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Medial temporal lobe atrophy patterns in early- versus late-onset amnestic Alzheimer's disease

Wuestefeld, Anika LU orcid ; Binette, Alexa Pichet LU ; van Westen, Danielle LU orcid ; Strandberg, Olof LU ; Stomrud, Erik LU orcid ; Mattsson-Carlgren, Niklas LU orcid ; Janelidze, Shorena LU ; Smith, Ruben LU ; Palmqvist, Sebastian LU orcid and Baumeister, Hannah LU , et al. (2024) In bioRxiv : the preprint server for biology
Abstract

BACKGROUND: The medial temporal lobe (MTL) is hypothesized to be relatively spared in early-onset Alzheimer's disease (EOAD). Yet, detailed examination of MTL subfield volumes and drivers of atrophy in amnestic EOAD is lacking.

METHODS: BioFINDER-2 participants with memory impairment, abnormal amyloid-β status and tau-PET were included. Forty-one EOAD individuals aged ≤65 years and, as comparison, late-onset AD (LOAD, ≥70 years, n=154) and Aβ-negative cognitively unimpaired controls were included. MTL subregions and biomarkers of (co-)pathologies were measured.

RESULTS: AD groups showed smaller MTL subregions compared to controls. Atrophy patterns were similar across AD groups, although LOAD showed thinner entorhinal... (More)

BACKGROUND: The medial temporal lobe (MTL) is hypothesized to be relatively spared in early-onset Alzheimer's disease (EOAD). Yet, detailed examination of MTL subfield volumes and drivers of atrophy in amnestic EOAD is lacking.

METHODS: BioFINDER-2 participants with memory impairment, abnormal amyloid-β status and tau-PET were included. Forty-one EOAD individuals aged ≤65 years and, as comparison, late-onset AD (LOAD, ≥70 years, n=154) and Aβ-negative cognitively unimpaired controls were included. MTL subregions and biomarkers of (co-)pathologies were measured.

RESULTS: AD groups showed smaller MTL subregions compared to controls. Atrophy patterns were similar across AD groups, although LOAD showed thinner entorhinal cortices compared to EOAD. EOAD showed lower WMH compared to LOAD. No differences in MTL tau-PET or transactive response DNA binding protein 43-proxy positivity was found.

CONCLUSIONS: We found in vivo evidence for MTL atrophy in amnestic EOAD and overall similar levels to LOAD of MTL tau pathology and co-pathologies.

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organization
publishing date
type
Working paper/Preprint
publication status
published
subject
keywords
tau-PET imaging, amyloid-beta, MRI, medial temporal lobe subregions, aging, in vivo, amnestic AD, early-onset, late-onset, amygdala segmentation protocol, TPD-43
in
bioRxiv : the preprint server for biology
pages
32 pages
external identifiers
  • pmid:38826333
ISSN
2692-8205
DOI
10.1101/2024.05.21.594976
language
English
LU publication?
yes
id
424fd864-6bf3-460d-8f50-b5693c0b97b4
date added to LUP
2024-07-05 10:10:11
date last changed
2024-07-05 15:32:42
@misc{424fd864-6bf3-460d-8f50-b5693c0b97b4,
  abstract     = {{<p>BACKGROUND: The medial temporal lobe (MTL) is hypothesized to be relatively spared in early-onset Alzheimer's disease (EOAD). Yet, detailed examination of MTL subfield volumes and drivers of atrophy in amnestic EOAD is lacking.</p><p>METHODS: BioFINDER-2 participants with memory impairment, abnormal amyloid-β status and tau-PET were included. Forty-one EOAD individuals aged ≤65 years and, as comparison, late-onset AD (LOAD, ≥70 years, n=154) and Aβ-negative cognitively unimpaired controls were included. MTL subregions and biomarkers of (co-)pathologies were measured.</p><p>RESULTS: AD groups showed smaller MTL subregions compared to controls. Atrophy patterns were similar across AD groups, although LOAD showed thinner entorhinal cortices compared to EOAD. EOAD showed lower WMH compared to LOAD. No differences in MTL tau-PET or transactive response DNA binding protein 43-proxy positivity was found.</p><p>CONCLUSIONS: We found in vivo evidence for MTL atrophy in amnestic EOAD and overall similar levels to LOAD of MTL tau pathology and co-pathologies.</p>}},
  author       = {{Wuestefeld, Anika and Binette, Alexa Pichet and van Westen, Danielle and Strandberg, Olof and Stomrud, Erik and Mattsson-Carlgren, Niklas and Janelidze, Shorena and Smith, Ruben and Palmqvist, Sebastian and Baumeister, Hannah and Berron, David and Yushkevich, Paul A and Hansson, Oskar and Spotorno, Nicola and Wisse, Laura Em}},
  issn         = {{2692-8205}},
  keywords     = {{tau-PET imaging; amyloid-beta; MRI; medial temporal lobe subregions; aging; in vivo; amnestic AD; early-onset; late-onset; amygdala segmentation protocol; TPD-43}},
  language     = {{eng}},
  month        = {{05}},
  note         = {{Preprint}},
  series       = {{bioRxiv : the preprint server for biology}},
  title        = {{Medial temporal lobe atrophy patterns in early- versus late-onset amnestic Alzheimer's disease}},
  url          = {{http://dx.doi.org/10.1101/2024.05.21.594976}},
  doi          = {{10.1101/2024.05.21.594976}},
  year         = {{2024}},
}