Linking white matter hyperintensities to regional cortical thinning, amyloid deposition, and synaptic density loss in Alzheimer's disease
Junfang Zhang,
No information about this author
Haijuan Chen,
No information about this author
Jie Wang
No information about this author
et al.
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
20(6), P. 3931 - 3942
Published: April 22, 2024
We
investigated
the
association
between
white
matter
hyperintensities
(WMH)
and
regional
cortical
thickness,
amyloid
tau
deposition,
synaptic
density
in
WMH-connected
cortex
using
multimodal
images.
Language: Английский
White matter injury, plasma Alzheimer's disease, and neurodegenerative biomarkers on cognitive decline in community‐dwelling older adults: A 10‐year longitudinal study
Qili Hu,
No information about this author
Xiaowen Zhou,
No information about this author
Zhenxu Xiao
No information about this author
et al.
Alzheimer s & Dementia,
Journal Year:
2025,
Volume and Issue:
21(2)
Published: Feb. 1, 2025
Abstract
INTRODUCTION
This
study
aimed
to
investigate
the
synergistic
impact
of
white
matter
injury,
Alzheimer's
disease,
and
neurodegenerative
pathology
on
long‐term
cognitive
decline
dementia
risk
in
older
adults.
METHODS
We
included
262
dementia‐free
participants
with
baseline
follow‐up
interviews
(2010–2021).
At
baseline,
peak
width
skeletonized
mean
diffusivity
(PSMD)
was
assessed
from
diffusion
tensor
imaging.
Plasma
phosphorylated
tau
217
(p‐tau217)
neurofilament
light
chain
(NfL)
were
measured
using
a
single‐molecule
immune‐array
assay.
Cognitive
function
evaluated
Mini‐Mental
State
Examination
(MMSE)
domain‐specific
tests.
RESULTS
Participants
high‐level
PSMD,
p‐tau217,
NfL
showed
fastest
MMSE
(β
=
−0.30)
highest
incidence
3.54/100
person‐years.
A
combination
model
three
markers
demonstrated
good
predictive
value
for
dementia,
incorporating
age,
sex,
education,
apolipoprotein
E
(area
under
curve
0.93,
95%
confidence
interval
0.86,
0.99).
DISCUSSION
Combining
co‐pathology
may
identify
individuals
high
decline.
Highlights
Peak
correlated
decline,
this
correlation
modified
by
plasma
(p‐tau)217
(NfL).
levels
dementia.
exhibited
incident
over
10‐year
period.
Language: Английский
Longitudinal evidence for a mutually reinforcing relationship between white matter hyperintensities and cortical thickness in cognitively unimpaired older adults
José Bernal,
No information about this author
Inga Menze,
No information about this author
Renat Yakupov
No information about this author
et al.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: July 10, 2024
Abstract
Background
For
over
three
decades,
the
concomitance
of
cortical
neurodegeneration
and
white
matter
hyperintensities
(WMH)
has
sparked
discussions
about
their
coupled
temporal
dynamics.
Longitudinal
studies
supporting
this
hypothesis
remain
nonetheless
scarce.
Methods
In
study,
we
applied
regional
global
bivariate
latent
growth
curve
modelling
(BLGCM)
to
longitudinal
data
from
436
cognitively
unimpaired
participants
(DELCODE
cohort;
median
age
69.70
[IQR
65.44,
74.49]
years;
52.98%
female)
examine
extent
which
WMH
thickness
were
interrelated
a
four-year
period.
Results
Our
findings
three-fold.
First,
at
baseline,
individuals
with
larger
volumes
had
lower
mean
thicknesses
entire
brain.
Second,
who
experienced
steeper
thinning
cingulate
cortices
time
baseline
in
frontal,
parietal,
occipital
lobes.
Third,
thinner
tended
undergo
faster
progression
four
years,
particularly
parietal
Conclusions
study
suggests
that
could
be
mutually
reinforcing
rather
than
parallel,
unrelated
processes,
become
entangled
before
cognitive
deficits
are
detectable.
Trial
Registration
German
Clinical
Trials
Register
(DRKS00007966,
04/05/2015)
Language: Английский
Longitudinal evidence for a mutually reinforcing relationship between white matter hyperintensities and cortical thickness in cognitively unimpaired older adults
José Bernal,
No information about this author
Inga Menze,
No information about this author
Renat Yakupov
No information about this author
et al.
Alzheimer s Research & Therapy,
Journal Year:
2024,
Volume and Issue:
16(1)
Published: Oct. 28, 2024
Language: Английский
Choroid Plexus Free-Water Correlates with Glymphatic function in Alzheimer Disease: The RJNB-D Study
Research Square (Research Square),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 5, 2024
Abstract
The
free
water
imaging
of
choroid
plexus
(CP)
may
improve
the
evaluation
Alzheimer's
disease
(AD).
Our
study
investigated
role
fraction
(FWf)
CP
in
AD
by
including
216
participants
(133
Aβ
+
and
83
Aβ-
controls)
continuously
enrolled
NeuroBank-Dementia
cohort
at
Ruijin
Hospital
(RJNB-D).
At
baseline,
showed
higher
(FWf),
increased
white
matter
hyperintensity
(WMH)
volume,
decreased
diffusion
tensor
image
analysis
perivascular
space
(DTI-ALPS).
In
participants,
DTI-ALPS
mediated
association
between
FWf
periventricular
WMH.
was
associated
with
cortical
Tau
accumulation,
synaptic
loss,
hippocampal
atrophy,
cognitive
performance.
During
follow-up,
faster
than
controls.
findings
suggest
that
elevated
indicate
impaired
glymphatic
function
neurodegeneration,
potentially
serving
as
a
valuable
biomarker
for
progression.
Language: Английский
Periventricular and Deep White Matter Hyperintensity Thresholds in Aging: Exponential Progression, Cognitive Decline, and Neuroanatomic Atrophy
Niraj Kumar Gupta,
No information about this author
Neha Yadav,
No information about this author
Vivek Tiwari
No information about this author
et al.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 4, 2024
Abstract
White
matter
hyperintensities
(WMH),
which
are
brain
lesions
associated
with
cerebral
small
vessel
disease
and
aging,
signify
fiber
loss
pruning.
Analysis
of
T2-FLAIR
MRI
data
from
the
NACC
cohort,
including
cognitively
normal
(CN),
impaired
(CI),
Alzheimer’s
(CI-AD)
subjects,
revealed
that
a
significant
subset
participants,
even
those
classified
as
CN,
harbor
substantial
periventricular
(PVWMH)
deep
white
hyperintensity
(DWMH)
loads,
while
others
displayed
minimal
or
no
PVWMH
DWMH,
across
ages
50-94
years.
In
this
study,
we
quantified
thresholds
progression
kinetics
DWMH
their
impact
on
cognitive
performance
neuroanatomic
changes
in
aging
cohort
(NCN
=
521,
NCI
146,
NCI-AD
319).
Our
findings
explore
loads
global
specific
domains
to
determine
whether
impairments
directly
induced
by
mediated
through
distinct
structures.
PV
higher
CI
CI-AD
subjects
compared
CN
but
not
discriminative
CI-AD.
The
volume
age
indicate
an
exponential
rate
increase,
escalating
approximately
twice
fast
particularly
around
inflection
point
at
61
years
age.
load
presents
increased
probability
occurrence
frontal
horn
occipital
is
diffused
accumulates
significantly
later
than
observed
for
PVWMH.
Multivariate
regression
suggested
effect
(p<0.01)
Trail
making
tests
(TMTs)-A
B
(executive
function),
animal
naming
(semantic
memory),
effects
load.
Indeed,
beyond
threshold
>2.3
mL,
deficits
TMTs
were
without
A
mL
>2.75
attention
&
working
memory
(Digit
Span
Tests),
semantic
memory.
Noticeably,
atrophy
cortex,
nucleus
accumbens,
RMFG,
precentral,
paracentral
gyrus
was
loss.
Furthermore,
mediation
model
employing
volumes
mediator,
predictor
outcome
contributes
TMT-B
precentral
(64%),
accumbens
(39%),
(32%),
rostral
middle
(31%),
lingual
(30%),
each
contributing
proportions,
alongside
direct
effect.
did
emerge
(direct
indirect)
deficits.
Further,
mediations
other
indicative
involvement
Global
cognition
like
MMSE
affected
only
accumulation
(>6
ml).
Highlights
escalates
exponentially
linked
executive
function,
atrophy;
less
impactful.
PVWMH,
affects
decline
via
unique
set
structural
AD
subjects.
Overview
Language: Английский
Choroid Plexus Free-Water Correlates with Glymphatic function and Neurodegeneration in Alzheimer’s Disease
Research Square (Research Square),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 16, 2024
Abstract
Free-water
imaging
of
the
choroid
plexus
(CP)
is
an
index
revealing
components
CP,
which
may
improve
evaluation
Alzheimer's
disease
(AD).
Our
study
evaluated
free
water
fraction
(FWf)
CP
in
216
participants
(133
Aβ+
and
83
Aβ-
controls)
continuously
enrolled
Ruijin
NeuroBank
Disease
Dementia
(RJNB-D)
cohort.
The
ADNI
dataset
was
used
for
external
validation.
Assessments
AD
neurodegeneration
included
Aβ-PET,
Tau-PET,
synaptic
vesicle
glycoprotein
2A-PET
scans,
blood
biomarkers
glial
fibrillary
acidic
protein
(GFAP),
neurofilament
light
chain
(NFL),
neurogranin
(NRGN),
Tumor
Necrosis
Factor-α
(TNF-α).
FWf
diffusion
tensor
image
analysis
along
perivascular
space
(DTI-ALPS)
were
independently
associated
with
Aβ
positivity
both
RJNB-D
datasets.
Within
group,
negative
correlation
between
DTI-ALPS
validated
by
two
Furthermore,
we
observed
a
partial
mediation
effect
periventricular
white
matter
hyperintensity
(pWMH).
Elevated
linked
to
worse
Mini-Mental
State
Examination,
increased
Tau
accumulation,
reduced
density,
elevated
levels
NFL,
GFAP,
NRGN,
TNF-α.
Longitudinally,
faster
than
controls
(time
×
group
interaction
p
=
0.046).
growth
reduction
(ρ
-0.42,
0.006),
rate
surpassed
that
pWMH,
Tau,
GFAP.
Overall,
our
findings
suggest
that
elevated
indicates
impaired
glymphatic
function
neurodegeneration.
Trial
registration
registered
on
ClinicalTrials.gov
(NCT05623124).
Language: Английский
Family history of Alzheimer’s disease, but not APOE, is associated with brain volume in cognitively healthy older adults
Journal of Alzheimer s Disease Reports,
Journal Year:
2024,
Volume and Issue:
8(1), P. 1493 - 1501
Published: March 1, 2024
Background
Dementias,
particularly
Alzheimer's
disease
(AD),
represent
a
global
public
health
concern.
Although
its
exact
cause
remains
unknown,
neuroanatomical
and
cognitive
changes
are
crucial.
Objective
Finding
biomarkers
helping
the
early
diagnosis
of
AD
is
crucial
for
developing
interventions.
Methods
In
sample
402
cognitively
healthy
adults
some
them
with
risk
factors
(family
history
APOE
ε4
carriers),
we
examined
relationship
between
genotype
other
aspects
family
variables
brain
volumetrics
using
magnetic
resonance
imaging
(MRI).
Results
Key
findings
suggest
that
may
be
associated
specific
markers,
such
as
left
hippocampal
size
white
matter
integrity.
However,
no
links
were
observed
performance,
furthermore
additional
analyses
on
showed
significant
differences
in
any
aspect.
Conclusions
This
study
reveals
importance
monitoring
MRI
subjects
AD,
to
assess
volumetric
use
this
information
stratify
participants
future
clinical
trials.
Language: Английский
Non‐APOE variants predominately expressed in smooth muscle cells contribute to the influence of Alzheimer's disease genetic risk on white matter hyperintensities
Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 31, 2024
White
matter
hyperintensity
volumes
(WMHVs)
are
disproportionally
prevalent
in
individuals
with
Alzheimer's
disease
(AD),
potentially
reflecting
neurovascular
injury.
We
quantify
the
association
between
AD
polygenic
risk
score
(AD-PRS)
and
WMHV,
exploring
single-nucleotide
polymorphisms
(SNPs)
that
proximal
to
genes
overexpressed
cerebrovascular
cell
species.
Language: Английский