Little is known about the role of
antioxidant activity in the pathogenesis of
stroke-associated neuronal damage and impairment following a
stroke. Increased
free radical formation together with reduced
antioxidant defense may increase neuronal injury. A low concentration of
antioxidants such as
alpha-tocopherol may influence the development of post-
stroke dementia. The aim of this study was to evaluate the level of
alpha-tocopherol and susceptibility of
LDL to oxidation in a group of patients with
dementia in comparison to controls. In a group of 68 patients with
dementia, according to DSM-IV criteria, 42 with
vascular dementia (VaD), 26 with Alzheimer type of
dementia (AD) and 46 age-matched persons, with no signs of
cognitive disorders (control group), we measured
lipids,
alpha-tocopherol and the kinetics of
LDL oxidation. The levels of
triglycerides (TG) and
low-density lipoprotein (
LDL) were significantly lower in patients with VaD in comparison to AD patients, but the atherogenic index was similar in both groups.
alpha-Tocopherol was significantly lower in patients with VaD in comparison to patients with AD and controls: 9.9, 12.6 and 12.6 ng/ml, respectively, p<0.0001. Susceptibility of
LDL to oxidation, measured by duration of lag phase did not reveal statistically significant differences between the groups. In patients with VaD, low levels of plasma
alpha-tocopherol were observed, which indicate a reduced
antioxidant defense in these subjects.