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Associations of equol-producing status with white matter lesion and amyloid-β deposition in cognitively normal elderly Japanese.


ABSTRACT:

Introduction

Equol, a metabolite of a soy isoflavone transformed by the gut microbiome, is anti-oxidant and anti-amyloidogenic. We assessed the associations of equol with white matter lesion normalized to total brain volume (WML%) and amyloid beta (Aβ) deposition.

Methods

From 2016 to 2018, 91 cognitively normal elderly Japanese aged 75 to 89 underwent brain magnetic resonance imaging and positron emission tomography using 11C-Pittsburgh compound-B. Serum equol was measured using stored samples from 2008 to 2012. Equol producers were defined as individuals with serum levels >0. Producers were further divided into high (> the median) and low (≤ the median) producers.

Results

The median (interquartile range) WML% was 1.10 (0.59 to 1.61); 24.2% were Aβ positive, and 51% were equol producers. Equol-producing status (non-producers, low and high) was significantly inversely associated with WML%: 1.19, 0.89, and 0.58, respectively (trend P < .01). Equol-producing status was not associated with Aβ status.

Discussion

A randomized-controlled trial of equol targeting WML volume is warranted.

SUBMITTER: Sekikawa A 

PROVIDER: S-EPMC7580022 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Publications

Associations of equol-producing status with white matter lesion and amyloid-β deposition in cognitively normal elderly Japanese.

Sekikawa Akira A   Higashiyama Aya A   Lopresti Brian J BJ   Ihara Masafumi M   Aizenstein Howard H   Watanabe Makoto M   Chang Yuefang Y   Kakuta Chikage C   Yu Zheming Z   Mathis Chester C   Kokubo Yoshihioro Y   Klunk William W   Lopez Oscar L OL   Kuller Lewis H LH   Miyamoto Yoshihiro Y   Cui Chendi C  

Alzheimer's & dementia (New York, N. Y.) 20201022 1


<h4>Introduction</h4>Equol, a metabolite of a soy isoflavone transformed by the gut microbiome, is anti-oxidant and anti-amyloidogenic. We assessed the associations of equol with white matter lesion normalized to total brain volume (WML%) and amyloid beta (Aβ) deposition.<h4>Methods</h4>From 2016 to 2018, 91 cognitively normal elderly Japanese aged 75 to 89 underwent brain magnetic resonance imaging and positron emission tomography using <sup>11</sup>C-Pittsburgh compound-B. Serum equol was meas  ...[more]

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