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Enrichment for clinical trials of early AD: Combining genetic risk factors and plasma p-tau as screening instruments 丰富早期 AD 临床试验:结合遗传风险因素和血浆 p-tau 作为筛查工具
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-23 DOI: 10.1002/alz.14284
Xin Wang, Xinran Wang, Steven D. Edland, Iris J. Broce, Anders M. Dale, Sarah J. Banks
Identifying low-cost, minimally-invasive screening instruments for Alzheimer's disease (AD) trial enrichment will improve the efficiency of AD trials.
为阿尔茨海默病(AD)试验浓缩确定低成本、微创的筛查工具将提高AD试验的效率。
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引用次数: 0
Effectiveness of psychological therapies for depression and anxiety in atypical dementia 心理疗法对非典型痴呆症患者抑郁和焦虑的疗效
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-23 DOI: 10.1002/alz.14332
Celine El Baou, Rob Saunders, Joshua E. J. Buckman, Marcus Richards, Claudia Cooper, Natalie L. Marchant, Roopal Desai, Georgia Bell, Caroline Fearn, Stephen Pilling, Nikki Zimmermann, Val Mansfield, Sebastian Crutch, Emilie Brotherhood, Amber John, Joshua Stott
People with dementia may benefit from psychological therapies for depression or anxiety, but evidence of their effectiveness in atypical dementia is limited.
痴呆症患者可能会从抑郁或焦虑的心理疗法中获益,但这些疗法对非典型痴呆症有效的证据却很有限。
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引用次数: 0
Associations between AHA's Life's Essential 8 and cognition in midlife and older adults. AHA 的 "人生必修 8 "与中老年人认知能力之间的关系。
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-23 DOI: 10.1002/alz.14294
Lindsay Master,Yuqi Shen,Alexa C Allan,May A Beydoun,Alan B Zonderman,Michele K Evans,Orfeu M Buxton,Alyssa A Gamaldo
INTRODUCTIONThis study evaluated the associations between Life's Essential 8 (LE8) and cognitive performance, and compared the strength of the relationships of Life's Simple 7 (LS7) and LE8 to cognition in midlife and older adults.METHODSParticipants (N = 1539) were from the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study. Cross-sectional multivariable regression examined the associations between LE8 and cognition. Secondary analyses compared model performance between LE8 and LS7 measures on cognition from the same available sample.RESULTSHigher LE8 scores were associated with better global cognitive performance, working memory, and attention. The LS7 model outperformed the LE8 model on global cognitive performance, but the LE8 model outperformed the LS7 model for the working memory domain.DISCUSSIONBetter cardiovascular health (CVH) was associated with better cognitive performance among US middle-aged and older adults. However, the association between CVH and specific cognitive domains varies when using LE8 versus LS7.HIGHLIGHTSCardiovascular health (CVH) is associated with cognitive performance. Life's Essential 8 (LE8) is a new construct to quantify CVH. Associations between LE8 and cognition were assessed. Higher LE8 was associated with better global cognitive performance. Higher LE8 was also associated with better working memory and attention.
简介:本研究评估了生活必备 8 项(LE8)与认知能力之间的关系,并比较了生活简单 7 项(LS7)和 LE8 与中老年人认知能力之间关系的强度。横截面多变量回归分析了LE8与认知能力之间的关系。结果LE8得分越高,整体认知能力、工作记忆和注意力越好。在整体认知能力方面,LS7 模型优于 LE8 模型,但在工作记忆领域,LE8 模型优于 LS7 模型。然而,在使用 LE8 和 LS7 时,CVH 与特定认知领域之间的关系有所不同。生活必备 8(LE8)是量化心血管健康的新概念。我们评估了 LE8 与认知能力之间的关联。LE8越高,整体认知能力越好。LE8 越高,工作记忆和注意力也越好。
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引用次数: 0
The Alzheimer's Disease Neuroimaging Initiative-4 (ADNI-4) Engagement Core: A culturally informed, community-engaged research (CI-CER) model to advance brain health equity. 阿尔茨海默氏症神经成像计划-4(ADNI-4)参与核心:文化信息、社区参与研究(CI-CER)模式,促进脑健康公平。
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-23 DOI: 10.1002/alz.14242
Mónica Rivera Mindt,Alyssa Arentoft,Amanda T Calcetas,Vanessa A Guzman,Hannatu Amaza,Adeyinka Ajayi,Miriam T Ashford,Omobolanle Ayo,Lisa L Barnes,Alicia Camuy,Catherine Conti,Adam Diaz,Bashir Easter,David J Gonzalez,Yolanda Graham Dotson,Isabella Hoang,Kaori Kubo Germano,Gladys E Maestre,Fabiola Magaña,Oanh L Meyer,Melanie J Miller,Rachel Nosheny,Van M Ta Park,Shaniya Parkins,Lisa Renier Thomas,Joe Strong,Sandra Talavera,Steven P Verney,Trinity Weisensel,Michael W Weiner,Ozioma C Okonkwo,
INTRODUCTIONThe Alzheimer's Disease Neuroimaging Initiative-4 (ADNI-4) Engagement Core was launched to advance Alzheimer's disease (AD) and AD-related dementia (ADRD) health equity research in underrepresented populations (URPs). We describe our evidence-based, scalable culturally informed, community-engaged research (CI-CER) model and demonstrate its preliminary success in increasing URP enrollment.METHODSURPs include ethnoculturally minoritized, lower education (≤ 12 years), and rural populations. The CI-CER model includes: (1) culturally informed methodology (e.g., less restrictive inclusion/exclusion criteria, sociocultural measures, financial compensation, results disclosure, Spanish Language Capacity Workgroup) and (2) inclusive engagement methods (e.g., the Engagement Core team; Hub Sites; Community-Science Partnership Board).RESULTSAs of April 2024, 60% of ADNI-4 new in-clinic enrollees were from ethnoculturally or educationally URPs. This exceeds ADNI-4's ≥ 50% URP representation goal for new enrollees but may not represent final enrollment.DISCUSSIONFindings show a CI-CER model increases URP enrollment in AD/ADRD clinical research and has important implications for clinical trials to advance health equity.HIGHLIGHTSThe Alzheimer's Disease Neuroimaging Initiative-4 (ADNI-4) uses a culturally informed, community-engaged research (CI-CER) approach. The CI-CER approach is scalable and sustainable for broad, multisite implementation. ADNI-4 is currently exceeding its inclusion goals for underrepresented populations.
导言阿尔茨海默病神经影像计划-4(ADNI-4)参与核心旨在推动代表性不足人群(URPs)中的阿尔茨海默病(AD)和AD相关痴呆(ADRD)健康公平研究。我们介绍了以证据为基础、可扩展的文化信息、社区参与研究(CI-CER)模式,并展示了该模式在增加 URP 注册人数方面取得的初步成功。CI-CER 模式包括(结果截至 2024 年 4 月,60% 的 ADNI-4 诊所内新注册者来自民族文化或教育程度较低的 URPs。讨论研究结果表明,CI-CER 模式提高了老年痴呆症/ADRD 临床研究中 URP 的参与率,对临床试验促进健康公平具有重要意义。CI-CER 方法具有可扩展性和可持续性,适用于广泛的多站点实施。ADNI-4 目前正在超额完成对代表性不足人群的纳入目标。
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引用次数: 0
Reductions in the white–gray functional connectome in preclinical Alzheimer's disease and their associations with amyloid and cognition 临床前阿尔茨海默病白灰功能连接组的减少及其与淀粉样蛋白和认知的关系
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-23 DOI: 10.1002/alz.14334
Lyuan Xu, Yu Zhao, Soyoung Choi, Muwei Li, Kurt G. Schilling, Zhongliang Zu, Baxter P. Rogers, Zhaohua Ding, Adam W. Anderson, Bennett A. Landman, John C. Gore, Yurui Gao
The magnitudes and patterns of alterations of the white–gray matter (WM–GM) functional connectome in preclinical Alzheimer's disease (AD), and their associations with amyloid and cognition, remain unclear.
临床前阿尔茨海默病(AD)中白灰色物质(WM-GM)功能连接组的改变程度和模式,以及它们与淀粉样蛋白和认知能力的关系仍不清楚。
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引用次数: 0
Inhibiting mtDNA transcript translation alters Alzheimer's disease-associated biology 抑制 mtDNA 转录本翻译可改变阿尔茨海默病相关生物学特性
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-23 DOI: 10.1002/alz.14275
Alexander P. Gabrielli, Lesya Novikova, Amol Ranjan, Xiaowan Wang, Nicholas J. Ernst, Dhanushki Abeykoon, Anysja Roberts, Annie Kopp, Clayton Mansel, Linlan Qiao, Colton R. Lysaker, Ian W. Wiedling, Heather M. Wilkins, Russell H. Swerdlow
Alzheimer's disease (AD) features changes in mitochondrial structure and function. Investigators debate where to position mitochondrial pathology within the chronology and context of other AD features.
阿尔茨海默病(AD)的特征是线粒体结构和功能发生变化。研究人员就线粒体病理学在其他阿尔茨海默病特征的时间和背景中的定位展开了争论。
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引用次数: 0
Comparative brain metabolomics reveals shared and distinct metabolic alterations in Alzheimer's disease and progressive supranuclear palsy 脑代谢组学比较揭示了阿尔茨海默病和进行性核上性麻痹共同和独特的代谢改变
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-22 DOI: 10.1002/alz.14249
Richa Batra, Jan Krumsiek, Xue Wang, Mariet Allen, Colette Blach, Gabi Kastenmüller, Matthias Arnold, Nilüfer Ertekin-Taner, Rima Kaddurah-Daouk
Metabolic dysregulation is a hallmark of neurodegenerative diseases, including Alzheimer's disease (AD) and progressive supranuclear palsy (PSP). Although metabolic dysregulation is a common link between these two tauopathies, a comprehensive brain metabolic comparison of the diseases has not yet been performed.
代谢失调是包括阿尔茨海默病(AD)和进行性核上性麻痹(PSP)在内的神经退行性疾病的特征。虽然代谢失调是这两种牛磺酸病之间的共同联系,但尚未对这两种疾病进行全面的脑代谢比较。
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引用次数: 0
Assessing clinical progression measures in Alzheimer's disease trials: A systematic review and meta-analysis 评估阿尔茨海默病试验中的临床进展措施:系统回顾与荟萃分析
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-22 DOI: 10.1002/alz.14314
Jonathan McLaughlin, William J. Scotton, Natalie S. Ryan, John A. Hardy, Maryam Shoai
Assessing treatments for Alzheimer's disease (AD) relies on reliable tools for measuring AD progression. In this analysis, we evaluate the sensitivity of clinical progression measures in AD within randomized controlled trials (RCTs) with confirmed positive amyloid (Aβ+) status prior to trial enrollment.
评估阿尔茨海默病(AD)的治疗方法有赖于可靠的AD进展测量工具。在这项分析中,我们评估了在随机对照试验(RCT)中,淀粉样蛋白(Aβ+)阳性状态在入组前已被证实的阿尔茨海默病临床进展测量的敏感性。
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引用次数: 0
Microscopy assessment of a fluorescence [18F] flortaucipir analog (T726) shows neuropathological overlap with 3R and 4R tau lesions 荧光[18F]氟陶西哌类似物(T726)的显微镜评估显示神经病理学与3R和4R tau病变重叠
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-22 DOI: 10.1002/alz.14330
Rodolfo G. Gatto, Youssef Hossam, R. Ross Reichard, Val J. Lowe, Jennifer L. Whitwell, Keith A. Josephs
[18F] flortaucipir (FTP) binding to paired helical filament (PHF) tau in Alzheimer's disease (AD) is well accepted. Binding to 3R and 4R tau in frontotemporal lobar degeneration (FTLD) is controversial. We aimed to investigate whether an FTP fluorescent analog (T726) can help shed light on this controversy.
[18F]氟曲霉素(FTP)与阿尔茨海默病(AD)中成对螺旋丝(PHF)tau的结合已被广泛接受。在额颞叶变性(FTLD)中,与3R和4R tau的结合还存在争议。我们旨在研究一种FTP荧光类似物(T726)是否有助于揭示这一争议。
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引用次数: 0
Timing of Alzheimer's disease biomarker progressions: A two-decade observational study from the Alzheimer's Disease Neuroimaging Initiative (ADNI) 阿尔茨海默病生物标志物进展的时间:阿尔茨海默病神经影像学倡议(ADNI)的一项长达二十年的观察研究
IF 14 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-21 DOI: 10.1002/alz.14306
Tamar Schaap, Pamela Thropp, Duygu Tosun
Alzheimer's Disease Neuroimaging Initiative (ADNI) has been pivotal in identifying and refining Alzheimer's disease (AD) biomarkers for clinical trials. This study leverages longitudinal data from participants who have progressed to amyloid-positivity during their study participation to track evolution of biomarkers and cognitive function.
阿尔茨海默病神经影像倡议(ADNI)在为临床试验确定和完善阿尔茨海默病(AD)生物标志物方面发挥了关键作用。这项研究利用参与者在参与研究期间发展为淀粉样蛋白阳性的纵向数据来跟踪生物标记物和认知功能的演变。
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Alzheimer's & Dementia
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