RT Journal Article T1 Evaluation of neurotrophic factors and education level as predictors of cognitive decline in alcohol use disorder A1 Requena-Ocaña, Nerea A1 Araos, Pedro A1 Flores, María A1 García-Marchena, Nuria A1 Silva-Peña, Daniel A1 Aranda, Jesús A1 Rivera, Patricia A1 Ruiz, Juan Jesús A1 Serrano, Antonia A1 Pavón, Francisco Javier A1 Suárez, Juan A1 Rodríguez de Fonseca, Fernando K1 Neuroscience K1 Psychology K1 Biomarkers K1 Neurociencias K1 Psicología K1 Biomarcadores AB Cognitive reserve (CR) is the capability of an individual to cope with a brain pathology through compensatory mechanisms developed through cognitive stimulation by mental and physical activity. Recently, it has been suggested that CR has a protective role against the initiation of substance use, substance consumption patterns and cognitive decline and can improve responses to treatment. However, CR has never been linked to cognitive function and neurotrophic factors in the context of alcohol consumption. The present cross-sectional study aims to evaluate the association between CR (evaluated by educational level), cognitive impairment (assessed using a frontal and memory loss assessment battery) and circulating levels of brain-derived neurotrophic factor (BDNF) and neurotrophin-3 (NT-3) in patients with alcohol use disorder (AUD). Our results indicated that lower educational levels were accompanied by earlier onset of alcohol consumption and earlier development of alcohol dependence, as well as impaired frontal cognitive function. They also suggest that CR, NT-3 and BDNF may act as compensatory mechanisms for cognitive decline in the early stages of AUD, but not in later phases. These parameters allow the identification of patients with AUD who are at risk of cognitive deterioration and the implementation of personalized interventions to preserve cognitive function. PB Springer Nature YR 2021 FD 2021-08-02 LK http://hdl.handle.net/10668/3695 UL http://hdl.handle.net/10668/3695 LA en NO Requena-Ocaña N, Araos P, Flores M, García-Marchena N, Silva-Peña D, Aranda J, et al. Evaluation of neurotrophic factors and education level as predictors of cognitive decline in alcohol use disorder. Sci Rep. 2021 Aug 2;11(1):15583 DS RISalud RD Apr 5, 2025