Brain, Behavior, & Immunity - Health

Blood marker may link depressive symptoms to cognitive decline

A blood marker of nerve-fiber damage statistically accounted for 18.05% of the link between depressive symptoms and poorer later cognitive performance.

Figure 1 from Brain, Behavior, & Immunity - Health
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Figure 1. Ng et al., CC BY-NC-ND

Our read

Mechanisms
Studied:
Cohort study of 921 Black and White community-dwelling older adults, mean 6.34 years
What changed:
The blood marker accounted for 18.05% of the link between depressive symptoms and poorer later thinking skills
The catch:
The effects of changing the marker on cognition were not measured
In the record:
The 447th paper on NfL with results in people; 961 on record in all.
Why it’s aging research:
It measures an outcome that worsens with age.

Editor of record: Boris Djordjevic · AgingResearch.News

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Among 921 Black and White older adults living in the community, an observational analysis examined depressive symptoms, nerve-fiber damage and later thinking and memory. Participants came from the Chicago Health and Aging Project. Researchers assessed symptoms first and measured neurofilament light chain, a blood marker of nerve-fiber damage, at the next assessment. They assessed cognition across three waves, with a mean interval of 6.34 years.

Statistical models suggested that the marker accounted for part of the association with poorer later cognition, and 10.49% of the association with faster cognitive decline. These findings persisted after excluding people who already had Alzheimer’s disease. However, the overall association between depressive symptoms and faster decline was not statistically significant after adjustment for all included factors.

Why it matters

Late-life depressive symptoms raise questions about how to identify cognitive vulnerability early. The authors suggest that this marker may help assess that risk.

Caveats

Time-ordered observational measurements could not rule out shared underlying causes of depressive symptoms, nerve-fiber damage and poorer cognition. The analysis did not test whether changing the marker would improve cognition.

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