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Review ArticleSystematic Review
Open Access

A meta-analysis of cerebrospinal fluid visinin-like protein-1 in alzheimer’s disease patients relative to healthy controls and mild cognitive impairment patients

Xiaohui Hu, Yan Yang and Daokai Gong
Neurosciences Journal April 2017, 22 (2) 94-101; DOI: https://doi.org/10.17712/nsj.2017.2.20160557
Xiaohui Hu
From the Department of Neurology (Hu, Gong), Jingzhou Central Hospital, Jingzhou Clinical Medical College, Yangtze University, Jingzhou, and from Hubei College of Chinese Medicine (Yang), Hubei Province, China
MM
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Yan Yang
From the Department of Neurology (Hu, Gong), Jingzhou Central Hospital, Jingzhou Clinical Medical College, Yangtze University, Jingzhou, and from Hubei College of Chinese Medicine (Yang), Hubei Province, China
MM
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Daokai Gong
From the Department of Neurology (Hu, Gong), Jingzhou Central Hospital, Jingzhou Clinical Medical College, Yangtze University, Jingzhou, and from Hubei College of Chinese Medicine (Yang), Hubei Province, China
MM
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  • For correspondence: [email protected]
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    Figure 1

    - The literature search strategy and 7 original studies were selected from the databases of “PubMed”,“Springer”, and “Medline” according to the inclusion and exclusion criteria

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    Figure 2

    - The cerebrospinal fluid VLP-1 levels in AD patients are higher than that in non-AD participants including cont and MCI patients. VLP-1 - visinin-like protein-1, AD - alzheimer’s disease, cont - healthy control, MCI - mild cognitive impairment

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    Figure 3

    - The publication bias of included studies when comparing the cerebrospinal fluid visinin-like protein-1levels in alzheimer’s disease patients with that in healthy controls and MCI patients. MCI - mild cognitive impairment (MCI), SMD - standard mean difference, SE - standard error, MCI - mild cognitive impairment

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    Figure 4

    - Meta-regression on increasing cerebrospinal fluid (CSF) visinin-like protein-1(VLP-1) in alzheimer’s disease (AD) patients relative to healthy controls and mild cognitive impairment (MCI) patients. A) Separate meta-regressions of mean age, B) and mini-mental state examination(MMSE) of AD patients, C) as well as standard mean differences (Std.MD) of MMSE, D) total tau (T-tau), E) phosphorylated tau (P-tau), F) amyloid beta 42 (Ab42) in AD patients relative to healthy controls and MCI patients on Hedges’s g comparing the CSF VLP-1 levels in AD patients with that in healthy controls and MCI patients were performed

Tables

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    Table 1

    The general characteristics of involved studies.

    Author YearNationMean ageMean MMSE scoresNon-AD groupsCSF VLP-1 (ng/ml)Sample Tec.Number
    ADNon-ADADNon-ADADNon-ADADNon-AD
    Tarawneh 201511USA73.6(8.7)72.1(3.3)26(3.7)29(0.8)Healthy549(177.6)396(66)MBI2364
    Mroczko 201612PolandNRNR18(5.6)29(1.5)Healthy107(63.7)41(60)ELISA3318
    Mroczko 201612PolandNRNR18(5.6)26(3.2)MCI107(63.7)70(25.7)ELISA3315
    Kester 201517Netherlands65(4.8)64(9.6)22(3.4)28(1.5)Healthy182(48.8)168(53.7)MBI6537
    Kester 201517Netherlands65(4.8)68(4.8)22(3.4)27(1.5)MCI182(56)192(73)MBI6561
    Babić Leko201613Croatia72(8.2)50(9.8)20.1(4.6)27.7(1.7)Healthy147.9(84.8)65.5(49.3)ELISA1099
    Babić Leko201613Croatia72(8.2)68(9.8)20.1(4.6)24.9(2.9)MCI147.9(84.8)98.7(80.3)ELISA10943
    Luo 201314China68.1(7.6)65.1(6)12.1(3.9)26.3(3.2)Healthy72.1(21.2)43(9.5)ELISA6140
    Tarawneh 201115USA74.9(8.1)72.1(7.1)25.3(3.8)28.9(1.3)Healthy520(117)396(149)MBI98211
    Lee 200816USA67(6.8)68.5(4.9)23(4.1)29.8(0.4)Healthy368(129)245(113)ELISA3324
    • Data were showed as mean (SD). MMSE - mini-mental state examination, AD - alzheimer’s disease, CSF - cerebrospinal fluid, VLP-1 - visinin-like protein 1, Tec - technique, MBI - microparticle-based immunoassay, ELISA - enzyme-linked immunosorbent assays, MCI - mild cognitive impairment, NR - not reported

    • View popup
    Table 2

    Meta-analysis of cerebrospinal fluid Visinin-like protein 1 levels in AD patients relative to healthy controls and MCI patients.

    FactorsNumber of groupsweighted std.MDHeterogeneity
    Effect size95% CIp-valueI2(%)p-value
    VLP-1100.810.47,1.16<0.00001840.00001
    Ab4210-0.97-1.34,-0.60<0.00001740.00001
    T-tau101.220.80,1.65<0.00001880.00001
    P-tau101.230.86,1.59<0.00001830.00001
    MMSE scores10-1.94-2.34,-1.53<0.00001850.00001
    Age80.37-0.07,0.810.10900.00001
    • Std.MD - standard mean differences, CSF - cerebrospinal fluid, Aβ42-amyloid beta42, T-tau - total tau, P-tau - phosphorylated tau, MMSE - mean mini-mental state examination scores, and mean age in alzheimer’s disease (AD) patients comparing with those in healthy controls and mild cognitive impairment (MCI) patients were calculated by inverse variance weighted model in turns

    • View popup
    Table 3

    Sensitivity analysis of the cerebrospinal fluid Visinin-like protein-1 (VLP-1) in Alzheimer’s disease patients relative to healthy controls and mild cognitive impairment patients.

    Including conditionNumber of groupsWeighted standard mean differenceHeterogeneity
    Effect size95% CIPI2P
    Population variants
    Netherlands20.03-0.24, 0.290.8359%0.12
    USA30.990.78, 1.19<0.0000139%0.19
    Croatia20.670.35,0.99<0.00012%0.31
    Poland20.860.42,1.290.00010%0.40
    China11.651.18,2.11<0.00001NANA
    Sample tec.
    ELISA60.990.63,1.34<0.0000163%0.02
    MBI40.59-0.03,1.210.0691%<0.00001
    Type of cont. group
    Healthy control71.020.68,1.36<0.0000174%0.0008
    MCI control30.34-0.22,0.890.2380%0.006
    Standard mean difference of MMSE scores
    -1 to -260.710.27,1.150.00285%<0.00001
    -2 to -330.730.20,1.260.000768%0.04
    More than -311.651.18,2.11<0.00001NANA
    Fixed-effect model100.730.60,0.87<0.0000184%<0.00001
    • Sensitivity analysis had been carried out by subgroup analyses according to the including conditions which were the population variants, detection technique to VLP-1, standard mean difference (Std.MD) of Mini-Mental State Examination (MMSE) scores comparing AD with controls, and the fixed effect model in turns. NA - Not Applicable. MBI - Microparticle-based immunoassay, ELISA - Enzyme-linked immunosorbent assays.

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Neurosciences Journal: 22 (2)
Neurosciences Journal
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A meta-analysis of cerebrospinal fluid visinin-like protein-1 in alzheimer’s disease patients relative to healthy controls and mild cognitive impairment patients
Xiaohui Hu, Yan Yang, Daokai Gong
Neurosciences Journal Apr 2017, 22 (2) 94-101; DOI: 10.17712/nsj.2017.2.20160557

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A meta-analysis of cerebrospinal fluid visinin-like protein-1 in alzheimer’s disease patients relative to healthy controls and mild cognitive impairment patients
Xiaohui Hu, Yan Yang, Daokai Gong
Neurosciences Journal Apr 2017, 22 (2) 94-101; DOI: 10.17712/nsj.2017.2.20160557
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