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Additive effects of cerebrovascular disease functional connectome phenotype and plasma p‐tau181 on longitudinal neurodegeneration and cognitive outcomes 脑血管疾病功能连接组表型和血浆 p-tau181 对纵向神经变性和认知结果的叠加效应
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-14 DOI: 10.1002/alz.14328
Joanna Su Xian Chong, Fang Ji, Saima Hilal, Joyce Ruifen Chong, Jia Ming Lau, Nathanael Ren Jie Tong, Boon Yeow Tan, Narayanaswamy Venketasubramanian, Mitchell Kim Peng Lai, Christopher Li‐Hsian Chen, Juan Helen Zhou
INTRODUCTIONWe investigated the effects of multiple cerebrovascular disease (CeVD) neuroimaging markers on brain functional connectivity (FC), and how such CeVD‐related FC changes interact with plasma phosphorylated tau (p‐tau)181 (an Alzheimer's disease [AD] marker) to influence downstream neurodegeneration and cognitive changes.METHODSMultivariate associations among four CeVD markers and whole‐brain FC in 529 participants across the dementia spectrum were examined using partial least squares correlation. Interactive effects of CeVD‐related FC patterns and p‐tau181 on longitudinal gray matter volume (GMV) and cognitive changes were investigated using linear mixed‐effects models.RESULTSWe identified a brain FC phenotype associated with high CeVD burden across all markers. Further, expression of this general CeVD‐related FC phenotype and p‐tau181 contributed additively, but not synergistically, to baseline and longitudinal GMV and cognitive changes.DISCUSSIONOur findings suggest that CeVD exerts global effects on the brain connectome and highlight the additive nature of AD and CeVD on neurodegeneration and cognition.Highlights Effects of multiple cerebrovascular disease (CeVD) markers on functional connectivity were studied. A global network phenotype linked to high burden across CeVD markers was identified. CeVD phenotype and plasma phosphorylated tau 181 contributed additively to downstream outcomes.
引言我们研究了多种脑血管疾病(CeVD)神经影像学标志物对大脑功能连接性(FC)的影响,以及这种与CeVD相关的FC变化如何与血浆磷酸化tau(p-tau)181(一种阿尔茨海默病[AD]标志物)相互作用,从而影响下游神经变性和认知变化.方法使用偏最小二乘法相关性检验了痴呆症谱系中529名参与者的四种CeVD标志物与全脑FC之间的多变量关联。使用线性混合效应模型研究了CeVD相关FC模式和p-tau181对纵向灰质体积(GMV)和认知变化的交互影响。讨论我们的研究结果表明,CeVD 对大脑连接组产生了整体影响,并强调了 AD 和 CeVD 对神经退化和认知的叠加作用。研究发现了一种与高负担CeVD标记物相关的全球网络表型。CeVD表型和血浆磷酸化tau 181对下游结果的影响是叠加的。
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引用次数: 0
Public and participant involvement as a pathway to inclusive dementia research 公众和参与者参与是实现包容性痴呆症研究的途径
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-14 DOI: 10.1002/alz.14350
Sarah Walter, RÍona McArdle, Emily A. Largent, Rebecca Edelmayer, Claire Sexton, Sandra Loyola Sandoval, Helen Medsger, Nancy Meserve, Roland Samaroo, Cynthia Sierra, Marlon M. P. Smeitink, Allison Gibson, Sarah Gregory, Diana Karamacoska, Iracema Leroi, Doris Molina-Henry, Aida Suarez-Gonzalez, Crystal M. Glover
The field of Alzheimer's disease and related dementias (ADRD) urgently requires inclusive research to ensure the priorities and outcomes of research apply to those most impacted. We postulate public and participant involvement (PPI) as a pathway to achieving the best science, both in research that informs health and social policy as well as in therapeutic studies to treat and prevent ADRD. This position paper aims to provide dementia researchers with evidence to understand how to apply PPI. We begin by highlighting the disparities experienced by people with dementia, including ageism, stigma of cognitive impairment, and health disparities for minoritized communities. We then provide examples of PPI in ADRD across the research lifecycle, from defining research topics of priority to those impacted by ADRD, through the design, analysis, dissemination, and translation to policy and practice. We also provide recommendations to create and maintain collaboration between researchers and communities through PPI.
阿尔茨海默病及相关痴呆症(ADRD)领域迫切需要包容性研究,以确保研究的优先事项和成果适用于受影响最大的人群。我们认为,无论是在为健康和社会政策提供信息的研究中,还是在治疗和预防 ADRD 的治疗研究中,公众和参与者参与 (PPI) 都是实现最佳科学的途径。本立场文件旨在为痴呆症研究人员提供了解如何应用公众参与的证据。我们首先强调了痴呆症患者所经历的不平等,包括年龄歧视、认知障碍的耻辱感以及少数民族社区的健康不平等。然后,我们举例说明了 ADRD 在整个研究生命周期中的 PPI,从确定受 ADRD 影响者优先考虑的研究课题,到设计、分析、传播,再到转化为政策和实践。我们还提供了通过 PPI 在研究人员和社区之间建立并保持合作的建议。
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引用次数: 0
Cerebral perfusion and amyloidosis in the oldest-old 高龄老人的脑灌注和淀粉样变性
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-13 DOI: 10.1002/alz.14357
Shubir Dutt, Davis C. Woodworth, S. Ahmad Sajjadi, Dana E. Greenia, Charles DeCarli, Claudia H. Kawas, María M. Corrada, Daniel A. Nation
In a nested case–control study, we examined how cerebral perfusion relates to cognitive status and amyloid in the oldest-old (i.e., 90 years of age and older).
在一项嵌套病例对照研究中,我们考察了高龄老人(即 90 岁及以上)的脑灌注与认知状况和淀粉样蛋白的关系。
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引用次数: 0
Cerebrovascular markers of WMH and infarcts in ADNI: A historical perspective and future directions ADNI 中 WMH 和脑梗塞的脑血管标记物:历史视角与未来方向
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-13 DOI: 10.1002/alz.14358
Pauline Maillard, Evan Fletcher, Owen Carmichael, Christopher Schwarz, Stephan Seiler, Charles DeCarli
White matter hyperintensities (WMH) and infarcts found on magnetic resonance imaging (MR infarcts) are common biomarkers of cerebrovascular disease. In this review, we summarize the methods, publications, and conclusions stemming from the Alzheimer's Disease Neuroimaging Initiative (ADNI) related to these measures. We combine analysis of WMH and MR infarct data from across the three main ADNI cohorts with a review of existing literature discussing new methodologies and scientific findings derived from these data. Although ADNI inclusion criteria were designed to minimize vascular risk factors and disease, data across all the ADNI cohorts found consistent trends of increasing WMH volumes associated with advancing age, female sex, and cognitive impairment. ADNI, initially proposed as a study to investigate biomarkers of AD pathology, has also helped elucidate the impact of asymptomatic cerebrovascular brain injury on cognition within a cohort relatively free of vascular disease. Future ADNI work will emphasize additional vascular biomarkers.
磁共振成像中发现的白质高密度(WMH)和梗塞(MR 梗塞)是脑血管疾病的常见生物标志物。在这篇综述中,我们总结了阿尔茨海默病神经成像计划(ADNI)中与这些指标相关的方法、出版物和结论。我们将对来自 ADNI 三个主要队列的 WMH 和 MR 梗死数据的分析与对现有文献的综述相结合,讨论了从这些数据中得出的新方法和科学发现。尽管 ADNI 纳入标准旨在最大限度地减少血管风险因素和疾病,但所有 ADNI 队列的数据都发现,WMH 体积的增加趋势与年龄增长、女性性别和认知障碍有关。ADNI最初是作为一项调查AD病理生物标志物的研究而提出的,它还有助于在一个相对没有血管疾病的队列中阐明无症状脑血管脑损伤对认知能力的影响。未来的ADNI工作将强调更多的血管生物标志物。
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引用次数: 0
Imaging, biomarkers, and vascular cognitive impairment in China: Rationale and design for the VICA study 中国的成像、生物标志物和血管性认知障碍:VICA 研究的原理与设计
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-13 DOI: 10.1002/alz.14352
Mei Cui, Zishuo Jin, Yingzhe Wang, Jiwei Jiang, Sisi Peng, Qiang Wei, Shuting Zhang, Qingzhang Tuo, Junchao Xie, Haixia Leng, Hongxing Wang, Yanxin Zhao, Peng Lei, Jun Xu, Kai Wang, Junjian Zhang, Yanfeng Jiang, Ding Ding, Fang Xie, Jintai Yu, Qiang Dong
Vascular cognitive impairment (VCI) is highly heterogeneous, with unclear pathogenesis. Individuals with vascular risk factors (VRF), cerebral small vessel disease (CSVD), and stroke are all at risk of developing VCI. To address the growing challenges posed by VCI, the “Vascular, Imaging and Cognition Association of China” (VICA) was established.
血管性认知障碍(VCI)具有高度异质性,发病机制尚不明确。有血管危险因素(VRF)、脑小血管疾病(CSVD)和脑卒中的人都有可能患上 VCI。为了应对 VCI 带来的日益严峻的挑战,"中国血管、影像与认知协会"(VICA)应运而生。
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引用次数: 0
Plasma Alzheimer's disease biomarker variability: Amyloid-independent and amyloid-dependent factors 血浆阿尔茨海默病生物标志物的变异性:淀粉样蛋白无关因素和淀粉样蛋白依赖因素
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-13 DOI: 10.1002/alz.14368
Eun Hye Lee, Sung Hoon Kang, Daeun Shin, Young Ju Kim, Henrik Zetterberg, Kaj Blennow, Fernando Gonzalez-Ortiz, Nicholas J. Ashton, Bo Kyoung Cheon, Heejin Yoo, Hongki Ham, Jihwan Yun, Jun Pyo Kim, Hee Jin Kim, Duk L. Na, Hyemin Jang, Sang Won Seo
We aimed to investigate which factors affect plasma biomarker levels via amyloid beta (Aβ)-independent or Aβ-dependent effects and improve the predictive performance of these biomarkers for Aβ positivity on positron emission tomography (PET).
我们的目的是研究哪些因素会通过淀粉样β(Aβ)依赖性或Aβ依赖性影响血浆生物标志物水平,并提高这些生物标志物对正电子发射断层扫描(PET)上Aβ阳性的预测能力。
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引用次数: 0
Large-scale deep proteomic analysis in Alzheimer's disease brain regions across race and ethnicity 不同种族和族裔阿尔茨海默病大脑区域的大规模深度蛋白质组分析
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-13 DOI: 10.1002/alz.14360
Fatemeh Seifar, Edward J. Fox, Anantharaman Shantaraman, Yue Liu, Eric B. Dammer, Erica Modeste, Duc M. Duong, Luming Yin, Adam N. Trautwig, Qi Guo, Kaiming Xu, Lingyan Ping, Joseph S. Reddy, Mariet Allen, Zachary Quicksall, Laura Heath, Jo Scanlan, Erming Wang, Minghui Wang, Abby Vander Linden, William Poehlman, Xianfeng Chen, Saurabh Baheti, Charlotte Ho, Thuy Nguyen, Geovanna Yepez, Adriana O. Mitchell, Stephanie R. Oatman, Xue Wang, Minerva M. Carrasquillo, Alexi Runnels, Thomas Beach, Geidy E. Serrano, Dennis W. Dickson, Edward B. Lee, Todd E. Golde, Stefan Prokop, Lisa L. Barnes, Bin Zhang, Varham Haroutunian, Marla Gearing, James. J Lah, Philip De Jager, David A Bennett, Anna Greenwood, Nilüfer Ertekin-Taner, Allan I. Levey, Aliza Wingo, Thomas Wingo, Nicholas T. Seyfried
Alzheimer's disease (AD) is the most prevalent neurodegenerative disease, yet our comprehension predominantly relies on studies within non-Hispanic White (NHW) populations. Here we provide an extensive survey of the proteomic landscape of AD across diverse racial/ethnic groups.
阿尔茨海默病(AD)是发病率最高的神经退行性疾病,但我们的理解主要依赖于对非西班牙裔白人(NHW)人群的研究。在这里,我们对不同种族/族裔群体的阿尔茨海默病蛋白质组学状况进行了广泛的调查。
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引用次数: 0
The mediating role of plasma glial fibrillary acidic protein in amyloid and tau pathology in Down's syndrome 血浆胶质纤维酸性蛋白在唐氏综合征淀粉样蛋白和 tau 病理学中的中介作用
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-13 DOI: 10.1002/alz.14359
Anna H. Boerwinkle, Julie K. Wisch, Benjamin L. Handen, Elizabeth Head, Mark Mapstone, Michael S. Rafii, Sid E. O'Bryant, Sharon J. Krinsky-McHale, Florence Lai, H. Diana Rosas, Shahid Zaman, Ira T. Lott, Dana Tudorascu, Matthew Zammit, Adam M. Brickman, Joseph H. Lee, Beau M. Ances
Development of Alzheimer's disease (AD) pathology in Down's syndrome (DS) occurs within a compressed timeline compared to sporadic or other genetic forms of AD.
与散发性或其他遗传性阿尔茨海默病(AD)相比,唐氏综合征(DS)患者的阿尔茨海默病(AD)病理发展时间较短。
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引用次数: 0
Gaps in biomedical research in frontotemporal dementia: A call for diversity and disparities focused research 额颞叶痴呆症生物医学研究的差距:呼吁开展以多样性和差异为重点的研究
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-13 DOI: 10.1002/alz.14312
Karen Nuytemans, Sanne Franzen, Iris J. Broce, Paulo Caramelli, Ratnavalli Ellajosyula, Elizabeth Finger, Veer Gupta, Vivek Gupta, Ignacio Illán-Gala, Samantha M. Loi, Darby Morhardt, Yolande Pijnenburg, Katya Rascovsky, Monique M. Williams, Jennifer S. Yokoyama, Juliana Acosta-Uribe, Rufus Akinyemi, Suvarna Alladi, Biniyam A. Ayele, Yavuz Ayhan, Renelle Bourdage, Sheila Castro-Suarez, Leonardo Cruz de Souza, Penny Dacks, Sterre C. M. de Boer, Jessica de Leon, Shana Dodge, Stephanie Grasso, Nupur Ghoshal, Vidyulata Kamath, Fiona Kumfor, Jordi A. Matias-Guiu, Pauline Narme, T. Rune Nielsen, Daniel Okhuevbie, Stefanie Piña-Escudero, Ramiro Ruiz-Garcia, Brigid Ryan, Marta Scarioni, Andrea Slachevsky, Aida Suarez-Gonzalez, Boon Lead Tee, Elena Tsoy, Hulya Ulugut, Chiadi U. Onyike, Ganesh M. Babulal
Frontotemporal dementia (FTD) is one of the leading causes of young-onset dementia before age 65, typically manifesting as abnormal behavior (in behavioral variant FTD) or language impairment (in primary progressive aphasia). Although FTD affects all populations across the globe, knowledge regarding the pathophysiology and genetics derives primarily from studies conducted in North America and Western Europe. Globally, biomedical research for FTD is hindered by variable access to diagnosis, discussed in this group's earlier article, and by reduced access to expertise, funding, and infrastructure. This perspective paper was produced by two professional interest areas of the Alzheimer's Association International Society to Advance Alzheimer's Research and Treatment (ISTAART) and discusses the field's current status on the cross-cultural aspects of basic and translational research in FTD (including that focused on epidemiology, genetics, biomarkers, and treatment). It subsequently provides a summary of gaps and needs to address the disparities and advance global FTD biomedical research.
额颞叶痴呆症(FTD)是 65 岁以前年轻时发病的痴呆症的主要原因之一,通常表现为行为异常(行为变异型 FTD)或语言障碍(原发性进行性失语)。虽然 FTD 影响着全球所有人群,但有关病理生理学和遗传学的知识主要来自北美和西欧的研究。在全球范围内,针对 FTD 的生物医学研究因诊断途径的不同而受到阻碍(本小组在之前的文章中讨论过这一问题),同时也因获得专业知识、资金和基础设施的途径减少而受到阻碍。本视角论文由阿尔茨海默氏症协会国际阿尔茨海默氏症研究与治疗促进会(ISTAART)的两个专业兴趣领域撰写,讨论了该领域在 FTD 基础研究和转化研究(包括流行病学、遗传学、生物标记物和治疗)的跨文化方面的现状。报告随后总结了在解决差距和推进全球 FTD 生物医学研究方面的差距和需求。
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引用次数: 0
The ADNI Administrative Core: Ensuring ADNI's success and informing future AD clinical trials ADNI 管理核心:确保 ADNI 的成功并为未来的 AD 临床试验提供信息
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-13 DOI: 10.1002/alz.14311
Rachel L. Nosheny, Melanie Miller, Catherine Conti, Derek Flenniken, Miriam Ashford, Adam Diaz, Juliet Fockler, Diana Truran, Winnie Kwang, Shaveta Kanoria, Dallas Veitch, Robert C. Green, Michael W. Weiner
The Alzheimer's Disease Neuroimaging Initiative (ADNI) Administrative Core oversees and coordinates all ADNI activities, to ensure the success and maximize the impact of ADNI in advancing Alzheimer's disease (AD) research and clinical trials. It manages finances and develops policies for data sharing, publications using ADNI data, and access to ADNI biospecimens. The Core develops and executes pilot projects to guide future ADNI activities and identifies key innovative methods for inclusion in ADNI. For ADNI4, the Administrative Core collaborates with the Engagement, Clinical, and Biomarker Cores to develop and evaluate novel, digital methods and infrastructure for participant recruitment, screening, and assessment of participants. The goal of these efforts is to enroll 500 participants, including > 50% from underrepresented populations, 40% with mild cognitive impairment, and 80% with elevated AD biomarkers. This new approach also provides a unique opportunity to validate novel methods.
阿尔茨海默病神经影像计划(ADNI)管理核心负责监督和协调 ADNI 的所有活动,以确保 ADNI 在推动阿尔茨海默病(AD)研究和临床试验方面取得成功并发挥最大影响。它负责管理财务,并为数据共享、使用 ADNI 数据发表文章和获取 ADNI 生物样本制定政策。该核心制定和执行试点项目,以指导未来的 ADNI 活动,并确定纳入 ADNI 的关键创新方法。对于 ADNI4,管理核心与参与、临床和生物标记物核心合作,开发和评估用于参与者招募、筛选和评估的新型数字方法和基础设施。这些工作的目标是招募 500 名参与者,其中 50%来自代表性不足的人群,40% 患有轻度认知障碍,80% 患有 AD 生物标记物升高。这种新方法也为验证新方法提供了一个独特的机会。
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引用次数: 0
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Alzheimer's & Dementia
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