JAMA Neurology,
Journal Year:
2015,
Volume and Issue:
72(5), P. 511 - 511
Published: March 16, 2015
Typical
cognitive
aging
may
be
defined
as
age-associated
changes
in
performance
individuals
who
remain
free
of
dementia.
Ideally,
the
full
adult
age
spectrum
should
included
to
assess
brain
imaging
findings
associated
with
typical
aging.To
compare
age,
sex,
and
APOE
ε4
effects
on
memory,
structure
(adjusted
hippocampal
volume
[HVa]),
amyloid
positron
emission
tomography
(PET)
cognitively
normal
aged
30
95
years
old.Cross-sectional
observational
study
(March
2006
October
2014)
at
an
academic
medical
center.
We
studied
1246
individuals,
including
1209
participants
50
old
enrolled
a
population-based
37
self-selected
volunteers
49
old.Memory,
HVa,
PET.Overall,
memory
worsened
from
through
90s.
The
HVa
gradually
mid-60s
more
steeply
beyond
that
age.
median
PET
was
low
until
70
increased
thereafter.
Memory
worse
men
than
women
overall
(P
<
.001)
specifically
40
years.
lower
60
There
no
sex
difference
any
Within
each
were
not
different
by
status
From
onward,
carriers
had
significantly
greater
noncarriers.
However,
ages
which
10%
population
positive
57
for
64
noncarriers.Male
is
among
while
not.
In
contrast,
(from
onward),
Worsening
occur
earlier
abnormal
PET.
Therefore,
neuropathological
processes
other
β-amyloidosis
must
underlie
declines
function
middle
Our
are
consistent
model
late-onset
Alzheimer
disease
arises
later
life
background
preexisting
structural
decline
β-amyloid
deposits.
PLoS ONE,
Journal Year:
2015,
Volume and Issue:
10(10), P. e0139233 - e0139233
Published: Oct. 1, 2015
To
assess
the
value
of
exosomal
miRNAs
as
biomarkers
for
Alzheimer
disease
(AD),
expression
microRNAs
was
measured
in
a
plasma
fraction
enriched
exosomes
by
differential
centrifugation,
using
Illumina
deep
sequencing.
Samples
from
35
persons
with
clinical
diagnosis
AD
dementia
were
compared
to
age
and
sex
matched
controls.
Although
these
samples
contained
less
than
0.1
microgram
total
RNA,
sequencing
gave
reliable
informative
results.
Twenty
showed
significant
differences
group
initial
screening
(miR-23b-3p,
miR-24-3p,
miR-29b-3p,
miR-125b-5p,
miR-138-5p,
miR-139-5p,
miR-141-3p,
miR-150-5p,
miR-152-3p,
miR-185-5p,
miR-338-3p,
miR-342-3p,
miR-342-5p,
miR-548at-5p,
miR-659-5p,
miR-3065-5p,
miR-3613-3p,
miR-3916,
miR-4772-3p,
miR-5001-3p),
many
which
satisfied
additional
biological
statistical
criteria,
among
panel
seven
highly
machine
learning
model
predicting
status
individual
83–89%
accuracy.
This
performance
is
not
due
over-fitting,
because
a)
we
used
separate
training
testing,
b)
similar
achieved
when
tested
on
technical
replicate
data.
Perhaps
most
interesting
single
miRNA
expressed
at
about
60%
control
levels,
correlated
several
other
that
significantly
down-regulated
AD,
c)
also
reported
be
two
previous
studies.
The
findings
warrant
replication
follow-up
larger
cohort
patients
controls
who
have
been
carefully
characterized
terms
cognitive
imaging
data,
(e.g.,
CSF
amyloid
tau
levels)
risk
factors
apoE4
status),
are
sampled
repeatedly
over
time.
Integrating
data
likely
provide
robust
disease.
Signal Transduction and Targeted Therapy,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: June 30, 2023
Abstract
Amyloid
β
protein
(Aβ)
is
the
main
component
of
neuritic
plaques
in
Alzheimer’s
disease
(AD),
and
its
accumulation
has
been
considered
as
molecular
driver
pathogenesis
progression.
Aβ
prime
target
for
development
AD
therapy.
However,
repeated
failures
Aβ-targeted
clinical
trials
have
cast
considerable
doubt
on
amyloid
cascade
hypothesis
whether
drug
followed
correct
course.
recent
successes
targeted
assuaged
those
doubts.
In
this
review,
we
discussed
evolution
over
last
30
years
summarized
application
diagnosis
modification.
particular,
extensively
pitfalls,
promises
important
unanswered
questions
regarding
current
anti-Aβ
therapy,
well
strategies
further
study
more
feasible
approaches
optimization
prevention
treatment.
JAMA Neurology,
Journal Year:
2015,
Volume and Issue:
72(5), P. 511 - 511
Published: March 16, 2015
Typical
cognitive
aging
may
be
defined
as
age-associated
changes
in
performance
individuals
who
remain
free
of
dementia.
Ideally,
the
full
adult
age
spectrum
should
included
to
assess
brain
imaging
findings
associated
with
typical
aging.To
compare
age,
sex,
and
APOE
ε4
effects
on
memory,
structure
(adjusted
hippocampal
volume
[HVa]),
amyloid
positron
emission
tomography
(PET)
cognitively
normal
aged
30
95
years
old.Cross-sectional
observational
study
(March
2006
October
2014)
at
an
academic
medical
center.
We
studied
1246
individuals,
including
1209
participants
50
old
enrolled
a
population-based
37
self-selected
volunteers
49
old.Memory,
HVa,
PET.Overall,
memory
worsened
from
through
90s.
The
HVa
gradually
mid-60s
more
steeply
beyond
that
age.
median
PET
was
low
until
70
increased
thereafter.
Memory
worse
men
than
women
overall
(P
<
.001)
specifically
40
years.
lower
60
There
no
sex
difference
any
Within
each
were
not
different
by
status
From
onward,
carriers
had
significantly
greater
noncarriers.
However,
ages
which
10%
population
positive
57
for
64
noncarriers.Male
is
among
while
not.
In
contrast,
(from
onward),
Worsening
occur
earlier
abnormal
PET.
Therefore,
neuropathological
processes
other
β-amyloidosis
must
underlie
declines
function
middle
Our
are
consistent
model
late-onset
Alzheimer
disease
arises
later
life
background
preexisting
structural
decline
β-amyloid
deposits.