Digital cognitive assessments as low-burden markers for predicting future cognitive decline and tau accumulation across the Alzheimer’s spectrum
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Май 26, 2024
Abstract
Digital
cognitive
assessments,
particularly
those
that
can
be
done
at
home,
present
as
low
burden
biomarkers
for
participants
and
patients
alike,
but
their
effectiveness
in
diagnosis
of
Alzheimer’s
or
predicting
its
trajectory
is
still
unclear.
Here,
we
assessed
what
utility
added
value
these
digital
assessments
provide
identifying
high
risk
decline.
We
analyzed
>500
ADNI
who
underwent
a
brief
assessment
Aβ/tau
PET
scans,
examining
ability
to
distinguish
status
predict
Performance
on
the
were
superior
both
cortical
Aβ
entorhinal
tau
detecting
mild
impairment
future
decline,
with
mnemonic
discrimination
deficits
emerging
most
critical
measure
decline
accumulation.
are
effective
at-risk
individuals,
supporting
low-burden
tools
early
detection
monitoring.
Язык: Английский
Integrating Plasma pTau-217 and Digital Cognitive Assessments for Early Detection in Alzheimer’s Disease
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Март 4, 2025
Abstract
Plasma
pTau-217
has
emerged
as
a
sensitive
and
specific
biomarker
for
early
Alzheimer’s
disease
detection.
However,
the
timeline
of
pathological
changes
onset
cognitive
decline
remain
unclear.
On
other
hand,
digital
assessments
have
also
shown
promise
in
detecting
subtle
changes,
but
sensitivity
specificity
these
is
not
fully
understood.
Here,
we
investigate
whether
combining
low-burden
tools
can
improve
identification
cognitively
unimpaired
individuals
at
high
risk
future
decline.
We
analyzed
954
amyloid-positive
who
completed
brief
assessment
blood
test
pTau-217,
evaluating
their
ability
to
identify
those
on
Preclinical
Cognitive
Composite
(PACC)
Mini-Mental
State
Exam
(MMSE).
Further,
investigated
predictive
value
measures
differed
by
sex
or
APOE
status.
found
that
memory
performance
with
enhanced
declined
PACC
MMSE
over
next
five
years,
even
after
controlling
age,
sex,
education,
baseline
performance.
Specifically,
both
elevated
low
were
greater
than
either
factor
alone.
Notably,
did
differ
was
significantly
stronger
APOE4
noncarriers
compared
carriers.
Together,
this
suggests
plasma
provides
reliable
method
identifying
disease.
Язык: Английский
Misclassification in memory modification in AppNL-G-F knock-in mouse model of Alzheimer’s disease
Опубликована: Март 31, 2025
Alzheimer’s
disease
(AD),
the
leading
cause
of
dementia,
could
potentially
be
mitigated
through
early
detection
and
interventions.
However,
it
remains
challenging
to
assess
subtle
cognitive
changes
in
AD
continuum.
Computational
modeling
is
a
promising
approach
explain
generative
process
underlying
behavioral
with
number
putative
variables.
Nonetheless,
internal
models
patient’s
reasoning
remain
underexplored
AD.
Determining
states
an
model
between
measurable
pathological
phenotypes
would
advance
explanations
about
earlier
stages
beyond
assessing
behavior
alone.
In
this
study,
we
assumed
latent
as
estimated
defined
by
parameters
being
conjunction
phenotypes.
The
6-
12-month-old
App
NL-G-F
knock-in
mice
age-matched
control
underwent
memory
modification
learning,
which
consisted
classical
fear
conditioning,
extinction,
reinstatement.
results
showed
that
exhibited
lower
extent
reinstatement
memory.
revealed
deficit
due
their
biased
toward
overgeneralization
or
overdifferentiation
observations,
consequently
competing
memories
were
not
retained.
This
was
replicated
another
type
learning
reversal
Barnes
maze
task.
Following
mice,
given
spatial
cues,
failed
infer
coexisting
for
two
goal
locations
during
trial.
We
concluded
altered
illustrated
misclassification
process.
novel
highlights
potential
investigating
precisely
multidimensionally
evaluate
how
interventions
may
work.
Язык: Английский
Misclassification in memory modification in AppNL-G-F knock-in mouse model of Alzheimer’s disease
Опубликована: Март 31, 2025
Alzheimer’s
disease
(AD),
the
leading
cause
of
dementia,
could
potentially
be
mitigated
through
early
detection
and
interventions.
However,
it
remains
challenging
to
assess
subtle
cognitive
changes
in
AD
continuum.
Computational
modeling
is
a
promising
approach
explain
generative
process
underlying
behavioral
with
number
putative
variables.
Nonetheless,
internal
models
patient’s
reasoning
remain
underexplored
AD.
Determining
states
an
model
between
measurable
pathological
phenotypes
would
advance
explanations
about
earlier
stages
beyond
assessing
behavior
alone.
In
this
study,
we
assumed
latent
as
estimated
defined
by
parameters
being
conjunction
phenotypes.
The
6-
12-month-old
App
NL-G-F
knock-in
mice
age-matched
control
underwent
memory
modification
learning,
which
consisted
classical
fear
conditioning,
extinction,
reinstatement.
results
showed
that
exhibited
lower
extent
reinstatement
memory.
revealed
deficit
due
their
biased
toward
overgeneralization
or
overdifferentiation
observations,
consequently
competing
memories
were
not
retained.
This
was
replicated
another
type
learning
reversal
Barnes
maze
task.
Following
mice,
given
spatial
cues,
failed
infer
coexisting
for
two
goal
locations
during
trial.
We
concluded
altered
illustrated
misclassification
process.
novel
highlights
potential
investigating
precisely
multidimensionally
evaluate
how
interventions
may
work.
Язык: Английский
APOE4 Increases Susceptibility to Amyloid, Accelerating Episodic Memory Decline
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 24, 2024
Apolipoprotein
E4
(APOE4)
is
the
strongest
genetic
risk
factor
for
sporadic
Alzheimer's
disease
(AD).
Individuals
with
one
copy
of
APOE4
exhibit
greater
amyloid-beta
(Aβ)
deposition
compared
to
noncarriers,
an
effect
that
even
more
pronounced
in
homozygotes.
Interestingly,
carriers
not
only
show
AD
pathology
but
also
experience
rapid
cognitive
decline,
particularly
episodic
memory.
The
underlying
mechanisms
driving
this
domain-specific
vulnerability,
however,
remain
unclear.
In
study,
we
examined
whether
accelerated
decline
memory
among
due
increased
Aβ
or
heightened
susceptibility
Aβ-related
effects.
Using
data
from
Disease
Research
Initiative,
modeled
amyloid
duration,
estimated
number
years
individual
has
been
amyloid-positive,
and
its
impact
on
trajectories.
Our
findings
reveal
associated
as
a
function
duration.
This
was
dose-dependent,
homozygotes
declining
rapidly
than
heterozygotes,
it
consistently
observed
across
multiple
tasks
measures.
Importantly,
pattern
other
domains,
such
processing
speed,
executive
function,
visuospatial
skills,
language,
crystallized
intelligence.
These
results
suggest
trajectories
differ
by
APOE
genotype,
conferring
vulnerability
hippocampal
dysfunction
early
course.
Future
research
should
investigate
these
differences
stem
distinct
pathological
cascades
carriers.
Язык: Английский
Amyloid-β deposition in basal frontotemporal cortex is associated with selective disruption of temporal mnemonic discrimination
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Авг. 26, 2024
Cerebral
amyloid-beta
(Aβ)
accumulation,
a
hallmark
pathology
of
Alzheimer's
disease
(AD),
precedes
clinical
impairment
by
two
to
three
decades.
However,
it
is
unclear
whether
Aβ
contributes
subtle
memory
deficits
observed
during
the
preclinical
stage.
The
heterogenous
emergence
deposition
may
selectively
impact
certain
domains,
which
rely
on
distinct
underlying
neural
circuits.
In
this
context,
we
tested
specific
domains
mnemonic
discrimination,
computation
essential
for
episodic
memory,
exhibit
related
early
deposition.
We
108
cognitively
unimpaired
human
older
adults
(66%
female)
who
underwent
18F-florbetapir
positron
emission
tomography
(Aβ-PET),
and
control
group
35
young
adults,
suite
discrimination
tasks
taxing
object,
spatial,
temporal
domains.
hypothesized
that
would
be
associated
with
performance
due
Aβ's
propensity
accumulate
in
basal
frontotemporal
cortex,
supports
processing.
Consistent
hypothesis,
found
dissociation
generalized
age-related
were
object
spatial
while
Aβ-PET
levels
discrimination.
Further,
higher
medial
orbitofrontal
inferior
regions
supporting
processing,
greater
deficits,
pointing
selective
vulnerability
circuits
processing
AD
progression.
These
results
suggest
accumulation
within
disrupt
AD,
serve
as
sensitive
behavioral
biomarker
emerging
Язык: Английский