Metabolic Syndrome Linked To Memory Loss In Older People

Older people with larger waistlines, high blood pressure and other risk factors that make up metabolic syndrome may be at a higher risk for memory loss, according to a study published in the February 2, 2011, online issue of Neurology®, the medical journal of the American Academy of Neurology.

Metabolic syndrome was defined as having three or more of the following risk factors: high blood pressure, excess belly fat, higher than normal triglycerides (a type of fat found in the blood), high blood sugar and low high-density lipoprotein (HDL) cholesterol, or "good" cholesterol. Metabolic syndrome has also been tied to increased risk of heart attack.

For the study, 7,087 people age 65 and older from three French cities were tested for metabolic syndrome. A total of 16 percent of the participants had metabolic syndrome. Participants were given a series of memory and cognitive function tests two and four years later. The tests included a memory test, a test of visual working memory and a test of word fluency.

Researchers found that people who had metabolic syndrome were 20 percent more likely to have cognitive decline on the memory test than those who did not have metabolic syndrome. Those with metabolic syndrome also were 13 percent more likely to have cognitive decline on the visual working memory test compared to those who did not have the syndrome. Specifically, higher triglycerides and low HDL cholesterol were linked to poorer memory scores; diabetes, but not higher fasting blood sugar, was linked to poorer visual working memory and word fluency scores.

"Our study sheds new light on how metabolic syndrome and the individual factors of the disease may affect cognitive health," said study author Christelle Raffaitin, MD, of the French National Institute of Health Research in Bordeaux, France. "Our results suggest that management of metabolic syndrome may help slow down age-related memory loss, or delay the onset of dementia."

The study was conducted under a partnership agreement between the French National Institute of Health Research (INSERM), the University Victor Segalen Bordeaux 2 and Sanofi-Aventis. The 3C Study was supported by the National Fund for Health Insurance for Employees, Directorate General of Health, Mutual General Education, the Institute of Longevity and Aging, Regional Councils of Aquitaine and Bourgogne and the Foundation of France. The Lille Genopole was supported by an unconditional grant from Eisai.

Source:
American Academy of Neurology (AAN)

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The Metabolic Benefits Of Birch Bark Ingredient

An ingredient found in abundance in birch bark appears to have an array of metabolic benefits, according to new studies in animals that are reported in the January issue of Cell Metabolism, a Cell Press publication. In mice, the compound known as betulin lowered cholesterol, helped prevent diet-induced obesity, and improved insulin sensitivity. Betulin-treated mice were also more resistant to developing atherosclerotic plaques in their arteries.

Betulin works by targeting so-called sterol regulatory element-binding proteins (SREBPs), transcription factors that are known to be important for activating the expression of genes involved in the biosynthesis of cholesterol, fatty acids, and triglycerides.

"Our study shows that the SREBP pathway is a good target for several metabolic diseases," said Bao-Liang Song of the Shanghai Institutes for Biological Sciences. "We also identify a leading compound."

In the new study, Song and his colleagues went in search of a compound that might act directly on SREBP. That chemical screen turned up betulin as a top contender. They then confirmed in cells that betulin lowered the activity of genes that are normally switched "on" by SREBP. It also lowered lipid levels within cells.

Song's team then treated mice on a high-fat, Western diet with betulin, the cholesterol-lowering statin known as lovastatin, or a placebo (saline) for 6 weeks. Compared to placebo, both drugs led the mice to gain less weight on the high-fat diet, though by different means. Betulin caused the animals to burn more calories while lovastatin appeared to reduce the amount of lipid taken up from the diet.

Further investigations showed that betulin also lowered lipid levels in blood, liver, and fat tissue. Betulin also made the animals more sensitive to insulin. Mice with a mutation that makes them prone to develop atherosclerosis showed fewer plaques when treated with either lovastatin or betulin.

"Betulin has several major metabolic effects," Song said.

The researchers say that their findings suggest that betulin may have similar or even better effects than lovastatin, a member of the most widely prescribed drug class for treating high cholesterol. For instance, in their studies betulin decreased lipids in liver and fat to a greater extent than lovastatin did. Betulin also improved insulin resistance through its effects on fatty acid and triglyceride synthesis.

Song notes that betulin is a readily available compound and is already in use as a precursor in the manufacture of other drugs.

Although betulin appears to have very low toxicity, he says future studies will need to further investigate the safety of betulin and its metabolic effects. Researchers will also explore the possibility that a derivative of betulin might have even greater potency. "That may be the path forward to move this clinically," Song said.

Source:
Elisabeth Lyons
Cell Press

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