ArticleFrontiers in neurology
Association between circulating biomarkers of one-carbon metabolism and glymphatic system function in cognitive decline of Alzheimer's disease.
Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Special Issue "Molecular Advances in Biomarkers of Central Nervous System Diseases and Disorders".International journal of molecular sciences · 2026Article
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Authors and funding
8 authors.
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Abstract
Introduction: Dysfunction in both one-carbon metabolism (OCM) and the glymphatic system has been implicated in the pathogenesis of Alzheimer's disease (AD). However, the potential interrelationship remains poorly understood. This study aimed to investigate the association between OCM biomarkers and glymphatic function in AD and explore their combined effects on cognition. Methods: A total of 210 participants were enrolled, including 68 with normal cognition (NC), 75 with mild cognitive impairment due to AD (AD-MCI), and 67 with dementia due to AD (AD-D). Circulating OCM biomarkers were measured, including serum folate, vitamin B12, and homocysteine levels. Glymphatic-related function was evaluated using the diffusion tensor imaging-analysis along the perivascular space (DTI-ALPS) index, and comprehensive neuropsychological assessments were performed. Results: Serum folate levels ( Conclusion: Lower serum folate levels and reduced DTI-ALPS index were associated with poorer cognitive performance in AD. Their co-occurrence was linked to worse cognitive outcomes. These findings suggest a potential association between metabolic status and glymphatic function in AD, which requires confirmation in longitudinal studies.
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