Cited by 137Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsAdvanced Neuroimaging Techniques and Applications

Sub-regional hippocampal injury is associated with fornix degeneration in Alzheimer’s disease.

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Lee, Dong Young, Fletcher, Evan, Carmichael, Owen Thomas, Singh, Baljeet, Mungas, Dan, Reed, Bruce, Martinez, Oliver, Buonocore, Michael H. +2 more·2012·Frontiers in Aging Neuroscience

Abstract

We examined in vivo evidence of axonal degeneration in association with neuronal pathology in Alzheimer's disease (AD) through analysis of fornix microstructural integrity and measures of hippocampal subfield atrophy. Based on known anatomical topography, we hypothesized that the local thickness of subiculum and CA1 hippocampus fields would be associated with fornix integrity, reflecting an association between AD-related injury to hippocampal neurons and degeneration of associated axon fibers. To test this hypothesis, multi-modal imaging, combining measures of local hippocampal radii with diffusion tensor imaging (DTI), was applied to 44 individuals clinically diagnosed with AD, 44 individuals clinically diagnosed with mild cognitive impairment (MCI), and 96 cognitively normal individuals. Fornix microstructural degradation, as measured by reduced DTI-based fractional anisotropy (FA), was prominent in both MCI and AD, and was associated with reduced hippocampal volumes. Further, reduced fornix FA was associated with reduced anterior CA1 and antero-medial subiculum thickness. Finally, while both lesser fornix FA and lesser hippocampal volume were associated with lesser episodic memory, only the hippocampal measures were significant predictors of episodic memory in models including both hippocampal and fornix predictors. The region-specific association between fornix integrity and hippocampal neuronal death may provide in vivo evidence for degenerative white matter injury in AD: axonal pathology that is closely linked to neuronal injury.

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Authors
Lee, D. Y., Fletcher, E., Carmichael, O. T., Singh, B., Mungas, D., Reed, B., Martinez, O., Buonocore, M. H., Persianinova, M., & DeCarli, C.
Affiliations
  • Seoul National University (KR)
  • University of California, Davis (US)
Corresponding author
Carmichael, Owen Thomas
Venue
Frontiers in Aging Neuroscience
Published
2012
Volume
4
Pages
1-1
ISSN
1663-4365 (ISSN-L)
OpenAlex
W2100651338
Cited by
137
References
57
Citations by year
2024: 2 · 2023: 2 · 2022: 4 · 2021: 6 · 2020: 10 · 2019: 9 · 2018: 16 · 2017: 20 · 2016: 17 · 2015: 19 · 2014: 14 · 2013: 17 · 2012: 1
FWCI
11.61
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Frontiers in Aging Neuroscience (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Institutes of Health (AG10129, AG031563)
  • National Institute on Aging (P30AG010129, R01AG021028, K01AG030514, R01AG010220, R01AG031563)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
Keywords
Alzheimer's disease, hippocampal subfields, subiculum, CA1, axonal degeneration, white matter injury, fractional anisotropy, hippocampal atrophy, mild cognitive impairment, episodic memory, diffusion tensor imaging

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