Alzheimer s & Dementia,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 6, 2024
Abstract
INTRODUCTION
The
U.S.
Study
to
Protect
Brain
Health
Through
Lifestyle
Intervention
Reduce
Risk
(U.S.
POINTER)
is
evaluating
lifestyle
interventions
in
older
adults
at
risk
for
cognitive
decline
and
dementia.
Here
we
characterize
the
baseline
data
set
of
POINTER
Imaging
ancillary
study.
METHODS
Participants
underwent
health
assessments
neuroimaging
with
multimodal
positron
emission
tomography
(PET)
(beta‐amyloid
[Aβ]
tau)
magnetic
resonance
imaging
(MRI).
Framingham
score
(FRS)
was
used
quantify
cardiovascular
disease
(CVD)
risk.
RESULTS
A
total
1052
participants
(31%
from
underrepresented
ethnoracial
groups)
were
enrolled.
Compared
Aβ−,
Aβ+
(29%)
older,
had
higher
apolipoprotein
E
(
APOE
)
ε4
carriage
rate
white
matter
hyperintensity
volume,
greater
temporal
tau.
FRS
related
MRI
measures,
but
not
AD
biomarkers.
tau
independent
effects
on
cognition.
DISCUSSION
In
this
heterogenous,
at‐risk
cohort,
CVD
more
abnormal
brain
structure
poorer
cognition,
representing
a
putative
non‐AD
(Alzheimer's
disease)
pathway
injury
decline.
Highlights
cohort
enriched
poor
collected
unique,
Amyloid
burden
age,
carriage,
measures
progression
Associations
between
amyloid
tau,
relatively
weak
pathology
independently
memory
Brain,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 16, 2025
Abstract
The
APOE4
allele
is
the
strongest
genetic
risk
factor
for
sporadic
Alzheimer’s
disease
(AD).
While
strongly
associated
with
amyloid-beta
(Aβ),
its
relationship
tau
accumulation
less
understood.
Studies
evaluating
role
of
on
showed
conflicting
results,
particularly
regarding
independence
these
associations
from
Aβ
load.
In
this
study,
we
examined
three
independent
longitudinal
cohorts
(BioFINDER-1,
BioFINDER-2
and
WRAP)
in
which
participants
had
cross-sectional
measures
tangles
(tau-PET;
temporal
meta-ROI
entorhinal)
or
soluble
p-tau
(p-tau217),
Aβ-PET
APOE
genotype.
study
included
a
total
1370
cognitively
unimpaired
(CU)
449
mild
cognitive
impairment
(MCI)
subjects,
followed
longitudinally
tau-PET
p-tau217.
carriers
accounted
40.2-50%
cohorts.
Different
linear
regressions
(cross-sectional)
mixed-effect
models
(longitudinal)
as
outcomes
were
fitted
to
test
effect
predictor,
well
combination
baseline
load
(including
interaction).
All
age,
sex
status
covariates.
We
found
no
effects
carriership
insoluble
either
cohort
(BioFINDER-2
WRAP),
both
meta-ROI,
when
was
present
model
(p=0.531-0.949).
alone
best
predictor
accumulation,
interaction
between
tau-PET.
BioFINDER-2,
there
significant
(b=0.166,
p<0.001)
entorhinal
cortex
at
baseline.
However,
not
WRAP
PET.
No
(p=0.683-0.708)
(p=0.188-0.570)
p-tau217
observed
BioFINDER-1
WRAP.
Similarly,
observed.
Mediation
analysis
revealed
that
fully
mediated
most
(46-112%,
p-tau217).
largest
(BioFINDER-2),
looking
groups
by
number
ε4
alleles,
an
homozygotes
levels
over
time
while
only
conclusion,
although
aggregation,
it
seems
be
minimally
changes
given
level
pathology,
confirming
primacy
driving
pathology.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 5, 2025
Physical
activity
(PA)
is
a
protective
factor
against
amyloid-β
(Aβ)
accumulation
in
adults
at
risk
for
Alzheimer's
disease
(AD).
This
association,
however,
may
differ
by
apolipoprotein
E
(
APOE
)
genotype.
work
examines
interactions
between
age,
PA,
and
neuropathology-based
genetic
AD
np
on
Aβ
burden
cortical
regions
sensitive
to
its
accumulation.
Included
were
388
cognitively
unimpaired,
older
(mean
age
±
SD
=
68.10
7.09;
66%
female)
participants
from
the
Wisconsin
Registry
Prevention
(WRAP)
study.
The
cohort
was
enriched
with
both
family
history
of
enrollment
higher
overall
prevalence
ε
4
allele
carriage
than
typically
observed
general
population.
PA
assessed
using
self-reported
questionnaire.
measured
Pittsburg
Compound
B
11
C-PiB)
PET
imaging,
which
allowed
us
derive
volume
corrected
distribution
ratio
(DVR)
maps
nine
bilateral
interest
(ROIs)
global
composite
score.
Linear
regression
models
examined
burden.
Finally,
scores
aggregated
according
estimated
illustrate
differential
effects
active
(weekly
moderate
>
150
minutes)
inactive
individuals.
Three-way
(Age
×
significant
(all
P
's
≤
0.05)
six
ROIs
(the
PPC,
ACC,
mOFC,
SMG,
MTG,
STG).
Models
stratified
showed
greater
levels
age-related
each
these
ROIs,
greatest
high
scores.
Individuals
who
concomitantly
engage
suboptimal
weekly
moderate-intensity
have
These
findings
underscore
how
haplotype
play
intersect
modifying
brain
susceptible
deposition
AD.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 6, 2025
ABSTRACT
INTRODUCTION
Relationships
between
core
Alzheimer’s
disease
(AD)
biomarker
accumulation
and
cognitive
decline
are
well-established
the
literature
generally
suggests
a
favorable
relationship
of
cardiorespiratory
fitness
(CRF)
on
AD
cognition.
Differences
in
risk
status
conversion
or
rates
by
CRF,
their
potential
interactive
relationships
with
remain
largely
unknown.
METHODS
Participants
(N=533;
MeanAGE=65,
70%
female)
from
Wisconsin
Disease
Research
Center
Registry
for
Prevention
underwent
serial
blood
draws,
imaging
assessments
(MeanFollow-up=6.0
years).
PET
amyloid-β
(Aβ)
tau
(T)
plasma
phosphorylated
tau-217
(pTau-217)
were
used
to
determine
(+/-).
Sex-specific
estimated
CRF
(eCRF)
tertiles
created
using
validated
equation.
Kaplan-Meier
survival
curves
Cox-proportional
hazards
models
characterized
becoming
biomarker-positive.
Linear
mixed
effects
associations
baseline
eCRF
whether
modified
decline.
Analyses
stratified
+/-
status.
RESULTS
No
significant
observed
trajectories.
However,
those
high
group
who
also
Aβ-(HR[95%CI]=0.42[0.20,
0.88])
pTau-217-(HR[95%CI]=0.45[0.21,
0.97])
at
had
significantly
lower
There
was
attenuation
detrimental
Aβ
Aβ+/T+.
DISCUSSION
While
did
not
influence
trajectories,
seem
protect
against
biomarker-positive
attenuate
known
deleterious
Alzheimer s & Dementia,
Journal Year:
2025,
Volume and Issue:
21(3)
Published: March 1, 2025
Abstract
INTRODUCTION
Plasma
biomarkers
sensitive
to
Alzheimer's
disease
(AD)
proteinopathy
prior
the
onset
of
dementia
have
significant
implications
for
early
detection.
METHODS
In
304
individuals
without
dementia,
we
investigated
whether
C
2
N
Diagnostics’
mass
spectrometry
(MS)‐based
plasma
(amyloid
beta
42/40,
%phosphorylated
tau
[p‐tau]181,
and
%p‐tau217)
amyloid
probability
scores
(APS,
PrecivityAD
APS2,
PrecivityAD2)
are
associated
with
brain
amyloid,
tau,
or
preclinical
cognitive
decline.
RESULTS
this
cohort
study,
%p‐tau217
APS2
had
high
discriminative
accuracy
(area
under
curve
>
0.93)
identifying
elevated
were
faster
Using
in
a
theoretical
AD
trial
screening
scenario
reduced
positron
emission
tomography
imaging
costs
up
41%
45%,
respectively.
DISCUSSION
These
findings
suggest
that
MS‐based
can
detect
could
aid
candidates
clinical
trials
therapeutic
intervention.
Highlights
differentiated
status
dementia.
(p‐tau)217
Diagnostics
PrecivityAD2
(APS2)
concordant
status.
Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring,
Journal Year:
2025,
Volume and Issue:
17(2)
Published: April 1, 2025
Abstract
INTRODUCTION
We
investigated
whether
a
composite
measure
of
late‐midlife
lifestyle
was
associated
with
(1)
longitudinal
brain
changes
and
(2)
cognitive
when
adjusting
for
these
changes.
METHODS
used
linear
mixed
models
to
examine
the
LIfestyle
BRAin
Health
(LIBRA)
index
in
tau,
white
matter
hyperintensity,
neurodegeneration,
cognition
were
similar
amyloid
positive
(A+;
>
17
Centiloids)
negative
participants.
RESULTS
included
324
individuals
from
Wisconsin
Registry
Alzheimer's
Prevention
(39%
apolipoprotein
E
[
APOE
]
4
carrier,
30%
A+,
prior
baseline
age
67
[50–75]).
The
LIBRA
not
biomarker
trajectories
or
primary
outcome
trajectory.
There
inconsistent
effects
on
secondary
domain‐specific
trajectories.
In
contrast,
tau
neurodegeneration
strongly
DISCUSSION
age‐range
disease‐range
studied,
did
exhibit
meaningful
effect
disease
vascular
accumulation
consistently
Highlights
this
age‐range,
Effects
lifestyle,
if
any,
may
take
more
time
manifest.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 17, 2025
ABSTRACT
Background
While
the
precuneus’
role
in
integrating
diverse
brain
functions
and
its
early
involvement
Alzheimer’s
Disease
(AD)
is
well
established,
differential
impact
of
AD
pathology
on
subregions
poorly
understood.
This
study
aims
to
delineate
vulnerability
these
subdivisions
stages
progression.
Methods
We
conducted
a
resting-state
functional
connectivity
analysis
32
asymptomatic
carriers
PSEN1
E280A
mutation
for
familial
disease
compared
them
25
non-carrier
controls.
Seed-based
was
applied
precuneus
subregions.
Results
Among
carriers,
7Am
subregion
exhibited
most
pronounced
statistical
differences,
consisting
increased
with
entorhinal
cortex,
superior
temporal
gyrus,
insula-operculum,
dorsolateral
prefrontal
somatosensory
areas.
The
POS2
further
significantly
decreased
anterior
insula
cortex.
Higher
MoCA
scores
correlated
within
between
frontoparietal
network
connectivity,
alongside
7Pm,
PCV,
POS2,
medial
lobe.
Additionally,
7m
displayed
higher
regions.
Conclusions
Our
findings
highlight
importance
subregional
uncovering
patterns
that
do
not
exist
when
treated
as
single
region
interest—as
common
neuroimaging
studies.
Notably,
even
preclinical
disease,
changes
are
evident,
supporting
their
potential
biomarkers
These
results
also
point
distinct
during
initial
phases
AD.