Amyloid burden, cortical thickness, and cognitive function in the Wisconsin Registry for Alzheimer's Prevention

Abstract There is a growing interest in understanding how amyloid β (Aβ) accumulation in preclinical Alzheimer's disease relates to brain morphometric measures and cognition. Existing investigations in this area have been primarily conducted in older cognitively normal (CN) individuals. Therefo...

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Main Authors: Benjamin M. Doherty, Stephanie A. Schultz, Jennifer M. Oh, Rebecca L. Koscik, N. Maritza Dowling, Todd E. Barnhart, Dhanabalan Murali, Catherine L. Gallagher, Cynthia M. Carlsson, Barbara B. Bendlin, Asenath LaRue, Bruce P. Hermann, Howard A. Rowley, Sanjay Asthana, Mark A. Sager, Brad T. Christian, Sterling C. Johnson, Ozioma C. Okonkwo
Format: Article
Language:English
Published: Wiley 2015-06-01
Series:Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Subjects:
Online Access:https://doi.org/10.1016/j.dadm.2015.01.003
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author Benjamin M. Doherty
Stephanie A. Schultz
Jennifer M. Oh
Rebecca L. Koscik
N. Maritza Dowling
Todd E. Barnhart
Dhanabalan Murali
Catherine L. Gallagher
Cynthia M. Carlsson
Barbara B. Bendlin
Asenath LaRue
Bruce P. Hermann
Howard A. Rowley
Sanjay Asthana
Mark A. Sager
Brad T. Christian
Sterling C. Johnson
Ozioma C. Okonkwo
author_facet Benjamin M. Doherty
Stephanie A. Schultz
Jennifer M. Oh
Rebecca L. Koscik
N. Maritza Dowling
Todd E. Barnhart
Dhanabalan Murali
Catherine L. Gallagher
Cynthia M. Carlsson
Barbara B. Bendlin
Asenath LaRue
Bruce P. Hermann
Howard A. Rowley
Sanjay Asthana
Mark A. Sager
Brad T. Christian
Sterling C. Johnson
Ozioma C. Okonkwo
author_sort Benjamin M. Doherty
collection DOAJ
description Abstract There is a growing interest in understanding how amyloid β (Aβ) accumulation in preclinical Alzheimer's disease relates to brain morphometric measures and cognition. Existing investigations in this area have been primarily conducted in older cognitively normal (CN) individuals. Therefore, not much is known about the associations between Aβ burden, cortical thickness, and cognition in midlife. We examined this question in 109, CN, late to middle‐aged adults (mean age = 60.72 ± 5.65 years) from the Wisconsin Registry for Alzheimer's Prevention. They underwent Pittsburgh Compound B (PiB) and anatomical magnetic resonance (MR) imaging, and a comprehensive cognitive examination. Blinded visual rating of the PiB scans was used to classify the participants as Aβ+ or Aβ−. Cortical thickness measurements were derived from the MR images. The Aβ+ group exhibited significant thinning of the entorhinal cortex and accelerated age‐associated thinning of the parahippocampal gyrus compared with the Aβ− group. The Aβ+ group also had numerically lower, but nonsignificant, test scores on all cognitive measures, and significantly faster age‐associated cognitive decline on measures of Speed & Flexibility, Verbal Ability, and Visuospatial Ability. Our findings suggest that early Aβ aggregation is associated with deleterious changes in brain structure and cognitive function, even in midlife, and that the temporal lag between Aβ deposition and the inception of neurodegenerative/cognitive changes might be narrower than currently thought.
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spelling doaj.art-565826ad3ce34a42bd65a431046cfc552022-12-22T02:35:56ZengWileyAlzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring2352-87292015-06-011216016910.1016/j.dadm.2015.01.003Amyloid burden, cortical thickness, and cognitive function in the Wisconsin Registry for Alzheimer's PreventionBenjamin M. Doherty0Stephanie A. Schultz1Jennifer M. Oh2Rebecca L. Koscik3N. Maritza Dowling4Todd E. Barnhart5Dhanabalan Murali6Catherine L. Gallagher7Cynthia M. Carlsson8Barbara B. Bendlin9Asenath LaRue10Bruce P. Hermann11Howard A. Rowley12Sanjay Asthana13Mark A. Sager14Brad T. Christian15Sterling C. Johnson16Ozioma C. Okonkwo17Geriatric Research Education and Clinical CenterWilliam S. Middleton Memorial VA HospitalMadisonWIUSAGeriatric Research Education and Clinical CenterWilliam S. Middleton Memorial VA HospitalMadisonWIUSAGeriatric Research Education and Clinical CenterWilliam S. Middleton Memorial VA HospitalMadisonWIUSAWisconsin Alzheimer's Institute, University of Wisconsin School of Medicine and Public HealthMadisonWIUSAAlzheimer's Disease Research CenterUniversity of Wisconsin School of Medicine and Public HealthMadisonWIUSADepartment of Medical PhysicsUniversity of Wisconsin School of Medicine and Public HealthMadisonWIUSADepartment of Medical PhysicsUniversity of Wisconsin School of Medicine and Public HealthMadisonWIUSAGeriatric Research Education and Clinical CenterWilliam S. Middleton Memorial VA HospitalMadisonWIUSAGeriatric Research Education and Clinical CenterWilliam S. Middleton Memorial VA HospitalMadisonWIUSAGeriatric Research Education and Clinical CenterWilliam S. Middleton Memorial VA HospitalMadisonWIUSAWisconsin Alzheimer's Institute, University of Wisconsin School of Medicine and Public HealthMadisonWIUSAAlzheimer's Disease Research CenterUniversity of Wisconsin School of Medicine and Public HealthMadisonWIUSAAlzheimer's Disease Research CenterUniversity of Wisconsin School of Medicine and Public HealthMadisonWIUSAGeriatric Research Education and Clinical CenterWilliam S. Middleton Memorial VA HospitalMadisonWIUSAAlzheimer's Disease Research CenterUniversity of Wisconsin School of Medicine and Public HealthMadisonWIUSAAlzheimer's Disease Research CenterUniversity of Wisconsin School of Medicine and Public HealthMadisonWIUSAGeriatric Research Education and Clinical CenterWilliam S. Middleton Memorial VA HospitalMadisonWIUSAGeriatric Research Education and Clinical CenterWilliam S. Middleton Memorial VA HospitalMadisonWIUSAAbstract There is a growing interest in understanding how amyloid β (Aβ) accumulation in preclinical Alzheimer's disease relates to brain morphometric measures and cognition. Existing investigations in this area have been primarily conducted in older cognitively normal (CN) individuals. Therefore, not much is known about the associations between Aβ burden, cortical thickness, and cognition in midlife. We examined this question in 109, CN, late to middle‐aged adults (mean age = 60.72 ± 5.65 years) from the Wisconsin Registry for Alzheimer's Prevention. They underwent Pittsburgh Compound B (PiB) and anatomical magnetic resonance (MR) imaging, and a comprehensive cognitive examination. Blinded visual rating of the PiB scans was used to classify the participants as Aβ+ or Aβ−. Cortical thickness measurements were derived from the MR images. The Aβ+ group exhibited significant thinning of the entorhinal cortex and accelerated age‐associated thinning of the parahippocampal gyrus compared with the Aβ− group. The Aβ+ group also had numerically lower, but nonsignificant, test scores on all cognitive measures, and significantly faster age‐associated cognitive decline on measures of Speed & Flexibility, Verbal Ability, and Visuospatial Ability. Our findings suggest that early Aβ aggregation is associated with deleterious changes in brain structure and cognitive function, even in midlife, and that the temporal lag between Aβ deposition and the inception of neurodegenerative/cognitive changes might be narrower than currently thought.https://doi.org/10.1016/j.dadm.2015.01.003Preclinical ADAmyloidCortical thicknessCognition
spellingShingle Benjamin M. Doherty
Stephanie A. Schultz
Jennifer M. Oh
Rebecca L. Koscik
N. Maritza Dowling
Todd E. Barnhart
Dhanabalan Murali
Catherine L. Gallagher
Cynthia M. Carlsson
Barbara B. Bendlin
Asenath LaRue
Bruce P. Hermann
Howard A. Rowley
Sanjay Asthana
Mark A. Sager
Brad T. Christian
Sterling C. Johnson
Ozioma C. Okonkwo
Amyloid burden, cortical thickness, and cognitive function in the Wisconsin Registry for Alzheimer's Prevention
Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Preclinical AD
Amyloid
Cortical thickness
Cognition
title Amyloid burden, cortical thickness, and cognitive function in the Wisconsin Registry for Alzheimer's Prevention
title_full Amyloid burden, cortical thickness, and cognitive function in the Wisconsin Registry for Alzheimer's Prevention
title_fullStr Amyloid burden, cortical thickness, and cognitive function in the Wisconsin Registry for Alzheimer's Prevention
title_full_unstemmed Amyloid burden, cortical thickness, and cognitive function in the Wisconsin Registry for Alzheimer's Prevention
title_short Amyloid burden, cortical thickness, and cognitive function in the Wisconsin Registry for Alzheimer's Prevention
title_sort amyloid burden cortical thickness and cognitive function in the wisconsin registry for alzheimer s prevention
topic Preclinical AD
Amyloid
Cortical thickness
Cognition
url https://doi.org/10.1016/j.dadm.2015.01.003
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