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Functional gradients of the medial parietal cortex in a healthy cohort with family history of sporadic Alzheimer’s disease

Veréb, Dániel ; Mijalkov, Mite ; Chang, Yu Wei ; Canal-Garcia, Anna ; Gomez-Ruis, Emiliano ; Maass, Anne ; Villeneuve, Sylvia ; Volpe, Giovanni and Pereira, Joana B. LU (2023) In Alzheimer's Research and Therapy 15(1).
Abstract

Background: The medial parietal cortex is an early site of pathological protein deposition in Alzheimer’s disease (AD). Previous studies have identified different subregions within this area; however, these subregions are often heterogeneous and disregard individual differences or subtle pathological alterations in the underlying functional architecture. To address this limitation, here we measured the continuous connectivity gradients of the medial parietal cortex and assessed their relationship with cerebrospinal fluid (CSF) biomarkers, ApoE ε4 carriership and memory in asymptomatic individuals at risk to develop AD. Methods: Two hundred sixty-three cognitively normal participants with a family history of sporadic AD who underwent... (More)

Background: The medial parietal cortex is an early site of pathological protein deposition in Alzheimer’s disease (AD). Previous studies have identified different subregions within this area; however, these subregions are often heterogeneous and disregard individual differences or subtle pathological alterations in the underlying functional architecture. To address this limitation, here we measured the continuous connectivity gradients of the medial parietal cortex and assessed their relationship with cerebrospinal fluid (CSF) biomarkers, ApoE ε4 carriership and memory in asymptomatic individuals at risk to develop AD. Methods: Two hundred sixty-three cognitively normal participants with a family history of sporadic AD who underwent resting-state and task-based functional MRI using encoding and retrieval tasks were included from the PREVENT-AD cohort. A novel method for characterizing spatially continuous patterns of functional connectivity was applied to estimate functional gradients in the medial parietal cortex during the resting-state and task-based conditions. This resulted in a set of nine parameters that described the appearance of the gradient across different spatial directions. We performed correlation analyses to assess whether these parameters were associated with CSF biomarkers of phosphorylated tau181 (p-tau), total tau (t-tau), and amyloid-ß1-42 (Aß). Then, we compared the spatial parameters between ApoE ε4 carriers and noncarriers, and evaluated the relationship between these parameters and memory. Results: Alterations involving the superior part of the medial parietal cortex, which was connected to regions of the default mode network, were associated with higher p-tau, t-tau levels as well as lower Aß/p-tau levels during the resting-state condition (p < 0.01). Similar alterations were found in ApoE ε4 carriers compared to non-carriers (p < 0.003). In contrast, lower immediate memory scores were associated with changes in the middle part of the medial parietal cortex, which was connected to inferior temporal and posterior parietal regions, during the encoding task (p = 0.001). No results were found when using conventional connectivity measures. Conclusions: Functional alterations in the medial parietal gradients are associated with CSF AD biomarkers, ApoE ε4 carriership, and lower memory in an asymptomatic cohort with a family history of sporadic AD, suggesting that functional gradients are sensitive to subtle changes associated with early AD stages.

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; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Alzheimer’s disease, Apolipoprotein E, Cerebrospinal fluid markers, Cognitive aging, fMRI, Memory
in
Alzheimer's Research and Therapy
volume
15
issue
1
article number
82
publisher
BioMed Central (BMC)
external identifiers
  • pmid:37076873
  • scopus:85152980503
ISSN
1758-9193
DOI
10.1186/s13195-023-01228-3
language
English
LU publication?
yes
id
7d3e81bc-1c49-48b2-a17d-ad70d7dafca0
date added to LUP
2023-06-12 14:49:10
date last changed
2024-04-19 22:47:31
@article{7d3e81bc-1c49-48b2-a17d-ad70d7dafca0,
  abstract     = {{<p>Background: The medial parietal cortex is an early site of pathological protein deposition in Alzheimer’s disease (AD). Previous studies have identified different subregions within this area; however, these subregions are often heterogeneous and disregard individual differences or subtle pathological alterations in the underlying functional architecture. To address this limitation, here we measured the continuous connectivity gradients of the medial parietal cortex and assessed their relationship with cerebrospinal fluid (CSF) biomarkers, ApoE ε4 carriership and memory in asymptomatic individuals at risk to develop AD. Methods: Two hundred sixty-three cognitively normal participants with a family history of sporadic AD who underwent resting-state and task-based functional MRI using encoding and retrieval tasks were included from the PREVENT-AD cohort. A novel method for characterizing spatially continuous patterns of functional connectivity was applied to estimate functional gradients in the medial parietal cortex during the resting-state and task-based conditions. This resulted in a set of nine parameters that described the appearance of the gradient across different spatial directions. We performed correlation analyses to assess whether these parameters were associated with CSF biomarkers of phosphorylated tau<sub>181</sub> (p-tau), total tau (t-tau), and amyloid-ß<sub>1-42</sub> (Aß). Then, we compared the spatial parameters between ApoE ε4 carriers and noncarriers, and evaluated the relationship between these parameters and memory. Results: Alterations involving the superior part of the medial parietal cortex, which was connected to regions of the default mode network, were associated with higher p-tau, t-tau levels as well as lower Aß/p-tau levels during the resting-state condition (p &lt; 0.01). Similar alterations were found in ApoE ε4 carriers compared to non-carriers (p &lt; 0.003). In contrast, lower immediate memory scores were associated with changes in the middle part of the medial parietal cortex, which was connected to inferior temporal and posterior parietal regions, during the encoding task (p = 0.001). No results were found when using conventional connectivity measures. Conclusions: Functional alterations in the medial parietal gradients are associated with CSF AD biomarkers, ApoE ε4 carriership, and lower memory in an asymptomatic cohort with a family history of sporadic AD, suggesting that functional gradients are sensitive to subtle changes associated with early AD stages.</p>}},
  author       = {{Veréb, Dániel and Mijalkov, Mite and Chang, Yu Wei and Canal-Garcia, Anna and Gomez-Ruis, Emiliano and Maass, Anne and Villeneuve, Sylvia and Volpe, Giovanni and Pereira, Joana B.}},
  issn         = {{1758-9193}},
  keywords     = {{Alzheimer’s disease; Apolipoprotein E; Cerebrospinal fluid markers; Cognitive aging; fMRI; Memory}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Alzheimer's Research and Therapy}},
  title        = {{Functional gradients of the medial parietal cortex in a healthy cohort with family history of sporadic Alzheimer’s disease}},
  url          = {{http://dx.doi.org/10.1186/s13195-023-01228-3}},
  doi          = {{10.1186/s13195-023-01228-3}},
  volume       = {{15}},
  year         = {{2023}},
}