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Reduced cerebral glucose metabolism in patients at risk for Alzheimer's disease
Abstract
While significantly reduced glucose metabolism in fronto-temporo-parietal and cingulate cortices has been demonstrated in Alzheimer's disease (AD) compared with controls, cerebral glucose metabolism in patients with mild cognitive impairment who subsequently develop AD is less well-defined. In the present study we measured cerebral glucose metabolism by positron emission tomography (PET) with (18)F-2-fluoro-2-deoxy-D-glucose in 14 patients with aging-associated cognitive decline (AACD), 44 patients with AD, and 14 healthy control subjects at baseline. The AACD patients were clinically followed up, and conversion to AD was determined. Compared with controls, AACD patients had significantly reduced glucose metabolism in the right precuneus, posterior cingulate, right angular gyrus, and bilateral middle temporal cortices, while the respective deficits were more pronounced in AD patients and also involved the frontal cortices. AACD patients who subsequently converted to AD (AACD-converters) showed more extended metabolic changes which also involved the frontal and temporal cortices, right cingulate gyrus, right thalamus, and bilateral precuneus.
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“Individuals with MCI and early AD have diminished regional brain uptake of 2-DG, as measured by FDG-PET, before MCI-AD conversion, brain atrophy, or neurodegenerative changes (268, 345, 424, 425, 517).”
From Blood-Brain Barrier: From Physiology to Disease and Back (2019) · cites this paper as [268]
In the citing paper
“late-onset, sporadic AD is characterized with an early loss of BBB transporters including GLUT1 transporter for glucose (268, 424, 425, 345, 517)”
From Blood-Brain Barrier: From Physiology to Disease and Back (2019) · cites this paper as [268]
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“…rights reserved. memory impairment (Anchisi et al., 2005; Baxter, Jr. et al., 1989; Chetelat et al., 2003; Drzezga et al., 2003, 2005; Dubois et al., 2007; Fouquet et al., 2009; Herholz et al., 2002; Hunt et al., 2007; Mayberg et al., 1997, 2000; Mayberg, 2003; Schonknecht et al., 2009).”
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“In fact, glucose uptake and metabolism are impaired in Alzheimer disease brain and the reduction of cerebral glucose metabolism provides the earliest evidence of an ongoing neurodegenerative disease process (Hoyer 2004; Hunt et al. 2007).”
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“Brain glucose metabolism dysregulation is one of the main features of AD [4, 5], and it is related to severity of AD pathology or symptom expression, such as cognitive impairment, accumulations of amyloid-(cid:2) (A (cid:2) ) peptide and neurofibrillary tangles [6], reduced brain synapses, and…”
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Self-citationMCI patients declining and not-declining at mid-term follow-up: FDG-PET findings.
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“In the majority of the studies, investigators have been looking for factors at baseline FDG-PET able to discriminate between converters and non-converters and to predict the course of the disease [2-6, 8].”
BackgroundDu, L., Liu, K., Yao, X., Risacher, S., Han, J.-W., Saykin, A., Guo, L., & Shen, L. (2019) · IEEE/ACM Transactions on Computational Biology & Bioinformatics · doi:10.1109/tcbb.2019.2947428 · Cited by 44
“For example, the significant reduction of glucose metabolism in the right angular gyrus has been observed in aging-associated cognitive decline (AACD) patients [34].”
BackgroundDrug Access to the Central Nervous System in Alzheimer’s Disease: Preclinical and Clinical Insights
Mehta, D. C., Short, J. L., Hilmer, S. N., & Nicolazzo, J. A. (2014) · Pharmaceutical Research · doi:10.1007/s11095-014-1522-0 · Cited by 47
Diagnosis of Alzheimer’s Disease with [18F]PET in Mild and Asymptomatic Stages
Drzezga, A. (2009) · Behavioural Neurology · doi:10.3233/ben-2009-0228 · Cited by 41
Brain‐targeting drug delivery systems
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“In addition to decreased CBF, the cerebral glucose transport across the BBB and the phosphorylation rates measured by FDG-PET were reduced in hypometabolic regions in MCI and AD patients [19–24].”
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Alzheimer’s Disease and Porphyromonas gingivalis: Exploring the Links
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Prospective classification of Alzheimer’s disease conversion from mild cognitive impairment
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“(2) PL angular gyrus L (PMID: 17524628) (Hunt et al., 2007) Compared with controls, aging-associated cognitive decline patients had significantly reduced glucose metabolism in the angular gyrus while the deficit were more pronounced in AD patients.”
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Does hyperglycemia downregulate glucose transporters in the brain?
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The Vascular-Immune Hypothesis of Alzheimer’s Disease
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“18F-FDGPET imaging studies document decreased glucose uptake in specific brain regions during prodromal stages of AD [99].”
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“Reduced glucose metabolism has been detected in the majority of clinically diagnosed AD patients, which precede the onset of dementia by several years (Hunt et al., 2007 ; Mosconi, 2013 ).”
BackgroundHaake, J., Meller, S., Meyerhoff, N., Twele, F., Charalambous, M., Talbot, S., & Volk, H. A. (2024) · Frontiers in Veterinary Science · doi:10.3389/fvets.2024.1374511 · Cited by 27
“Metabolic changes in the aging brain, such as glucose hypometabolism and mitochondrial dysfunction, (4–7), and neuropathological findings, like the accumulation of ß42-amyloid plaques (8–13), and cerebral atrophy (14) may be associated with cognitive decline leading to typical clinical signs that…”
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“It has been reported that AD patients have significantly reduced glucose metabolism in the angular gyrus, temporal gyrus, and posterior cingulate (Hunt et al., 2007).”
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“The voxel positioned in the posteromedial parietal cortex included the posterior cingulate gyrus, an area involved in early phases of AD according to PET studies.(31-33) This area is frequently explored in MRS studies and plays a pivotal role in memory as it is a part of the default mode network.”
MethodGibbs, M. E., Gibbs, Z., & Hertz, L. (2009) · Journal of Neurochemistry · doi:10.1111/j.1471-4159.2009.05800.x · Cited by 26
“2003) which can be demonstrated even in patients ‘at risk’ for developing the disease (Hunt et al. 2007).”
BackgroundMitochondria in aging and age-associated diseases
Pahal, S., Mainali, N., Balasubramaniam, M., Reis, R. J. S., & Ayyadevara, S. (2025) · Mitochondrion · doi:10.1016/j.mito.2025.102022 · Cited by 32
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“FDG-PET shows that GLUT1 levels are substantially diminished in brain micro-vessels in AD (19, 38), Moreover, imaging has revealed that patients with MCI have reduced glucose uptake in multiple brain areas prior to any apparent neurodegenerative changes, brain atrophy or conversion to AD (39, 40).”
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“Another interesting issue is related to the role of the amyloid beta (A β ) peptide in angiogenesis, which is frequently reported in the brain of AD patients in addition to neurodegeneration and neuroinflammation [152].”
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Self-citationRecent advances in diagnostic and therapeutic strategies for canine cognitive dysfunction
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Targeted Lipidomics of Mitochondria in a Cellular Alzheimer’s Disease Model
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5‐Methoxyindole‐2‐carboxylic acid (MICA) suppresses A&bgr;‐mediated pathology in C. elegans
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“Most importantly, these markers are all have been documented to be related to AD or MCI [21]–[25].”
BackgroundInfluentialDetecting dementia from written and spoken language
Masrani, V. (2018) · cIRcle (University of British Columbia) · doi:10.14288/1.0362923 · Cited by 18
“cortices) which can add evidence towards a diagnosis [24, 33, 60].”
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“…hypoplasia The glucose transporter GLUT1 is also downregulated in AD brain ECs, causing decreased glucose uptake and LRP1 downregulation via sterol-binding protein-2 (SREBP2)-dependent transcription, resulting in A β accumulation [36]. and less LRP1-mediated Aβ clearance from the brain [35] .”
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(18F)FDG-PET as a Biomarker for Early Alzheimer's Disease
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Self-citation
Metadata
- Authors
- Hunt, A., Schönknecht, P., Henze, M., Seidl, U., Haberkorn, U., & Schröder, J.
- Affiliations
- Heidelberg University (DE)
- German Cancer Research Center (DE)
- Corresponding author
- Schröder, Johannes
- ORCID
- Schröder, Johannes
- Venue
- Psychiatry Research: Neuroimaging
- Publisher
- Elsevier BV
- Published
- 2007-07
- Volume
- 155
- Issue
- 2
- Pages
- 147-154
- ISSN
- 0925-4927 (ISSN-L)
- OpenAlex
- W2037603765
- Cited by
- 146
- References
- 41
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 9 · 2023: 16 · 2022: 5 · 2021: 9 · 2020: 6 · 2019: 9 · 2018: 9 · 2017: 7 · 2016: 10 · 2015: 5 · 2014: 5 · 2013: 4 · 2012: 8
- FWCI
- 4.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research Neuroimaging (publishedVersion)
- PubMed (publishedVersion)
- 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 › Radiology, Nuclear Medicine and Imaging › Medical Imaging Techniques and Applications
- Keywords
- Alzheimer's disease, brain glucose metabolism, mild cognitive impairment, conversion to Alzheimer's disease, precuneus, posterior cingulate cortex, angular gyrus, middle temporal cortex, frontal cortex, thalamus, FDG-PET
- MeSH terms
- Aged, Alzheimer Disease, Brain, Brain Mapping, Cerebral Cortex, Cognition Disorders, Female, Follow-Up Studies, Frontal Lobe, Glucose, Gyrus Cinguli, Humans, Image Processing, Computer-Assisted, Functional Laterality, Male, Severity of Illness Index, Temporal Lobe, Tissue Distribution, Disease Progression, Fluorodeoxyglucose F18, Positron-Emission Tomography
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