Herpes simplex virus and rates of cognitive decline or whole brain atrophy in the Dominantly Inherited Alzheimer Network

Abstract Objective To investigate whether herpes simplex virus type 1 (HSV‐1) infection was associated with rates of cognitive decline or whole brain atrophy among individuals from the Dominantly Inherited Alzheimer Network (DIAN). Methods Among two subsets of the DIAN cohort (age range 19.6–66.6 ye...

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Main Authors: Charlotte Warren‐Gash, Sharon L. Cadogan, Jennifer M. Nicholas, Judith M. Breuer, Divya Shah, Neil Pearce, Suhail Shiekh, Liam Smeeth, Martin R. Farlow, Hiroshi Mori, Brian A. Gordon, Georg Nuebling, Eric McDade, Randall J. Bateman, Peter R. Schofield, Jae‐Hong Lee, John C. Morris, David M. Cash, Nick C. Fox, Basil H. Ridha, Martin N. Rossor, for the Dominantly Inherited Alzheimer Network
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:Annals of Clinical and Translational Neurology
Online Access:https://doi.org/10.1002/acn3.51669
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author Charlotte Warren‐Gash
Sharon L. Cadogan
Jennifer M. Nicholas
Judith M. Breuer
Divya Shah
Neil Pearce
Suhail Shiekh
Liam Smeeth
Martin R. Farlow
Hiroshi Mori
Brian A. Gordon
Georg Nuebling
Eric McDade
Randall J. Bateman
Peter R. Schofield
Jae‐Hong Lee
John C. Morris
David M. Cash
Nick C. Fox
Basil H. Ridha
Martin N. Rossor
for the Dominantly Inherited Alzheimer Network
author_facet Charlotte Warren‐Gash
Sharon L. Cadogan
Jennifer M. Nicholas
Judith M. Breuer
Divya Shah
Neil Pearce
Suhail Shiekh
Liam Smeeth
Martin R. Farlow
Hiroshi Mori
Brian A. Gordon
Georg Nuebling
Eric McDade
Randall J. Bateman
Peter R. Schofield
Jae‐Hong Lee
John C. Morris
David M. Cash
Nick C. Fox
Basil H. Ridha
Martin N. Rossor
for the Dominantly Inherited Alzheimer Network
author_sort Charlotte Warren‐Gash
collection DOAJ
description Abstract Objective To investigate whether herpes simplex virus type 1 (HSV‐1) infection was associated with rates of cognitive decline or whole brain atrophy among individuals from the Dominantly Inherited Alzheimer Network (DIAN). Methods Among two subsets of the DIAN cohort (age range 19.6–66.6 years; median follow‐up 3.0 years) we examined (i) rate of cognitive decline (N = 164) using change in mini‐mental state examination (MMSE) score, (ii) rate of whole brain atrophy (N = 149), derived from serial MR imaging, calculated using the boundary shift integral (BSI) method. HSV‐1 antibodies were assayed in baseline sera collected from 2009–2015. Linear mixed‐effects models were used to compare outcomes by HSV‐1 seropositivity and high HSV‐1 IgG titres/IgM status. Results There was no association between baseline HSV‐1 seropositivity and rates of cognitive decline or whole brain atrophy. Having high HSV‐1 IgG titres/IgM was associated with a slightly greater decline in MMSE points per year (difference in slope − 0.365, 95% CI: −0.958 to −0.072), but not with rate of whole brain atrophy. Symptomatic mutation carriers declined fastest on both MMSE and BSI measures, however, this was not influenced by HSV‐1. Among asymptomatic mutation carriers, rates of decline on MMSE and BSI were slightly greater among those who were HSV‐1 seronegative. Among mutation‐negative individuals, no differences were seen by HSV‐1. Stratifying by APOE4 status yielded inconsistent results. Interpretation We found no evidence for a major role of HSV‐1, measured by serum antibodies, in cognitive decline or whole brain atrophy among individuals at high risk of early‐onset AD.
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spelling doaj.art-6365c17a3e4a4713927eeb6fdeb7543a2022-12-22T02:40:40ZengWileyAnnals of Clinical and Translational Neurology2328-95032022-11-019111727173810.1002/acn3.51669Herpes simplex virus and rates of cognitive decline or whole brain atrophy in the Dominantly Inherited Alzheimer NetworkCharlotte Warren‐Gash0Sharon L. Cadogan1Jennifer M. Nicholas2Judith M. Breuer3Divya Shah4Neil Pearce5Suhail Shiekh6Liam Smeeth7Martin R. Farlow8Hiroshi Mori9Brian A. Gordon10Georg Nuebling11Eric McDade12Randall J. Bateman13Peter R. Schofield14Jae‐Hong Lee15John C. Morris16David M. Cash17Nick C. Fox18Basil H. Ridha19Martin N. Rossor20for the Dominantly Inherited Alzheimer NetworkDepartment of Non‐Communicable Disease Epidemiology London School of Hygiene and Tropical Medicine London United KingdomDepartment of Non‐Communicable Disease Epidemiology London School of Hygiene and Tropical Medicine London United KingdomDepartment of Medical Statistics London School of Hygiene and Tropical Medicine London United KingdomInstitute of Child Health University College London Gower Street London WC1E 6BT United KingdomVirology Department Great Ormond Street Hospital London United KingdomDepartment of Medical Statistics London School of Hygiene and Tropical Medicine London United KingdomDepartment of Non‐Communicable Disease Epidemiology London School of Hygiene and Tropical Medicine London United KingdomDepartment of Non‐Communicable Disease Epidemiology London School of Hygiene and Tropical Medicine London United KingdomIndiana University School of Medicine Indianapolis Indiana USADepartment of Clinical Neuroscience Osaka Metropolitan University Medical School, Sutoku University Osaka JapanDepartment of Radiology Washington University School of Medicine in St Louis Missouri USAGerman Center for Neurodegenerative Diseases Site Munich GermanyDepartment of Neurology Washington University School of Medicine St. Louis USADepartment of Neurology Washington University School of Medicine St. Louis USANeuroscience Research Australia Sydney New South Wales AustraliaDepartment of Neurology University of Ulsan College of Medicine, Asan Medical Center Seoul South KoreaDepartment of Neurology Washington University School of Medicine St. Louis USAUK Dementia Research Institute University College London London United KingdomDementia Research Centre, Institute of Neurology University College London Queen Square London United KingdomDementia Research Centre, Institute of Neurology University College London Queen Square London United KingdomDementia Research Centre, Institute of Neurology University College London Queen Square London United KingdomAbstract Objective To investigate whether herpes simplex virus type 1 (HSV‐1) infection was associated with rates of cognitive decline or whole brain atrophy among individuals from the Dominantly Inherited Alzheimer Network (DIAN). Methods Among two subsets of the DIAN cohort (age range 19.6–66.6 years; median follow‐up 3.0 years) we examined (i) rate of cognitive decline (N = 164) using change in mini‐mental state examination (MMSE) score, (ii) rate of whole brain atrophy (N = 149), derived from serial MR imaging, calculated using the boundary shift integral (BSI) method. HSV‐1 antibodies were assayed in baseline sera collected from 2009–2015. Linear mixed‐effects models were used to compare outcomes by HSV‐1 seropositivity and high HSV‐1 IgG titres/IgM status. Results There was no association between baseline HSV‐1 seropositivity and rates of cognitive decline or whole brain atrophy. Having high HSV‐1 IgG titres/IgM was associated with a slightly greater decline in MMSE points per year (difference in slope − 0.365, 95% CI: −0.958 to −0.072), but not with rate of whole brain atrophy. Symptomatic mutation carriers declined fastest on both MMSE and BSI measures, however, this was not influenced by HSV‐1. Among asymptomatic mutation carriers, rates of decline on MMSE and BSI were slightly greater among those who were HSV‐1 seronegative. Among mutation‐negative individuals, no differences were seen by HSV‐1. Stratifying by APOE4 status yielded inconsistent results. Interpretation We found no evidence for a major role of HSV‐1, measured by serum antibodies, in cognitive decline or whole brain atrophy among individuals at high risk of early‐onset AD.https://doi.org/10.1002/acn3.51669
spellingShingle Charlotte Warren‐Gash
Sharon L. Cadogan
Jennifer M. Nicholas
Judith M. Breuer
Divya Shah
Neil Pearce
Suhail Shiekh
Liam Smeeth
Martin R. Farlow
Hiroshi Mori
Brian A. Gordon
Georg Nuebling
Eric McDade
Randall J. Bateman
Peter R. Schofield
Jae‐Hong Lee
John C. Morris
David M. Cash
Nick C. Fox
Basil H. Ridha
Martin N. Rossor
for the Dominantly Inherited Alzheimer Network
Herpes simplex virus and rates of cognitive decline or whole brain atrophy in the Dominantly Inherited Alzheimer Network
Annals of Clinical and Translational Neurology
title Herpes simplex virus and rates of cognitive decline or whole brain atrophy in the Dominantly Inherited Alzheimer Network
title_full Herpes simplex virus and rates of cognitive decline or whole brain atrophy in the Dominantly Inherited Alzheimer Network
title_fullStr Herpes simplex virus and rates of cognitive decline or whole brain atrophy in the Dominantly Inherited Alzheimer Network
title_full_unstemmed Herpes simplex virus and rates of cognitive decline or whole brain atrophy in the Dominantly Inherited Alzheimer Network
title_short Herpes simplex virus and rates of cognitive decline or whole brain atrophy in the Dominantly Inherited Alzheimer Network
title_sort herpes simplex virus and rates of cognitive decline or whole brain atrophy in the dominantly inherited alzheimer network
url https://doi.org/10.1002/acn3.51669
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