Amyloid-beta plaque growth in cognitively normal adults: Longitudinal [11C]Pittsburgh compound B data

被引:117
作者
Vlassenko, Andrei G. [2 ,3 ]
Mintun, Mark A. [2 ,4 ]
Xiong, Chengjie [3 ,5 ]
Sheline, Yvette I. [2 ,3 ,6 ]
Goate, Alison M. [3 ,6 ]
Benzinger, Tammie L. S. [2 ,3 ]
Morris, John C. [1 ,3 ]
机构
[1] Washington Univ, Sch Med, Knight Alzheimer Dis Res Ctr, Dept Neurol, St Louis, MO 63108 USA
[2] Washington Univ, Sch Med, Dept Radiol, St Louis, MO 63108 USA
[3] Washington Univ, Sch Med, Charles F & Joanne Knight Alzheimer Dis Res Ctr, St Louis, MO 63108 USA
[4] Avid Radiopharmaceut, Philadelphia, PA USA
[5] Washington Univ, Sch Med, Div Biostat, St Louis, MO 63108 USA
[6] Washington Univ, Sch Med, Dept Psychiat, St Louis, MO 63108 USA
关键词
ALZHEIMERS-DISEASE; FOLLOW-UP; PROGRESSION; DEPOSITION; PIB;
D O I
10.1002/ana.22608
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Amyloid-beta (A beta) accumulation was evaluated with 2 [11C]Pittsburgh compound B (PiB) positron emission tomography scans about 2.5 years apart in 146 cognitively normal adults. Seventeen of 21 participants with initially elevated A beta deposition demonstrated subsequent A beta plaque growth (approximately 8.0% per year), and none reverted to a state of no A beta deposits. Ten individuals converted from negative to positive PiB status, based on a threshold of the mean cortical binding potential, representing a conversion rate of 3.1% per year. Individuals with an e4 allele of apolipoprotein E demonstrated increased incidence of conversion (7.0% per year). Our findings suggest that the major growth in A beta burden occurs during a preclinical stage of Alzheimer disease (AD), prior to the onset of AD-related symptoms. Ann Neurol 2011
引用
收藏
页码:857 / 861
页数:5
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