Role of Family History for Alzheimer Biomarker Abnormalities in the Adult Children Study

被引:48
作者
Xiong, Chengjie [1 ,2 ]
Roe, Catherine M. [2 ,3 ]
Buckles, Virginia [2 ,3 ]
Fagan, Anne [2 ,3 ]
Holtzman, David [2 ,3 ,9 ]
Balota, David [2 ,7 ]
Duchek, Janet [2 ,7 ]
Storandt, Martha [2 ,3 ,7 ]
Mintun, Mark [2 ,8 ]
Grant, Elizabeth [1 ,2 ]
Snyder, Abraham Z. [2 ,8 ]
Head, Denise [2 ,7 ,8 ]
Benzinger, Tammie L. S. [2 ,8 ]
Mettenburg, Joseph [2 ,8 ]
Csernansky, John [2 ,10 ,11 ,12 ]
Morris, John C. [2 ,3 ,4 ,5 ,6 ]
机构
[1] Washington Univ, Sch Med, Dept Biostat, St Louis, MO 63110 USA
[2] Washington Univ, Sch Med, Charles F & Joanne Knight Alzheimers Dis Res Ctr, St Louis, MO 63110 USA
[3] Washington Univ, Sch Med, Dept Neurol, St Louis, MO 63110 USA
[4] Washington Univ, Sch Med, Dept Pathol & Immunol, St Louis, MO 63110 USA
[5] Washington Univ, Sch Med, Dept Phys Therapy, St Louis, MO 63110 USA
[6] Washington Univ, Sch Med, Dept Occupat Therapy, St Louis, MO 63110 USA
[7] Washington Univ, Sch Med, Dept Psychol, St Louis, MO 63110 USA
[8] Washington Univ, Sch Med, Dept Radiol, St Louis, MO 63110 USA
[9] Washington Univ, Sch Med, Dept Dev Biol, St Louis, MO 63110 USA
[10] Stone Inst Psychiat, Dept Psychiat, Chicago, IL USA
[11] Stone Inst Psychiat, Dept Behav Sci, Chicago, IL USA
[12] NW Mem Hosp, Chicago, IL 60611 USA
关键词
CEREBROSPINAL-FLUID A-BETA(42); MILD COGNITIVE IMPAIRMENT; GENOME-WIDE ASSOCIATION; IDENTIFIES VARIANTS; NORMAL INDIVIDUALS; WORKING-MEMORY; DEMENTIA; DISEASE; RELIABILITY; DECLINE;
D O I
10.1001/archneurol.2011.208
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To assess whether family history (FH) of Alzheimer disease (AD) alone influences AD biomarker abnormalities. Design: Adult Children Study. Setting: Washington University's Charles F. and Joanne Knight Alzheimer's Disease Research Center. Participants: A total of 269 cognitively normal middle- to older-aged individuals with and without an FH for AD. Main Outcome Measures: Clinical and cognitive measures, magnetic resonance imaging-based brain volumes, diffusion tensor imaging-based white matter microstructure, cerebrospinal fluid biomarkers, and molecular imaging of cerebral fibrillar amyloid with positron emission tomography using the [C-11] benzothiazole tracer, Pittsburgh compound B. Results: A positive FH for AD was associated with an age-related decrease of cerebrospinal fluid A beta 42; the epsilon 4 allele of apolipoprotein E (APOE4) did not alter this effect. Age-adjusted cerebrospinal fluid A beta 42 was decreased for individuals with APOE4 compared with the level for those without, and the decrease was larger for individuals with a positive FH compared with the decrease for those without. The variation of cerebrospinal fluid tau and Pittsburgh compound B mean cortical binding potential increased by age. For individuals younger than 55, an age-related increase in mean cortical binding potential was associated with APOE4 but not FH. For individuals older than 55, a positive FH and a positive APOE4 implied the fastest age-related increase in mean cortical binding potential. A positive FH was associated with decreased fractional anisotropy from diffusion tensor imaging in the genu and splenium of the corpus callosum. Conclusion: Independent of APOE4, FH is associated with age-related change of several cerebrospinal fluid, Pittsburgh compound B, and diffusion tensor imaging biomarkers in cognitively normal middle-to older-aged individuals, suggesting that non-APOE susceptibility genes for AD influence AD biomarkers.
引用
收藏
页码:1313 / 1319
页数:7
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