Amyloid‐dependent and amyloid‐independent effects of Tau in individuals without dementia

Abstract Objective To investigate the relationship between the topography of amyloid‐β plaques, tau neurofibrillary tangles, and the overlap between the two, with cognitive dysfunction in individuals without dementia. Methods We evaluated 154 individuals who were assessed with amyloid‐β PET with [18...

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Main Authors: Joseph Therriault, Tharick A. Pascoal, Marcus Sefranek, Sulantha Mathotaarachchi, Andrea L. Benedet, Mira Chamoun, Firoza Z. Lussier, Cécile Tissot, Bruna Bellaver, Pamela Lukasewicz Ferreira, Eduardo R. Zimmer, Paramita Saha‐Chaudhuri, Serge Gauthier, Pedro Rosa‐Neto, the Alzheimer's Disease Neuroimaging Initiative
Format: Article
Language:English
Published: Wiley 2021-10-01
Series:Annals of Clinical and Translational Neurology
Online Access:https://doi.org/10.1002/acn3.51457
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author Joseph Therriault
Tharick A. Pascoal
Marcus Sefranek
Sulantha Mathotaarachchi
Andrea L. Benedet
Mira Chamoun
Firoza Z. Lussier
Cécile Tissot
Bruna Bellaver
Pamela Lukasewicz Ferreira
Eduardo R. Zimmer
Paramita Saha‐Chaudhuri
Serge Gauthier
Pedro Rosa‐Neto
the Alzheimer's Disease Neuroimaging Initiative
author_facet Joseph Therriault
Tharick A. Pascoal
Marcus Sefranek
Sulantha Mathotaarachchi
Andrea L. Benedet
Mira Chamoun
Firoza Z. Lussier
Cécile Tissot
Bruna Bellaver
Pamela Lukasewicz Ferreira
Eduardo R. Zimmer
Paramita Saha‐Chaudhuri
Serge Gauthier
Pedro Rosa‐Neto
the Alzheimer's Disease Neuroimaging Initiative
author_sort Joseph Therriault
collection DOAJ
description Abstract Objective To investigate the relationship between the topography of amyloid‐β plaques, tau neurofibrillary tangles, and the overlap between the two, with cognitive dysfunction in individuals without dementia. Methods We evaluated 154 individuals who were assessed with amyloid‐β PET with [18F]AZD4694, tau‐PET with [18F]MK6240, structural MRI, and neuropsychological testing. We also evaluated an independent cohort of 240 individuals who were assessed with amyloid‐β PET with [18F]Florbetapir, tau‐PET with [18F]Flortaucipir, structural MRI, and neuropsychological testing. Using the VoxelStats toolbox, we conducted voxel‐wise linear regressions between amyloid‐PET, tau‐PET, and their interaction with cognitive function, correcting for age, sex, and years of education. Results In both cohorts, we observed that tau‐PET standardized uptake value ratio in medial temporal lobes was associated with clinical dementia rating Sum of Boxes (CDR‐SoB) scores independently of local amyloid‐PET uptake (FWE corrected at p < 0.001). We also observed in both cohorts that in regions of the neocortex, associations between neocortical tau‐PET and clinical function were dependent on local amyloid‐PET (FWE corrected at p < 0.001). Interpretation In medial temporal brain regions, characterized by the accumulation of tau pathology in the absence of amyloid‐β, tau had direct associations with cognitive dysfunction. In brain regions characterized by the accumulation of both amyloid‐β and tau pathologies such as the posterior cingulate and medial frontal cortices, tau’s relationship with cognitive dysfunction was dependent on local amyloid‐β concentrations. Our results provide evidence that amyloid‐β in Alzheimer’s disease influences cognition by potentiating the deleterious effects of tau pathology.
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spelling doaj.art-883ae9db72494384b227a029fb4a04f12022-12-21T21:30:48ZengWileyAnnals of Clinical and Translational Neurology2328-95032021-10-018102083209210.1002/acn3.51457Amyloid‐dependent and amyloid‐independent effects of Tau in individuals without dementiaJoseph Therriault0Tharick A. Pascoal1Marcus Sefranek2Sulantha Mathotaarachchi3Andrea L. Benedet4Mira Chamoun5Firoza Z. Lussier6Cécile Tissot7Bruna Bellaver8Pamela Lukasewicz Ferreira9Eduardo R. Zimmer10Paramita Saha‐Chaudhuri11Serge Gauthier12Pedro Rosa‐Neto13the Alzheimer's Disease Neuroimaging InitiativeTranslational Neuroimaging Laboratory The McGill University Research Centre for Studies in Aging Montreal CanadaTranslational Neuroimaging Laboratory The McGill University Research Centre for Studies in Aging Montreal CanadaTranslational Neuroimaging Laboratory The McGill University Research Centre for Studies in Aging Montreal CanadaTranslational Neuroimaging Laboratory The McGill University Research Centre for Studies in Aging Montreal CanadaTranslational Neuroimaging Laboratory The McGill University Research Centre for Studies in Aging Montreal CanadaTranslational Neuroimaging Laboratory The McGill University Research Centre for Studies in Aging Montreal CanadaTranslational Neuroimaging Laboratory The McGill University Research Centre for Studies in Aging Montreal CanadaTranslational Neuroimaging Laboratory The McGill University Research Centre for Studies in Aging Montreal CanadaGraduate Program in Biological Sciences: Biochemistry Universidade Federal do Rio Grande do Sul Porto Alegre BrazilGraduate Program in Biological Sciences: Biochemistry Universidade Federal do Rio Grande do Sul Porto Alegre BrazilGraduate Program in Biological Sciences: Biochemistry Universidade Federal do Rio Grande do Sul Porto Alegre BrazilDepartment of Mathematics and Statistics University of Vermont VermontUSATranslational Neuroimaging Laboratory The McGill University Research Centre for Studies in Aging Montreal CanadaTranslational Neuroimaging Laboratory The McGill University Research Centre for Studies in Aging Montreal CanadaAbstract Objective To investigate the relationship between the topography of amyloid‐β plaques, tau neurofibrillary tangles, and the overlap between the two, with cognitive dysfunction in individuals without dementia. Methods We evaluated 154 individuals who were assessed with amyloid‐β PET with [18F]AZD4694, tau‐PET with [18F]MK6240, structural MRI, and neuropsychological testing. We also evaluated an independent cohort of 240 individuals who were assessed with amyloid‐β PET with [18F]Florbetapir, tau‐PET with [18F]Flortaucipir, structural MRI, and neuropsychological testing. Using the VoxelStats toolbox, we conducted voxel‐wise linear regressions between amyloid‐PET, tau‐PET, and their interaction with cognitive function, correcting for age, sex, and years of education. Results In both cohorts, we observed that tau‐PET standardized uptake value ratio in medial temporal lobes was associated with clinical dementia rating Sum of Boxes (CDR‐SoB) scores independently of local amyloid‐PET uptake (FWE corrected at p < 0.001). We also observed in both cohorts that in regions of the neocortex, associations between neocortical tau‐PET and clinical function were dependent on local amyloid‐PET (FWE corrected at p < 0.001). Interpretation In medial temporal brain regions, characterized by the accumulation of tau pathology in the absence of amyloid‐β, tau had direct associations with cognitive dysfunction. In brain regions characterized by the accumulation of both amyloid‐β and tau pathologies such as the posterior cingulate and medial frontal cortices, tau’s relationship with cognitive dysfunction was dependent on local amyloid‐β concentrations. Our results provide evidence that amyloid‐β in Alzheimer’s disease influences cognition by potentiating the deleterious effects of tau pathology.https://doi.org/10.1002/acn3.51457
spellingShingle Joseph Therriault
Tharick A. Pascoal
Marcus Sefranek
Sulantha Mathotaarachchi
Andrea L. Benedet
Mira Chamoun
Firoza Z. Lussier
Cécile Tissot
Bruna Bellaver
Pamela Lukasewicz Ferreira
Eduardo R. Zimmer
Paramita Saha‐Chaudhuri
Serge Gauthier
Pedro Rosa‐Neto
the Alzheimer's Disease Neuroimaging Initiative
Amyloid‐dependent and amyloid‐independent effects of Tau in individuals without dementia
Annals of Clinical and Translational Neurology
title Amyloid‐dependent and amyloid‐independent effects of Tau in individuals without dementia
title_full Amyloid‐dependent and amyloid‐independent effects of Tau in individuals without dementia
title_fullStr Amyloid‐dependent and amyloid‐independent effects of Tau in individuals without dementia
title_full_unstemmed Amyloid‐dependent and amyloid‐independent effects of Tau in individuals without dementia
title_short Amyloid‐dependent and amyloid‐independent effects of Tau in individuals without dementia
title_sort amyloid dependent and amyloid independent effects of tau in individuals without dementia
url https://doi.org/10.1002/acn3.51457
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