KL-VS heterozygosity is associated with lower amyloid-dependent tau accumulation and memory impairment in Alzheimer’s disease
Open accessAbstract
Klotho-VS heterozygosity (KL-VS het) is associated with reduced risk of Alzheimer’s disease (AD). However, whether KL-VS het is associated with lower levels of pathologic tau, i.e., the key AD pathology driving neurodegeneration and cognitive decline, is unknown. Here, we assessed the interaction between KL-VS het and levels of beta-amyloid, a key driver of tau pathology, on the levels of PET-assessed neurofibrillary tau in 551 controls and patients across the AD continuum. KL-VS het showed lower cross-sectional and longitudinal increase in tau-PET per unit increase in amyloid-PET when compared to that of non-carriers. This association of KL-VS het on tau-PET was stronger in Klotho mRNA-expressing brain regions mapped onto a gene expression atlas. KL-VS het was related to better memory functions in amyloid-positive participants and this association was mediated by lower tau-PET. Amyloid-PET levels did not differ between KL-VS het carriers versus non-carriers. Together, our findings provide evidence to suggest a protective role of KL-VS het against amyloid-related tau pathology and tau-related memory impairments in elderly humans at risk of AD dementia.
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KLOTHO-VS heterozygosity has been reported to decrease Aβ plaque deposition, tau accumulation and tau-mediated cognitive impairment.
“Of particular interest is the longevity-increasing KLOTHO-VS heterozygosity, which has been reported to operate by decreasing Aβ plaque deposition, tau accumulation and tau-mediated cognitive impairment23–26.”
From Multifaceted roles of APOE in Alzheimer disease (2024) · cites this paper as [25]
The Results report lower amyloid-related tau accumulation in KL-VS heterozygotes, and the Abstract reports better memory in amyloid-positive carriers mediated by lower tau-PET. But the Abstract says amyloid-PET levels did not differ between carriers and non-carriers; the Results find lower amyloid-PET only in a restricted subgroup of a larger sample. The paper reports associations, not an established mechanism by which heterozygosity decreases all three outcomes. (LLM, conf=0.88)
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Cites
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- Authors
- Neitzel, J., Franzmeier, N., Rubinski, A., Dichgans, M., Brendel, M., (ADNI), A. D. N. I., Weiner, M., Aisen, P., Petersen, R., Jack, C. R., Jagust, W., Trojanowki, J. Q., Toga, A. W., Beckett, L., Green, R. C., Saykin, A. J., Morris, J., Shaw, L. M., Liu, E., Montine, T., Thomas, R. G., Donohue, M., Walter, S., Gessert, D., Sather, T., Jiminez, G., Harvey, D., Bernstein, M., Fox, N., Thompson, P., Schuff, N., DeCArli, C., Borowski, B., Gunter, J., Senjem, M., Vemuri, P., Jones, D., Kantarci, K., Ward, C., Koeppe, R. A., Foster, N., Reiman, E. M., Chen, K., Mathis, C., Landau, S., Cairns, N. J., Householder, E., Reinwald, L. T., Lee, V., Korecka, M., Figurski, M., Crawford, K., Neu, S., Foroud, T. M., Potkin, S., Shen, L., Kelley, F., Kim, S., Nho, K., Kachaturian, Z., Frank, R., Snyder, P. J., Molchan, S., Kaye, J., Quinn, J., Lind, B., Carter, R., Dolen, S., Schneider, L. S., Pawluczyk, S., Beccera, M., Teodoro, L., Spann, B. M., Brewer, J., Vanderswag, H., Fleisher, A., Heidebrink, J. L., Lord, J. L., Mason, S. S., Albers, C. S., Knopman, D., Johnson, K., Doody, R. S., Meyer, J. V., Chowdhury, M., Rountree, S., Dang, M., Stern, Y., Honig, L. S., Bell, K. L., Ances, B., Morris, J. C., Carroll, M., Leon, S., Mintun, M. A., Schneider, S., OliverNG, A., Griffith, R., Clark, D., Geldmacher, D., Brockington, J., Roberson, E., Grossman, H., Mitsis, E., deToledo-Morrell, L., Shah, R. C., Duara, R., Varon, D., Greig, M. T., Roberts, P., Albert, M., Onyike, C., D’Agostino, D., Kielb, S., Galvin, J. E., Pogorelec, D. M., Cerbone, B., Michel, C. A., Rusinek, H., de Leon, M. J., Glodzik, L., De Santi, S., Doraiswamy, P. M., Petrella, J. R., Wong, T. Z., Arnold, S. E., Karlawish, J. H., Wolk, D., Smith, C. D., Jicha, G., Hardy, P., Sinha, P., Oates, E., Conrad, G., Lopez, O. L., Oakley, M., Simpson, D. M., Porsteinsson, A. P., Goldstein, B. S., Martin, K., Makino, K. M., Ismail, M. S., Brand, C., Mulnard, R. A., Thai, G., Mc Adams Ortiz, C., Womack, K., Mathews, D., Quiceno, M., Arrastia, R. D., King, R., Weiner, M., Cook, K. M., DeVous, M., Levey, A. I., Lah, J. J., Cellar, J. S., Burns, J. M., Anderson, H. S., Swerdlow, R. H., Apostolova, L., Tingus, K., Woo, E., Silverman, D. H. S., Lu, P. H., Bartzokis, G., Radford, N. R. G., ParfittH, F., Kendall, T., Johnson, H., Farlow, M. R., Hake, A. M., Matthews, B. R., Herring, S., Hunt, C., van Dyck, C. H., Carson, R. E., MacAvoy, M. G., Chertkow, H., Bergman, H., Hosein, C., Black, S., Stefanovic, B., Caldwell, C., Hsiung, G. Y. R., Feldman, H., Mudge, B., Past, M. A., Kertesz, A., Rogers, J., Trost, D., Bernick, C., Munic, D., Kerwin, D., Mesulam, M. M., Lipowski, K., Wu, C. K., Johnson, N., Sadowsky, C., Martinez, W., Villena, T., Turner, R. S., Johnson, K., Reynolds, B., Sperling, R. A., Johnson, K. A., Marshall, G., Frey, M., Yesavage, J., Taylor, J. L., Lane, B., Rosen, A., Tinklenberg, J., Sabbagh, M. N., Belden, C. M., Jacobson, S. A., Sirrel, S. A., Kowall, N., Killiany, R., Budson, A. E., Norbash, A., Johnson, P. L., Obisesan, T. O., Wolday, S., Allard, J., Lerner, A., Ogrocki, P., Hudson, L., Fletcher, E., Carmichael, O., Olichney, J., DeCarli, C., Kittur, S., Borrie, M., Lee, T. Y., Bartha, R., Johnson, S., Asthana, S., Carlsson, C. M., Potkin, S. G., Preda, A., Nguyen, D., Tariot, P., Reeder, S., Bates, V., Capote, H., Rainka, M., Scharre, D. W., Kataki, M., Adeli, A., Zimmerman, E. A., Celmins, D., Brown, A. D., Pearlson, G. D., Blank, K., Anderson, K., Santulli, R. B., Kitzmiller, T. J., Schwartz, E. S., SinkS, K. M., Williamson, J. D., Garg, P., Watkins, F., Ott, B. R., Querfurth, H., Tremont, G., Salloway, S., Malloy, P., Correia, S., Rosen, H. J., Miller, B. L., Mintzer, J., Spicer, K., Bachman, D., Finger, E., Pasternak, S., Rachinsky, I., Drost, D., Pomara, N., Hernando, R., Sarrael, A., Schultz, S. K., Ponto, L. L. B., Shim, H., Smith, K. E., Relkin, N., Chaing, G., Raudin, L., Smith, A., Fargher, K., Raj, B. A., Malik, R., & Ewers, M.
- Affiliations
- Erasmus MC (NL)
- Institut für Schlaganfall- und Demenzforschung (DE)
- German Center for Neurodegenerative Diseases (DE)
- LMU Klinikum (DE)
- University of California, San Francisco (US)
- Mayo Clinic (US)
- University of Pennsylvania (US)
- University of Southern California (US)
- Brigham and Women's Hospital (US)
- Washington University in St. Louis (US)
- Janssen Alzheimer Immunotherapy Research & Development (United States) (US)
- University of Washington (US)
- University of California San Diego (US)
- University of Utah (US)
- Banner Alzheimer’s Institute (US)
- University of Pittsburgh (US)
- University of California, Irvine (US)
- Indiana University Bloomington (US)
- Alzheimer's Association (US)
- General Electric (United States) (US)
- National Institutes of Health (US)
- Oregon Health & Science University (US)
- University of Michigan (US)
- Baylor College of Medicine (US)
- Columbia University Irving Medical Center (US)
- University of Alabama at Birmingham (US)
- Icahn School of Medicine at Mount Sinai (US)
- Rush University Medical Center (US)
- Johns Hopkins University (US)
- New York University (US)
- Duke Medical Center (US)
- University of Kentucky (US)
- University of Rochester Medicine (US)
- The University of Texas Southwestern Medical Center (US)
- Emory University (US)
- University of Kansas Medical Center (US)
- University of California, Los Angeles (US)
- Mayo Clinic in Florida (US)
- Yale University (US)
- Jewish General Hospital (CA)
- Sunnybrook Health Science Centre (CA)
- University of British Columbia (CA)
- St Joseph's Health Centre (CA)
- Cleveland Clinic (US)
- Northwestern University (US)
- Palm Beach Neurology (US)
- Georgetown University Medical Center (US)
- Stanford University (US)
- Banner Sun Health Research Institute (US)
- Boston University (US)
- Howard University (US)
- Case Western Reserve University (US)
- University of California, Davis (US)
- University of Wisconsin–Madison (US)
- Dent Neurologic Institute (US)
- The Ohio State University (US)
- Albany Medical College (US)
- Hartford Hospital (US)
- Dartmouth–Hitchcock Medical Center (US)
- Wake Forest University Health Sciences (US)
- Rhode Island Hospital (US)
- Butler Hospital (US)
- Medical University of South Carolina (US)
- Nathan Kline Institute for Psychiatric Research (US)
- University of Iowa (US)
- Cornell University (US)
- University of South Florida (US)
- Corresponding author
- Neitzel, Julia
- Ewers, Michael
- ORCID
- Neitzel, Julia
- Franzmeier, Nicolai
- Rubinski, Anna
- Dichgans, Martin
- Brendel, Matthias
- Weiner, Michael
- Petersen, Ronald
- Jack, Clifford R.
- Jagust, William
- Toga, Arthur W.
- Beckett, Laurel
- Green, Robert C.
- Saykin, Andrew J.
- Shaw, Leslie M.
- Liu, Enchi
- Thomas, Ronald G.
- Donohue, Michael
- Walter, Sarah
- Harvey, Danielle
- Fox, Nick
- Thompson, Paul
- Vemuri, Prashanthi
- Kantarci, Kejal
- Koeppe, Robert A.
- Reiman, Eric M.
- Chen, Kewei
- Landau, Susan
- Cairns, Nigel J.
- Korecka, Magdalena
- Crawford, Karen
- Foroud, Tatiana M.
- Shen, Li
- Kim, Sungeun
- Nho, Kwangsik
- Frank, Richard
- Snyder, Peter J.
- Kaye, Jeffrey
- Quinn, Joseph
- Schneider, Lon S.
- Fleisher, Adam
- Heidebrink, Judith L.
- Lord, Joanne L.
- Knopman, David
- Johnson, Kris
- Stern, Yaakov
- Honig, Lawrence S.
- Bell, Karen L.
- Ances, Beau
- Carroll, Maria
- Clark, David
- Geldmacher, David
- Roberson, Erik
- Shah, Raj C.
- Duara, Ranjan
- Albert, Marilyn
- Onyike, Chiadi
- D’Agostino, Daniel
- Kielb, Stephanie
- Galvin, James E.
- Cerbone, Brittany
- Rusinek, Henry
- Glodzik, Lidia
- Doraiswamy, P. Murali
- Petrella, Jeffrey R.
- Wong, Terence Z.
- Arnold, Steven E.
- Karlawish, Jason H.
- Wolk, David
- Smith, Charles D.
- Hardy, Peter
- Sinha, Partha
- Porsteinsson, Anton P.
- Ismail, M. Saleem
- Thai, Gaby
- Womack, Kyle
- Quiceno, Mary
- Weiner, Myron
- DeVous, Michael
- Levey, Allan I.
- Lah, James J.
- Burns, Jeffrey M.
- Swerdlow, Russell H.
- Apostolova, Liana
- Silverman, Daniel H. S.
- Lu, Po H.
- Johnson, Heather
- Farlow, Martin R.
- Hake, Ann Marie
- Carson, Richard E.
- Chertkow, Howard
- Bergman, Howard
- Black, Sandra
- Stefanovic, Bojana
- Hsiung, Ging Yuek Robin
- Feldman, Howard
- Bernick, Charles
- Kerwin, Diana
- Wu, Chuang Kuo
- Johnson, Nancy
- Turner, Raymond Scott
- Sperling, Reisa A.
- Johnson, Keith A.
- Marshall, Gad
- Frey, Meghan
- Yesavage, Jerome
- Taylor, Joy L.
- Lane, Barton
- Rosen, Allyson
- Sabbagh, Marwan N.
- Belden, Christine M.
- Jacobson, Sandra A.
- Kowall, Neil
- Killiany, Ronald
- Budson, Andrew E.
- Norbash, Alexander
- Obisesan, Thomas O.
- Lerner, Alan
- Fletcher, Evan
- Carmichael, Owen
- Olichney, John
- Johnson, Sterling
- Asthana, Sanjay
- Carlsson, Cynthia M.
- Preda, Adrian
- Nguyen, Dana
- Tariot, Pierre
- Scharre, Douglas W.
- Kataki, Maria
- Pearlson, Godfrey D.
- Santulli, Robert B.
- Williamson, Jeff D.
- Garg, Pradeep
- Ott, Brian R.
- Tremont, Geoffrey
- Salloway, Stephen
- Correia, Stephen
- Miller, Bruce L.
- Mintzer, Jacobo
- Bachman, David
- Pasternak, Stephen
- Pomara, Nunzio
- Schultz, Susan K.
- Ponto, Laura L. Boles
- Shim, Hyungsub
- Relkin, Norman
- Smith, Amanda
- Malik, Rainer
- Ewers, Michael
- Venue
- Nature Communications
- Published
- 2021-06-22
- Volume
- 12
- Issue
- 1
- Pages
- 3825-3825
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC8219708
- OpenAlex
- W3174077948
- Cited by
- 57
- References
- 7
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 15 · 2023: 11 · 2022: 15 · 2021: 2
- FWCI
- 6.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
- Open access LMU (Ludwid Maxmilian's Universitat Munchen) (submittedVersion, cc-by)
- eScholarship (California Digital Library) (submittedVersion, other-oa)
- Civil War Book Review (submittedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Scholarship@Western (Western University) (submittedVersion)
- DZNE Pub (submittedVersion, other-oa)
- IUScholarWorks (Indiana University) (submittedVersion, cc-by)
- Funders
- Alzheimer Forschung Initiative (15035)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- Alzheimer's disease, tau accumulation, amyloid-beta, memory impairment, amyloid PET, tau PET, genetic risk, neurodegeneration, gene expression atlas, protective genetic variants
- MeSH terms
- Klotho Proteins, Aged, Alzheimer Disease, Apolipoproteins E, Brain, Female, Glucuronidase, Heterozygote, Humans, Male, Memory Disorders, Middle Aged, Protein Binding, Gene Expression, Amyloid beta-Peptides, tau Proteins, Polymorphism, Single Nucleotide, Positron-Emission Tomography
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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