Cited by 186Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsAmyotrophic Lateral Sclerosis Research

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index; none of the 32 sources its claims cite is checked for support yet.

Association Between Amyloid and Tau Accumulation in Young Adults With Autosomal Dominant Alzheimer Disease

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Abstract

Importance: It is critically important to improve our ability to diagnose and track Alzheimer disease (AD) as early as possible. Individuals with autosomal dominant forms of AD can provide clues as to which and when biological changes are reliably present prior to the onset of clinical symptoms. Objective: To characterize the associations between amyloid and tau deposits in the brains of cognitively unimpaired and impaired carriers of presenilin 1 (PSEN1) E280A mutation. Design, Setting, and Participants: In this cross-sectional imaging study, we leveraged data from a homogeneous autosomal dominant AD kindred, which allowed us to examine measurable tau deposition as a function of individuals' proximity to the expected onset of dementia. Cross-sectional measures of carbon 11-labeled Pittsburgh Compound B positron emission tomography (PET) and flortaucipir F 18 (previously known as AV 1451, T807) PET imaging were assessed in 24 PSEN1 E280A kindred members (age range, 28-55 years), including 12 carriers, 9 of whom were cognitively unimpaired and 3 of whom had mild cognitive impairment, and 12 cognitively unimpaired noncarriers. Main Outcomes and Measures: We compared carbon 11-labeled Pittsburgh Compound B PET cerebral with cerebellar distribution volume ratios as well as flortaucipir F 18 PET cerebral with cerebellar standardized uptake value ratios in mutation carriers and noncarriers. Spearman correlations characterized the associations between age and mean cortical Pittsburgh Compound B distribution volume ratio levels or regional flortaucipir standardized uptake value ratio levels in both groups. Results: Of the 24 individuals, the mean (SD) age was 38.0 (7.4) years, or approximately 6 years younger than the expected onset of clinical symptoms in carriers. Compared with noncarriers, cognitively unimpaired mutation carriers had elevated mean cortical Pittsburgh Compound B distribution volume ratio levels in their late 20s, and 7 of 9 carriers older than 30 years reached the threshold for amyloidosis (distribution volume ratio level > 1.2). Elevated levels of tau deposition were seen within medial temporal lobe regions in amyloid-positive mutation carriers 6 years before clinical onset of AD in this kindred. Substantial tau deposition in the neocortex was only observed in 1 unimpaired carrier and in those with mild cognitive impairment. β-Amyloid uptake levels were diffusely elevated in unimpaired carriers approximately 15 years prior to expected onset of mild cognitive impairment. In carriers, higher levels of tau deposition were associated with worse performance on the Mini-Mental State Examination (entorhinal cortex: r = -0.60; P = .04; inferior temporal lobe: r = -0.54; P = .06) and the Consortium to Establish a Registry for Alzheimer Disease Word List Delayed Recall (entorhinal cortex: r = -0.86; P < .001; inferior temporal lobe: r = -0.70; P = .01). Conclusions and Relevance: The present findings add to the growing evidence that molecular markers can characterize biological changes associated with AD in individuals who are still cognitively unimpaired. The findings also suggest that tau PET imaging may be useful as a biomarker to distinguish individuals at high risk to develop the clinical symptoms of AD and to track disease progression.

Overview

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Registry

Crossref · 10.1001/jamaneurol.2017.4907

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  • It may state two separate claims as one. 14
  • Probably not a substantial claim. 16
27 of 27
  • The paper relies on this without support.

    Tau imaging had not been extensively tested in autosomal dominant Alzheimer disease before this study.

    “To our knowledge, tau imaging has not been extensively tested in ADAD to date.”
  • The paper relies on this without support.

    Flortaucipir F 18 selectively binds tau aggregates.

    “flortaucipir F 18 (18F FTP; previously known as AV 1451, T807), which selectively binds tau aggregates”
  • The paper relies on this without support.

    Carbon 11-labeled PiB selectively binds amyloid deposits.

    “carbon 11labeled PiB, which selectively binds amyloid deposits”
  • The paper relies on this without support.

    Tau PET imaging holds promise for detecting Alzheimer disease in the preclinical stage.

    “This novel biomarker holds promise for detecting AD in the preclinical stage.”
  • The paper relies on this without support.

    Cross-sectional differences by age reflect the temporal sequence of tau and amyloid accumulation.

    “In this study, we characterized the spatial pattern and temporal lag cross-sectionally of tau and amyloid deposition in the brains of 24 PSEN1 E280A mutation carriers and noncarriers from the largest known kindred with ADAD.”
  • The paper relies on this without support.

    PSEN1 mutation carriers will go on to develop Alzheimer disease with virtual certainty.

    “Studies of PSEN1 mutation carriers allow us to examine cognitively unimpaired individuals who will go on to develop AD in the future with virtual certainty.”
  • The paper relies on this without support.

    Age is predictive of clinical onset in the PSEN1 E280A mutation kindred.

    “Because age is predictive of clinical onset in the PSEN1 E280A mutation kindred, cross-sectional assessments across a wide age range in this well-defined cohort are perhaps analogous to what might be expected from the assessment of longitudinal trajectories of biomarker change.”
  • The paper relies on this without support.

    The present study is the first to investigate tau aggregation using PET imaging in this kindred.

    “To our knowledge, the present study is the first to investigate tau aggregation using PET imaging in this kindred.”
  • The paper relies on this without support.

    The present sample represents one of the largest of its kind with amyloid and tau PET data in carriers of a single ADAD mutation.

    “However, because of the rarity of these mutations, the present sample represents, to our knowledge, one of the largest of its kind with amyloid and tau PET data in carriers of a single ADAD mutation.”
9 of 9

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  • Inferior-temporal cognition correlation has two P values

    Minor

    The abstract reports P = .06 for the inferior-temporal correlation with Mini-Mental State Examination performance, while the figure labels the same correlation, with the same r value, P = .07.

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  1. [17]17. F]T807. J Labelled Comp Radiopharm. 2013;56(14): 736-740.

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Metadata

Authors
Quiroz, Y. T., Sperling, R. A., Norton, D. J., Baena, A., Arboleda-Velasquez, J. F., Cosio, D., Schultz, A., Lapoint, M., Guzman-Velez, E., Miller, J. B., Kim, L. A., Chen, K., Tariot, P. N., Lopera, F., Reiman, E. M., & Johnson, K. A.
Affiliations
  • Harvard University (US)
  • Brigham and Women's Hospital (US)
  • Universidad de Antioquia (CO)
  • Schepens Eye Research Institute of Massachusetts Eye and Ear, Harvard Medical School, Boston
  • Massachusetts General Hospital, Harvard Medical School, Boston
  • Massachusetts Eye and Ear Infirmary (US)
  • Banner Alzheimer’s Institute (US)
Corresponding author
Quiroz, Yakeel T.
Venue
JAMA Neurology
Published
2018-05-01
Volume
75
Issue
5
Pages
548
ISSN
2168-6149 (ISSN-L)
OpenAlex
W2793496929
Cited by
186
References
38
Citations by year
2026: 7 · 2025: 17 · 2024: 18 · 2023: 20 · 2022: 19 · 2021: 30 · 2020: 34 · 2019: 29 · 2018: 12
FWCI
20.51
Type
journal article
Language
en
Open access
Locations
  • JAMA Neurology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Repository University of Antioquia (University of Antioquia) (publishedVersion, cc-by-nc-nd)
  • Repositorio Digital - Academia Colombiana de Ciencias Exactas, Fisicas y Naturales (submittedVersion, other-oa)
Funders
  • National Institutes of Health (DP5OD019833)
  • National Institute on Aging (K24AG035007, R01AG055444, R01AG046396, R01AG027435, P30AG019610, P50AG005134, P01AG036694, P30AG062421)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Clinical Neurology › Amyotrophic Lateral Sclerosis Research
Keywords
autosomal dominant Alzheimer's disease, PSEN1 E280A mutation, presenilin 1, amyloid accumulation, tau accumulation, Pittsburgh compound B PET, flortaucipir PET, preclinical Alzheimer's disease, young adults, medial temporal lobe, neocortex, mild cognitive impairment
MeSH terms
Mental Status and Dementia Tests, Adult, Age Factors, Alzheimer Disease, Amyloid, Aniline Compounds, Brain, Carbolines, Cognition Disorders, Colombia, Cross-Sectional Studies, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Mutation, Neuropsychological Tests, Thiazoles, tau Proteins, Positron-Emission Tomography, Presenilin-1

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