study

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Long-term subjective memory after electroconvulsive therapy

BJPsych Open ◽

10.1192/bjo.2020.9 ◽

2020 ◽

Vol 6 (2) ◽

Cited By ~ 6

Author(s):

Robert Sigström ◽

Axel Nordenskjöld ◽

Anders Juréus ◽

Caitlin Clements ◽

Erik Joas ◽

...

Keyword(s):

Electroconvulsive Therapy ◽

Memory Impairment ◽

Rating Scale ◽

Final Analysis ◽

Negative Effects ◽

Subjective Memory ◽

Subjective Memory Impairment ◽

Negative Effect ◽

Negative Expectations

Background There have been reports of long-term subjective memory worsening after electroconvulsive therapy (ECT). Aims To study the prevalence and risk factors of long-term subjective memory worsening among patients receiving ECT in routine clinical practice. Method Patients (n = 535, of whom 277 were included in the final analysis) were recruited from eight Swedish hospitals. Participants' subjective memory impairment was assessed before ECT and a median of 73 days after ECT using the memory item from the Comprehensive Psychopathological Rating Scale. Participants also rated their pre-ECT expectations and post-ECT evaluations of the effect of ECT on memory on a 7-point scale. We used ordinal regression to identify variables associated with subjective memory worsening and negative evaluations of the effect of ECT on memory. Results Comparisons of pre- and post-ECT assessments showed that subjective memory worsened in 16.2% of participants, remained unchanged in 52.3% and improved in 31.4%. By contrast, when asked to evaluate the effect of ECT on memory after treatment 54.6% reported a negative effect. Subjective memory worsening was associated with negative expectations before ECT, younger age and shorter duration of follow-up. Conclusions Although subjective memory improved more often than it worsened when assessed before and after ECT, a majority of patients reported that ECT had negative effects on their memory when retrospectively asked how ECT had affected it. This might suggest that some patients attribute pre-existing subjective memory impairment to ECT. Clinicians should be aware that negative expectations are associated with subjective worsening of memory after ECT.

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Comparison of Flow Injection-MS/MS and LC-MS/MS for the Determination of Ochratoxin A

Toxins ◽

10.3390/toxins13080547 ◽

2021 ◽

Vol 13 (8) ◽

pp. 547

Author(s):

Kai Zhang

Keyword(s):

Ochratoxin A ◽

Flow Injection ◽

Internal Standard ◽

Grape Juice ◽

Tandem Mass ◽

Triple Quadrupole ◽

On Line ◽

Red Grape Juice ◽

Red Grape

Two methods for measuring ochratoxin A in corn, oat, and grape juice were developed and compared. Flow injection (FI) and on-line liquid chromatography (LC) performances were evaluated separately, with both methods using a triple quadrupole tandem mass spectrometer (MS/MS) for quantitation. Samples were fortified with 13C uniformly labeled ochratoxin A as the internal standard (13C-IS) and prepared by dilution and filtration, followed by FI- and LC-MS/MS analysis. For the LC-MS/MS method, which had a 10 min run time/sample, recoveries of ochratoxin A fortified at 1, 5, 20, and 100 ppb in corn, oat, red grape juice, and white grape juice ranged from 100% to 117% with RSDs < 9%. The analysis time of the FI-MS/MS method was <60 s/sample, however, the method could not detect ochratoxin A at the lowest fortification concentration, 1 ppb, in all tested matrix sources. At 5, 20, and 100 ppb, recoveries by FI-MS/MS ranged from 79 to 117% with RSDs < 15%. The FI-MS/MS method also had ~5× higher solvent and matrix-dependent instrument detection limits (0.12–0.35 ppb) compared to the LC-MS/MS method (0.02–0.06 ppb). In the analysis of incurred corn and oat samples, both methods generated comparable results within ±20% of reference values, however, the FI-MS/MS method failed to determine ochratoxin A in two incurred wheat flour samples due to co-eluted interferences due to the lack of chromatographic separation.

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The Effect of Pulse Width on Subjective Memory Impairment and Remission Rate 6 Months After Electroconvulsive Therapy

Journal of Ect ◽

10.1097/yct.0000000000000697 ◽

2020 ◽

Vol 36 (4) ◽

pp. 272-278

Author(s):

Elsa Tornhamre ◽

Carl Johan Ekman ◽

Åsa Hammar ◽

Mikael Landen ◽

Johan Lundberg ◽

...

Keyword(s):

Electroconvulsive Therapy ◽

Pulse Width ◽

Memory Impairment ◽

Remission Rate ◽

Subjective Memory ◽

Subjective Memory Impairment

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Red Grape Juice Inhibits Iron Availability: Application of an in Vitro Digestion/Caco-2 Cell Model

Journal of Agricultural and Food Chemistry ◽

10.1021/jf025832q ◽

2002 ◽

Vol 50 (23) ◽

pp. 6935-6938 ◽

Cited By ~ 34

Author(s):

Francesca Boato ◽

Gary M. Wortley ◽

Rui Hai Liu ◽

Raymond P. Glahn

Keyword(s):

Cell Model ◽

Grape Juice ◽

In Vitro Digestion ◽

Iron Availability ◽

Red Grape Juice ◽

Red Grape

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Effects of red grape juice polyphenols in NADPH oxidase subunit expression in human neutrophils and mononuclear blood cells

British Journal Of Nutrition ◽

10.1017/s0007114509382148 ◽

2009 ◽

Vol 102 (8) ◽

pp. 1125-1135 ◽

Cited By ~ 30

Author(s):

Alberto Dávalos ◽

Gema de la Peña ◽

Carolina C. Sánchez-Martín ◽

M. Teresa Guerra ◽

Begoña Bartolomé ◽

...

Keyword(s):

Nadph Oxidase ◽

Red Wine ◽

Grape Juice ◽

Cell Types ◽

Human Neutrophils ◽

Superoxide Anion Production ◽

Oxidase Subunit ◽

Subunit Expression ◽

Red Grape Juice ◽

Red Grape

The NADPH oxidase enzyme system is the main source of superoxide anions in phagocytic and vascular cells. NADPH oxidase-dependent superoxide generation has been found to be abnormally enhanced in several chronic diseases. Evidence is accumulating that polyphenols may have the potential to improve cardiovascular health, although the mechanism is not fully established. Consumption of concentrated red grape juice, rich in polyphenols, has been recently shown to reduce NADPH oxidase activity in circulating neutrophils from human subjects. In the present work we studied whether red grape juice polyphenols affected NADPH oxidase subunit expression at the transcription level. For this, we used human neutrophils and mononuclear cells from peripheral blood, HL-60-derived neutrophils and the endothelial cell line EA.hy926.Superoxide production was measured with 2′7′-dichlorofluorescein diacetate or lucigenin, mRNA expression by real-time RT-PCR and protein expression by Western blot. Each experiment was performed at least three times. In all cell types tested, red grape juice, dealcoholised red wine and pure polyphenols decreased superoxide anion production. Red grape juice and dealcoholised red wine selectively reduced p47phox, p22phox and gp91phox expression at both mRNA and protein levels, without affecting the expression of p67phox. Pure polyphenols, particularly quercetin, also reduced NADPH oxidase subunit expression, especially p47phox, in all cell types tested. The present results showing that red grape juice polyphenols reduce superoxide anion production provide an alternative mechanism by which consumption of grape derivatives may account for a reduction of oxidative stress associated with cardiovascular and/or inflammatory diseases related to NADPH oxidase superoxide overproduction.

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SCREENING FOR DEMENTIA: IS 1 SIMPLE QUESTION THE ANSWER?

Journal of Neurology Neurosurgery & Psychiatry ◽

10.1136/jnnp-2015-312379.60 ◽

2015 ◽

Vol 86 (11) ◽

pp. e4.152-e4

Author(s):

Baba Aji ◽

Andrew Larner

Keyword(s):

Memory Impairment ◽

Seizure Type ◽

Subjective Memory ◽

Subjective Memory Impairment ◽

The Past ◽

Dementia Screening ◽

Memory Problems ◽

Simple Question ◽

Screening Question

ObjectiveTo examine the diagnostic utility of the dementia screening question from the DoH Dementia CQUIN document (2012) in consecutive patients in a dedicated epilepsy clinic, individuals in whom memory complaints are common.Results100 consecutive outpatients (M:F=61:39, median age 44.5 years) were asked ‘Have you been more forgetful in the past 12 months to the extent that it has significantly affected your life?’, as advocated in the Dementia CQUIN document. There was a 48% yes response. No patient was adjudged to have dementia. Comparing the yes/no groups, there was no difference in sex ratio, age, seizure type, or use of antiepileptic drugs (monotherapy versus polytherapy). Those answering yes were more likely to be follow-up than new patients. Intergroup difference in epilepsy duration showed a trend to longer duration in the yes group. The most common examples of memory problems volunteered were forgetting to attend appointments, take medications, or switch off appliances, suggestive of attentional rather than mnestic problems.ConclusionsThese data suggest that the Dementia CQUIN screening question has very low specificity, and hence will identify many false positives, with risk of overdiagnosis of dementia in individuals with purely subjective memory impairment.

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