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Medial Temporal Lobe Networks in Alzheimer's Disease : Structural and Molecular Vulnerabilities

de Flores, Robin ; Das, Sandhitsu R ; Xie, Long ; Wisse, Laura E M LU orcid ; Lyu, Xueying ; Shah, Preya ; Yushkevich, Paul A and Wolk, David A (2022) In The Journal of Neuroscience : the official journal of the Society for Neuroscience 42(10). p.2131-2141
Abstract

The medial temporal lobe (MTL) is connected to the rest of the brain through two main networks: the anterior-temporal (AT) and the posterior-medial (PM) systems. Given the crucial role of the MTL and networks in the physiopathology of Alzheimer's disease (AD), the present study aimed at (1) investigating whether MTL atrophy propagates specifically within the AT and PM networks, and (2) evaluating the vulnerability of these networks to AD proteinopathies. To do that, we used neuroimaging data acquired in human male and female in three distinct cohorts: (1) resting-state functional MRI (rs-fMRI) from the aging brain cohort (ABC) to define the AT and PM networks (n = 68); (2) longitudinal structural MRI from Alzheimer's disease... (More)

The medial temporal lobe (MTL) is connected to the rest of the brain through two main networks: the anterior-temporal (AT) and the posterior-medial (PM) systems. Given the crucial role of the MTL and networks in the physiopathology of Alzheimer's disease (AD), the present study aimed at (1) investigating whether MTL atrophy propagates specifically within the AT and PM networks, and (2) evaluating the vulnerability of these networks to AD proteinopathies. To do that, we used neuroimaging data acquired in human male and female in three distinct cohorts: (1) resting-state functional MRI (rs-fMRI) from the aging brain cohort (ABC) to define the AT and PM networks (n = 68); (2) longitudinal structural MRI from Alzheimer's disease neuroimaging initiative (ADNI)GO/2 to highlight structural covariance patterns (n = 349); and (3) positron emission tomography (PET) data from ADNI3 to evaluate the networks' vulnerability to amyloid and tau (n = 186). Our results suggest that the atrophy of distinct MTL subregions propagates within the AT and PM networks in a dissociable manner. Brodmann area (BA)35 structurally covaried within the AT network while the parahippocampal cortex (PHC) covaried within the PM network. In addition, these networks are differentially associated with relative tau and amyloid burden, with higher tau levels in AT than in PM and higher amyloid levels in PM than in AT. Our results also suggest differences in the relative burden of tau species. The current results provide further support for the notion that two distinct MTL networks display differential alterations in the context of AD. These findings have important implications for disease spread and the cognitive manifestations of AD.SIGNIFICANCE STATEMENT The current study provides further support for the notion that two distinct medial temporal lobe (MTL) networks, i.e., anterior-temporal (AT) and the posterior-medial (PM), display differential alterations in the context of Alzheimer's disease (AD). Importantly, neurodegeneration appears to occur within these networks in a dissociable manner marked by their covariance patterns. In addition, the AT and PM networks are also differentially associated with relative tau and amyloid burden, and perhaps differences in the relative burden of tau species [e.g., neurofibriliary tangles (NFTs) vs tau in neuritic plaques]. These findings, in the context of a growing literature consistent with the present results, have important implications for disease spread and the cognitive manifestations of AD in light of the differential cognitive processes ascribed to them.

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organization
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type
Contribution to journal
publication status
published
subject
keywords
Alzheimer Disease/pathology, Amyloid, Amyloid beta-Peptides/metabolism, Atrophy/pathology, Cognitive Dysfunction/pathology, Female, Humans, Magnetic Resonance Imaging/methods, Male, Positron-Emission Tomography/methods, Temporal Lobe/metabolism, tau Proteins/metabolism
in
The Journal of Neuroscience : the official journal of the Society for Neuroscience
volume
42
issue
10
pages
2131 - 2141
publisher
Society for Neuroscience
external identifiers
  • pmid:35086906
  • scopus:85126152501
ISSN
1529-2401
DOI
10.1523/JNEUROSCI.0949-21.2021
language
English
LU publication?
yes
additional info
Copyright © 2022 the authors.
id
a609421e-5ca5-4b27-875c-d70ea7df3c70
date added to LUP
2022-05-30 13:32:11
date last changed
2024-05-02 00:16:52
@article{a609421e-5ca5-4b27-875c-d70ea7df3c70,
  abstract     = {{<p>The medial temporal lobe (MTL) is connected to the rest of the brain through two main networks: the anterior-temporal (AT) and the posterior-medial (PM) systems. Given the crucial role of the MTL and networks in the physiopathology of Alzheimer's disease (AD), the present study aimed at (1) investigating whether MTL atrophy propagates specifically within the AT and PM networks, and (2) evaluating the vulnerability of these networks to AD proteinopathies. To do that, we used neuroimaging data acquired in human male and female in three distinct cohorts: (1) resting-state functional MRI (rs-fMRI) from the aging brain cohort (ABC) to define the AT and PM networks (n = 68); (2) longitudinal structural MRI from Alzheimer's disease neuroimaging initiative (ADNI)GO/2 to highlight structural covariance patterns (n = 349); and (3) positron emission tomography (PET) data from ADNI3 to evaluate the networks' vulnerability to amyloid and tau (n = 186). Our results suggest that the atrophy of distinct MTL subregions propagates within the AT and PM networks in a dissociable manner. Brodmann area (BA)35 structurally covaried within the AT network while the parahippocampal cortex (PHC) covaried within the PM network. In addition, these networks are differentially associated with relative tau and amyloid burden, with higher tau levels in AT than in PM and higher amyloid levels in PM than in AT. Our results also suggest differences in the relative burden of tau species. The current results provide further support for the notion that two distinct MTL networks display differential alterations in the context of AD. These findings have important implications for disease spread and the cognitive manifestations of AD.SIGNIFICANCE STATEMENT The current study provides further support for the notion that two distinct medial temporal lobe (MTL) networks, i.e., anterior-temporal (AT) and the posterior-medial (PM), display differential alterations in the context of Alzheimer's disease (AD). Importantly, neurodegeneration appears to occur within these networks in a dissociable manner marked by their covariance patterns. In addition, the AT and PM networks are also differentially associated with relative tau and amyloid burden, and perhaps differences in the relative burden of tau species [e.g., neurofibriliary tangles (NFTs) vs tau in neuritic plaques]. These findings, in the context of a growing literature consistent with the present results, have important implications for disease spread and the cognitive manifestations of AD in light of the differential cognitive processes ascribed to them.</p>}},
  author       = {{de Flores, Robin and Das, Sandhitsu R and Xie, Long and Wisse, Laura E M and Lyu, Xueying and Shah, Preya and Yushkevich, Paul A and Wolk, David A}},
  issn         = {{1529-2401}},
  keywords     = {{Alzheimer Disease/pathology; Amyloid; Amyloid beta-Peptides/metabolism; Atrophy/pathology; Cognitive Dysfunction/pathology; Female; Humans; Magnetic Resonance Imaging/methods; Male; Positron-Emission Tomography/methods; Temporal Lobe/metabolism; tau Proteins/metabolism}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{2131--2141}},
  publisher    = {{Society for Neuroscience}},
  series       = {{The Journal of Neuroscience : the official journal of the Society for Neuroscience}},
  title        = {{Medial Temporal Lobe Networks in Alzheimer's Disease : Structural and Molecular Vulnerabilities}},
  url          = {{http://dx.doi.org/10.1523/JNEUROSCI.0949-21.2021}},
  doi          = {{10.1523/JNEUROSCI.0949-21.2021}},
  volume       = {{42}},
  year         = {{2022}},
}