Impact of Resveratrol on Glucose Control, Hippocampal Structure and Connectivity, and Memory Performance in Patients with Mild Cognitive Impairment

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Externe Organisationen

  • Charité - Universitätsmedizin Berlin
  • Universität Leipzig
  • Goethe-Universität Frankfurt am Main
  • Arztpraxis für Neurologie, Psychiatrie und Psychotherapie Berlin
  • Universität Greifswald
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OriginalspracheEnglisch
Aufsatznummer105
Seiten (von - bis)105
FachzeitschriftFrontiers in neuroscience
Jahrgang11
AusgabenummerMAR
PublikationsstatusVeröffentlicht - 7 März 2017

Abstract

In healthy older adults, resveratrol supplementation has been shown to improve long-term glucose control, resting-state functional connectivity (RSFC) of the hippocampus, and memory function. Here, we aimed to investigate if these beneficial effects extend to individuals at high-risk for dementia, i.e., patients with mild cognitive impairment (MCI). In a randomized, double-blind interventional study, 40 well-characterized patients with MCI (21 females; 50-80 years) completed 26 weeks of resveratrol (200 mg/d; n = 18) or placebo (1,015 mg/d olive oil; n = 22) intake. Serum levels of glucose, glycated hemoglobin A1c and insulin were determined before and after intervention. Moreover, cerebral magnetic resonance imaging (MRI) (3T) (n = 14 vs. 16) was conducted to analyze hippocampus volume, microstructure and RSFC, and neuropsychological testing was conducted to assess learning and memory (primary endpoint) at both time points. In comparison to the control group, resveratrol supplementation resulted in lower glycated hemoglobin A1c concentration with a moderate effect size (ANOVA RM p = 0.059, Cohen's d = 0.66), higher RSFC between right anterior hippocampus and right angular cortex (p < 0.001), and led to a moderate preservation of left anterior hippocampus volume (ANOVA RM p = 0.061, Cohen's d = 0.68). No significant differences in memory performance emerged between groups. This proof-of-concept study indicates for the first-time that resveratrol intake may reduce glycated hemoglobin A1c, preserves hippocampus volume, and improves hippocampus RSFC in at-risk patients for dementia. Larger trials with longer intervention time should now determine if these benefits can be validated and extended to cognitive function.

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Impact of Resveratrol on Glucose Control, Hippocampal Structure and Connectivity, and Memory Performance in Patients with Mild Cognitive Impairment. / Köbe, Theresa; Witte, A. Veronica; Schnelle, Ariane et al.
in: Frontiers in neuroscience, Jahrgang 11, Nr. MAR, 105, 07.03.2017, S. 105.

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

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author = "Theresa K{\"o}be and Witte, {A. Veronica} and Ariane Schnelle and Tesky, {Valentina A} and Johannes Pantel and Jan-Philipp Schuchardt and Andreas Hahn and Jens Bohlken and Ulrike Grittner and Agnes Fl{\"o}el",
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T1 - Impact of Resveratrol on Glucose Control, Hippocampal Structure and Connectivity, and Memory Performance in Patients with Mild Cognitive Impairment

AU - Köbe, Theresa

AU - Witte, A. Veronica

AU - Schnelle, Ariane

AU - Tesky, Valentina A

AU - Pantel, Johannes

AU - Schuchardt, Jan-Philipp

AU - Hahn, Andreas

AU - Bohlken, Jens

AU - Grittner, Ulrike

AU - Flöel, Agnes

N1 - Publisher Copyright: © 2017 Köbe, Witte, Schnelle, Tesky, Pantel, Schuchardt, Hahn, Bohlken, Grittner and Flöel. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.

PY - 2017/3/7

Y1 - 2017/3/7

N2 - In healthy older adults, resveratrol supplementation has been shown to improve long-term glucose control, resting-state functional connectivity (RSFC) of the hippocampus, and memory function. Here, we aimed to investigate if these beneficial effects extend to individuals at high-risk for dementia, i.e., patients with mild cognitive impairment (MCI). In a randomized, double-blind interventional study, 40 well-characterized patients with MCI (21 females; 50-80 years) completed 26 weeks of resveratrol (200 mg/d; n = 18) or placebo (1,015 mg/d olive oil; n = 22) intake. Serum levels of glucose, glycated hemoglobin A1c and insulin were determined before and after intervention. Moreover, cerebral magnetic resonance imaging (MRI) (3T) (n = 14 vs. 16) was conducted to analyze hippocampus volume, microstructure and RSFC, and neuropsychological testing was conducted to assess learning and memory (primary endpoint) at both time points. In comparison to the control group, resveratrol supplementation resulted in lower glycated hemoglobin A1c concentration with a moderate effect size (ANOVA RM p = 0.059, Cohen's d = 0.66), higher RSFC between right anterior hippocampus and right angular cortex (p < 0.001), and led to a moderate preservation of left anterior hippocampus volume (ANOVA RM p = 0.061, Cohen's d = 0.68). No significant differences in memory performance emerged between groups. This proof-of-concept study indicates for the first-time that resveratrol intake may reduce glycated hemoglobin A1c, preserves hippocampus volume, and improves hippocampus RSFC in at-risk patients for dementia. Larger trials with longer intervention time should now determine if these benefits can be validated and extended to cognitive function.

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KW - Memory performance

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