Abstract

Identifying biological correlates of late life cognitive function is important if we are to ascertain biomarkers for, and develop treatments to help reduce, age-related cognitive decline. Here, we investigated the associations between plasma levels of 90 neurology-related proteins (Olink® Proteomics) and general fluid cognitive ability in the Lothian Birth Cohort 1936 (LBC1936, N = 798), Lothian Birth Cohort 1921 (LBC1921, N = 165), and the INTERVAL BioResource (N = 4451). In the LBC1936, 22 of the proteins were significantly associated with general fluid cognitive ability (β between −0.11 and −0.17). MRI-assessed total brain volume partially mediated the association between 10 of these proteins and general fluid cognitive ability. In an age-matched subsample of INTERVAL, effect sizes for the 22 proteins, although smaller, were all in the same direction as in LBC1936. Plasma levels of a number of neurology-related proteins are associated with general fluid cognitive ability in later life, mediated by brain volume in some cases.

Highlights

  • Identifying biological correlates of late life cognitive function is important if we are to ascertain biomarkers for, and develop treatments to help reduce, age-related cognitive decline

  • Global atrophy, grey matter and white matter volumes, white matter microstructure and measures such as white matter hyperintensities (WMH) and perivascular spaces (PVS)—which are markers of cerebral small-vessel disease (SVD)—have been associated with reduced cognitive ability and risk of dementia in both cross-sectional and longitudinal studies[2,3,4,5,6,7]

  • In the Lothian Birth Cohort 1936 (LBC1936) cohort we tested for association with brain volumes, PVS and white matter tract measures derived from quantitative tractography

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Summary

Introduction

Identifying biological correlates of late life cognitive function is important if we are to ascertain biomarkers for, and develop treatments to help reduce, age-related cognitive decline. Plasma levels of a number of neurology-related proteins are associated with general fluid cognitive ability in later life, mediated by brain volume in some cases. Peripheral blood proteins, including inflammatory markers[14,15] and S100β16, have previously been associated with cognitive ability and/or MRI brain measures, but until recently, it has been relatively difficult and cost-prohibitive to measure multiple proteins in large numbers of plasma samples[17], which is what is required if we are to develop biomarkers of cognitive function in later life in an accessible biological sample. We investigated whether any associations between the neurology-related plasma protein levels and general fluid cognitive ability were mediated by structural brain variables. We hypothesised that some of the neurology-related proteins would be associated with general fluid cognitive ability in older individuals, and that some of these associations would be mediated by structural brain variables

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