Affiliation: | aDepartment of Neurology, L. Sacco Hospital, Via G.B. Grassi 74, I-20157 Milan, Italy bDepartment of Neurological Sciences, University of Milan, Centro Dino Ferrari, Fondazione IRCCS Ospedale Maggiore Policlinico, Via Francesco Sforza 35, I-20122 Milan, Italy cDepartment of Clinical Biochemistry, L. Sacco Hospital, Via G.B. Grassi 74, I-20157, Milan, Italy dAssociazione per la Ricerca Geriatrica e lo Studio della Longevità-AGER, Via P. Rondoni 11, I-20146 Milan, Italy eDepartment of Clinical Sciences, University of Milan, Via G.B. Grassi 74, I-20157 Milan, Italy |
Abstract: | Folic acid is believed to play a role in protection from oxidant stress. Low levels of folic acid had been found in serum from patients with Alzheimer disease (AD). Folate concentration was evaluated in sera from 136 patients with cortical dementia [AD, n = 108; frontotemporal dementia (FTD), n = 28], 57 patients with subcortical dementia [Lewy body disease (LBD), n = 9; corticobasal degeneration (CBD), n = 5; progressive supranuclear palsy (PSP), n = 6; Parkinson disease with dementia (PD-Dem), n = 37], and 76 nondemented, healthy age-matched people. Serum folic acid levels were decreased in patients with AD and FTD as compared with either controls or patients with subcortical dementia (3.60 ± 2.22 and 5.37 ± 2.92 μg/L versus 6.87 ± 3.50 μg/L, respectively; P < 0.01). A tendency towards decreased folate concentration was found in LBD and CBD, but not to a significant extent. The highest proportion of folate-deficient patients was found in CBD, FTD and AD (respectively, 60, 48.2 and 46.3% versus 7.9% in controls; P < 0.001). Folate deficiency characterizes FTD as well as AD. These differences observed among different clinical dementing syndromes may be related to neocortical damage. |