Alzheimer's Disease Biomarkers in Cerebrospinal Fluid in Insulin-resistant Men (ADDM)

Type 2 diabetes mellitus has been associated with an approximately 2-fold increase in risk of Alzheimer's disease (AD). Patients with AD have been reported to have reduced insulin sensitivity, and to have insulin concentrations that are elevated in plasma and decreased in cerebrospinal fluid (CSF). Cognitively normal individuals with insulin resistance are thus of interest in our effort to gain an understanding of the antecedents of this problem. It may be hypothesized that, compared to insulin sensitive subjects otherwise similar in general health and body habitus, insulin resistant subjects are more likely to have CSF indicators of incipient Alzheimer pathology, abnormalities in CSF peptides related to insulin signaling and glucose homeostasis, and possibly other metabolites that are associated with a risk of AD.

The objectives are to 1) assess the concentrations of biomarkers of Alzheimer pathology in the CSF of cognitively normal men with and without insulin resistance, and 2) assess the concentrations of other CSF biomarkers of potential relevance to insulin resistance and AD in the CSF of cognitively normal men with and without insulin resistance.

All subjects with eligibility will have had an oral glucose tolerance test performed within the past 3 months that revealed a normal fasting blood level and normal glucose tolerance. In addition, they will have had no history of significant cognitive disorders, no prior diagnosis of diabetes mellitus, and will not be receiving insulin or oral hypoglycemic. Eligibility for inclusion in the insulin-resistant group will be defined by scores on the Matsuda Index; non-insulin resistant controls will have normal values on the Matsuda Index. An effort will be made to ensure that both groups (i.e., those with insulin resistance and those without insulin resistance) will be similar in age, weight, BMI, and Apo E4 genotype (APOE).

All procedures will be performed on a single visit. The subjects will undergo a Mini-Mental Status Examination (MMSE) performed by a qualified examiner. In addition, a blood sample will be obtained for measurements of basic blood chemistry (electrolytes, creatinine, glucose, total protein, and albumin), hematology, thyroid function, metabolic function (e.g. fasting plasma glucose and insulin levels) and for proteomic analysis. The APOE genotype will be determined from the blood samples, if it has not been assessed earlier. A lumbar puncture will be performed to obtain CSF samples that will be used to determine concentrations of biomarkers of AD pathology and to find out new biomarkers that may reflect AD pathology.

All materials will be used according to national ethical guidelines for Good Clinical Practice. Analyses of the CSF for levels of beta-Amyloid biomarkers, total tau and phosphorylated tau will be done using a sandwich ELISA. Descriptive statistics will be provided for each analyte, comparing the 2 groups of subjects.

All participants will provide written informed consent. Blood and CSF samples will be analysed also by collaborators in other European countries. Before analysis and sending data and blood/CSF samples to partners of the project, all clinical information and sample information will be made anonymous (coded data). Personal information, i.e., name and personal identity number, is removed from data/samples, and separate codes are given to them before delivering them to other partners for the purposes of the project. Methods for database maintenance and data delivery will be used that have proved to be functional in previous research projects. A formal description of the different data formats, access routines and tools for basic processing will be created at the start of the project.