Plasma p-tau181 and GFAP reflect 7T MR-derived changes in Alzheimer's disease: A longitudinal study of structural and functional MRI and MRS.

IF 13 1区 医学 Q1 CLINICAL NEUROLOGY
Laura Göschel, Andrea Dell'Orco, Ariane Fillmer, Semiha Aydin, Bernd Ittermann, Layla Riemann, Sylvain Lehmann, Stefan Cano, Jeanette Melin, Leslie Pendrill, Patty L Hoede, Charlotte E Teunissen, Claudia Schwarz, Ulrike Grittner, Péter Körtvélyessy, Agnes Flöel
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引用次数: 0

Abstract

Background: Associations between longitudinal changes of plasma biomarkers and cerebral magnetic resonance (MR)-derived measurements in Alzheimer's disease (AD) remain unclear.

Methods: In a study population (n = 127) of healthy older adults and patients within the AD continuum, we examined associations between longitudinal plasma amyloid beta 42/40 ratio, tau phosphorylated at threonine 181 (p-tau181), glial fibrillary acidic protein (GFAP), neurofilament light chain (NfL), and 7T structural and functional MR imaging and spectroscopy using linear mixed models.

Results: Increases in both p-tau181 and GFAP showed the strongest associations to 7T MR-derived measurements, particularly with decreasing parietal cortical thickness, decreasing connectivity of the salience network, and increasing neuroinflammation as determined by MR spectroscopy (MRS) myo-inositol.

Discussion: Both plasma p-tau181 and GFAP appear to reflect disease progression, as indicated by 7T MR-derived brain changes which are not limited to areas known to be affected by tau pathology and neuroinflammation measured by MRS myo-inositol, respectively.

Highlights: This study leverages high-resolution 7T magnetic resonance (MR) imaging and MR spectroscopy (MRS) for Alzheimer's disease (AD) plasma biomarker insights. Tau phosphorylated at threonine 181 (p-tau181) and glial fibrillary acidic protein (GFAP) showed the largest changes over time, particularly in the AD group. p-tau181 and GFAP are robust in reflecting 7T MR-based changes in AD. The strongest associations were for frontal/parietal MR changes and MRS neuroinflammation.

血浆 p-tau181 和 GFAP 反映阿尔茨海默病的 7T MR 衍生变化:结构和功能 MRI 与 MRS 纵向研究。
背景:在阿尔茨海默病(AD)中,血浆生物标志物的纵向变化与脑磁共振(MR)得出的测量结果之间的关系仍不清楚:阿尔茨海默病(AD)中血浆生物标志物的纵向变化与脑磁共振(MR)得出的测量结果之间的关系仍不清楚:在一个由健康老年人和AD连续体患者组成的研究人群(n = 127)中,我们使用线性混合模型研究了血浆淀粉样β 42/40比值、苏氨酸181磷酸化的tau(p-tau181)、神经纤维酸性蛋白(GFAP)、神经丝轻链(NfL)与7T结构性和功能性MR成像和光谱之间的纵向联系:结果:p-tau181和GFAP的增加与7T磁共振衍生测量结果的关联性最强,特别是与顶叶皮层厚度减少、显著性网络连接性降低以及由磁共振波谱(MRS)肌醇确定的神经炎症增加有关:讨论:血浆p-tau181和GFAP似乎都能反映疾病的进展,7T磁共振衍生的脑部变化表明,这些变化并不局限于已知受tau病理学和MRS肌醇测定的神经炎症影响的区域:这项研究利用高分辨率 7T 磁共振成像(MR)和磁共振波谱分析(MRS)深入研究阿尔茨海默病(AD)血浆生物标志物。苏氨酸181磷酸化的Tau(p-tau181)和胶质纤维酸性蛋白(GFAP)随时间的变化最大,尤其是在AD组。关联性最强的是额叶/顶叶 MR 变化和 MRS 神经炎症。
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来源期刊
Alzheimer's & Dementia
Alzheimer's & Dementia 医学-临床神经学
CiteScore
14.50
自引率
5.00%
发文量
299
审稿时长
3 months
期刊介绍: Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
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