Association between regional tau pathology and neuropsychiatric symptoms in aging and dementia due to Alzheimer's disease

Abstract Background Neuropsychiatric symptoms (NPS) are frequent in aging and Alzheimer's disease (AD). Here we study the relationship between NPS and AD pathologies in vivo. Method Two hundred and twenty‐one individuals from the TRIAD cohort (143 cognitively unimpaired, 52 mild cognitive impai...

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Main Authors: Cécile Tissot, Joseph Therriault, Tharick A. Pascoal, Mira Chamoun, Firoza Z. Lussier, Melissa Savard, Sulantha S. Mathotaarachchi, Andréa L. Benedet, Emilie M. Thomas, Marlee Parsons, Ziad Nasreddine, Pedro Rosa‐Neto, Serge Gauthier
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Subjects:
Online Access:https://doi.org/10.1002/trc2.12154
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author Cécile Tissot
Joseph Therriault
Tharick A. Pascoal
Mira Chamoun
Firoza Z. Lussier
Melissa Savard
Sulantha S. Mathotaarachchi
Andréa L. Benedet
Emilie M. Thomas
Marlee Parsons
Ziad Nasreddine
Pedro Rosa‐Neto
Serge Gauthier
author_facet Cécile Tissot
Joseph Therriault
Tharick A. Pascoal
Mira Chamoun
Firoza Z. Lussier
Melissa Savard
Sulantha S. Mathotaarachchi
Andréa L. Benedet
Emilie M. Thomas
Marlee Parsons
Ziad Nasreddine
Pedro Rosa‐Neto
Serge Gauthier
author_sort Cécile Tissot
collection DOAJ
description Abstract Background Neuropsychiatric symptoms (NPS) are frequent in aging and Alzheimer's disease (AD). Here we study the relationship between NPS and AD pathologies in vivo. Method Two hundred and twenty‐one individuals from the TRIAD cohort (143 cognitively unimpaired, 52 mild cognitive impairment, and 26 AD) underwent [18F]MK6240‐tau‐positron emission tomography (PET), [18F]AZD4694‐amyloid‐PET, magnetic resonance imaging, and neuropsychological evaluations. Spearman correlations and voxel‐based regression models evaluated the relationship between Neuropsychiatric Inventory Questionnaire (NPI‐Q) scores, and tau‐PET, amyloid‐PET, and voxel‐based morphometry. Results Fifty percent of individuals presented NPS; these correlated with tau, not amyloid beta or neurodegeneration. Associations between NPI‐Q score and tau‐PET were stronger in the parietal association area, superior frontal, temporal, and medial occipital lobes. NPI‐Q domains associated with distinct patterns of tau uptake. Conclusions NPS are predominantly related to tau in aging and dementia. Regions affected are part of the behavioral circuits, and vulnerable to early AD pathology. Domain‐specific analyses showed NPS are related to the AD pathophysiological processes in a symptom‐specific manner.
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spelling doaj.art-c6f16b7bf69f4bb5be69c17f10b39e752022-12-22T03:36:07ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372021-01-0171n/an/a10.1002/trc2.12154Association between regional tau pathology and neuropsychiatric symptoms in aging and dementia due to Alzheimer's diseaseCécile Tissot0Joseph Therriault1Tharick A. Pascoal2Mira Chamoun3Firoza Z. Lussier4Melissa Savard5Sulantha S. Mathotaarachchi6Andréa L. Benedet7Emilie M. Thomas8Marlee Parsons9Ziad Nasreddine10Pedro Rosa‐Neto11Serge Gauthier12McGill University Research Centre for Studies in Aging Verdun Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaMoCA Clinic and Institute Neuro‐Rive‐Sud Greenfield Park Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaMcGill University Research Centre for Studies in Aging Verdun Quebec CanadaAbstract Background Neuropsychiatric symptoms (NPS) are frequent in aging and Alzheimer's disease (AD). Here we study the relationship between NPS and AD pathologies in vivo. Method Two hundred and twenty‐one individuals from the TRIAD cohort (143 cognitively unimpaired, 52 mild cognitive impairment, and 26 AD) underwent [18F]MK6240‐tau‐positron emission tomography (PET), [18F]AZD4694‐amyloid‐PET, magnetic resonance imaging, and neuropsychological evaluations. Spearman correlations and voxel‐based regression models evaluated the relationship between Neuropsychiatric Inventory Questionnaire (NPI‐Q) scores, and tau‐PET, amyloid‐PET, and voxel‐based morphometry. Results Fifty percent of individuals presented NPS; these correlated with tau, not amyloid beta or neurodegeneration. Associations between NPI‐Q score and tau‐PET were stronger in the parietal association area, superior frontal, temporal, and medial occipital lobes. NPI‐Q domains associated with distinct patterns of tau uptake. Conclusions NPS are predominantly related to tau in aging and dementia. Regions affected are part of the behavioral circuits, and vulnerable to early AD pathology. Domain‐specific analyses showed NPS are related to the AD pathophysiological processes in a symptom‐specific manner.https://doi.org/10.1002/trc2.12154Alzheimer's diseaseamyloid betaneurodegenerationneuropsychiatric symptomstau
spellingShingle Cécile Tissot
Joseph Therriault
Tharick A. Pascoal
Mira Chamoun
Firoza Z. Lussier
Melissa Savard
Sulantha S. Mathotaarachchi
Andréa L. Benedet
Emilie M. Thomas
Marlee Parsons
Ziad Nasreddine
Pedro Rosa‐Neto
Serge Gauthier
Association between regional tau pathology and neuropsychiatric symptoms in aging and dementia due to Alzheimer's disease
Alzheimer’s & Dementia: Translational Research & Clinical Interventions
Alzheimer's disease
amyloid beta
neurodegeneration
neuropsychiatric symptoms
tau
title Association between regional tau pathology and neuropsychiatric symptoms in aging and dementia due to Alzheimer's disease
title_full Association between regional tau pathology and neuropsychiatric symptoms in aging and dementia due to Alzheimer's disease
title_fullStr Association between regional tau pathology and neuropsychiatric symptoms in aging and dementia due to Alzheimer's disease
title_full_unstemmed Association between regional tau pathology and neuropsychiatric symptoms in aging and dementia due to Alzheimer's disease
title_short Association between regional tau pathology and neuropsychiatric symptoms in aging and dementia due to Alzheimer's disease
title_sort association between regional tau pathology and neuropsychiatric symptoms in aging and dementia due to alzheimer s disease
topic Alzheimer's disease
amyloid beta
neurodegeneration
neuropsychiatric symptoms
tau
url https://doi.org/10.1002/trc2.12154
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