Mechanisms of Impaired Brain Blood Flow With Aging
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 2
- 主要终点
- Change from baseline in internal carotid artery (ICA) diameter after acute infusion of the antioxidant ascorbic acid
研究概览
简要总结
Aging is the primary risk factor for Alzheimer's disease (AD), which is a rapidly growing public health concern. Understanding the mechanisms of normal brain aging may provide insight into the factors linking advancing age to increased risk for AD and thereby lead to new therapeutic targets for preventing or slowing AD progression. Cardiovascular changes, including impaired cerebrovascular function, occur with aging and may increase risk for AD; however, the mechanisms by which cerebrovascular function becomes impaired in older adults are incompletely understood. The overall goal of this project is to examine potential mechanisms of age-related declines in cerebrovascular function in humans. The investigators hypothesize that brain macro-vascular endothelial dysfunction, secondary to oxidative stress, plays an important role in mediating age-related changes in brain blood flow and cerebrovascular reactivity. The results of this pilot study have the potential to identify novel targets of cerebrovascular aging and will help guide the design of future clinical trials aimed at improving cerebral blood flow in older adults.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Basic Science
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 79 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18-29 or 55-79 years old
排除标准
- •Pregnancy or breastfeeding;
- •Blood chemistries indicative of abnormal renal, liver, thyroid and adrenal function (i.e., outside of normal reference range); estimated glomerular filtration rate using the MDRD prediction equation must be >60 ml/min/1.73 m2;
- •Abnormal blood chemistry that is clinically relevant or any blood chemistry marker that is +/-2.5x the upper or lower limit;
- •Lack of a suitable temporal window for cerebrovascular assessments;
- •Current smoking;
- •Chronic clinical diseases (e.g., coronary artery, peripheral artery, or cerebrovascular diseases, diabetes, chronic kidney disease, COPD);
- •Major psychiatric disorder (e.g. Alzheimer's disease or other form of dementia, schizophrenia, bipolar disorder, major depression within past two years);
- •Neurological or autoimmune conditions affecting cognition (e.g. Parkinson's disease, epilepsy, multiple sclerosis, head trauma with loss of consciousness greater than 30 min, large vessel infarct);
- •Current medication use likely to affect CNS functions (e.g. long active benzodiazepines);
- •Having past or present alcohol dependence or abuse, as defined by the American Psychiatry Association, Diagnostic and Statistical Manual of Mental Disorders;
- •Body mass index (BMI) >40 kg/m2 (FMD measurements can be inaccurate in severely obese patients).
结局指标
主要结局
Change from baseline in internal carotid artery (ICA) diameter after acute infusion of the antioxidant ascorbic acid
时间窗: Change from baseline to 30 minutes post-infusion
Cerebrovascular reactivity to hypercapnia
次要结局
- Change from baseline in middle cerebral artery (MCA) diameter after acute infusion of the antioxidant ascorbic acid(Change from baseline to 30 minutes post-infusion)
研究者
Christopher Martens
Assistant Professor
University of Delaware