A Meta-Analysis of C-Reactive Protein in Patients with Alzheimer's Disease

  • Changguo Gong
  • , Daixin Wei
  • , Ying Wang
  • , Ji Ma
  • , Chonggang Yuan
  • , Wei Zhang*
  • , Guohua Yu
  • , Yulan Zhao
  • *Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

45 Scopus citations

Abstract

Inflammation may be associated with Alzheimer's disease (AD). This meta-analysis aimed to compare the level of C-reactive protein (CRP) in patients having AD to healthy controls. A total of 10 cross-sectional studies (n = 2093) were identified from PubMed and EMBASE after systematic searching and evaluation. The combined standardized mean difference (SMD) of CRP level between the disease and control group was analyzed. In the meta-analysis, there was no significant difference in serum between the CRP level of patients with AD and that of healthy controls (SMD: -0.400, 95% confidence interval [CI]: -0.827 to 0.027, P =.066). However, when we stratified the studies by Mini-Mental State Examination (MMSE) scores, the level of CRP in the mild and moderate dementia subgroup (MMSE ≥ 10) was significantly lower than that in the control group (SMD: -0.582, 95% CI: -0.957 to -0.208, P =.002). Therefore, the diagnostic value of CRP for mild and moderate AD may be useful in clinical practice.

Original languageEnglish
Pages (from-to)194-200
Number of pages7
JournalAmerican Journal of Alzheimer's Disease and other Dementias
Volume31
Issue number3
DOIs
StatePublished - May 2016

Keywords

  • Alzheimer's disease
  • C-reactive protein
  • MMSE
  • SMD
  • meta-analysis

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