主观记忆疾患和脑淀粉样变的老年人2年以上的受教育程度、脑电图节律、皮质结构和认知表现

IF 13 1区 医学 Q1 CLINICAL NEUROLOGY
Susanna Lopez, Harald Hampel, Claudio Del Percio, Giuseppe Noce, Roberta Lizio, Stefan J. Teipel, Martin Dyrba, Gabriel González-Escamilla, Hovagim Bakardjian, Patrizia Andrea Chiesa, Enrica Cavedo, Andrea Vergallo, Pablo Lemercier, Giuseppe Spinelli, Michel J. Grothe, Marie-Claude Potier, Fabrizio Stocchi, Chiara Coletti, Raffaele Ferri, Matteo Pardini, Marie-Odile Habert, Simone Marziali, Bruno Dubois, Claudio Babiloni, and INSIGHT-preAD study group
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引用次数: 0

摘要

通过静息状态脑电图(rsEEG)、结构磁共振成像(sMRI)和认知变量(取决于教育程度),我们研究了主观记忆抱怨(SMC)和淀粉样蛋白-β积累的老年人是否会在2年内表现出临床进展。方法:我们分析了来自INSIGHT-Pre-AD研究的84名SMC参与者的这些标志物,并根据淀粉样蛋白-β沉积(18F-florbetapir正电子发射断层扫描)和教育程度进行分组。在淀粉样蛋白阴性的个体中,较高的教育程度与较高的后侧rsEEG α活性相关,可能反映了神经保护作用。相反,受教育程度较高的淀粉样蛋白阳性个体表现出较低的后侧rsEEG α节律和较低的顶叶皮质厚度,这可能表明代偿机制抵消了早期淀粉样变性和神经变性。两组在2年内均未发现纵向变化。2年来,教育对SMC个体的rsEEG、sMRI和认知指标有稳定的影响。应该用更长的随访时间来监测这些标记物的大脑状态。强调教育,主观记忆抱怨(SMC)和脑淀粉样蛋白-β沉积。教育对静息状态脑电图(rsEEG)、结构磁共振成像(sMRI)和认知指标的稳定影响超过2年。早期淀粉样变性和神经变性教育的代偿机制。更长的随访时间来监测具有这些标记的SMC老年人的大脑状态。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Educational attainment, electroencephalographic rhythms, cortical structure, and cognitive performance over 2 years in older adults with subjective memory complaints and brain amyloidosis

Educational attainment, electroencephalographic rhythms, cortical structure, and cognitive performance over 2 years in older adults with subjective memory complaints and brain amyloidosis

INTRODUCTION

We investigated whether older adults with subjective memory complaints (SMC) and amyloid-β accumulation may show clinical progression over 2 years, as measured by resting-state electroencephalographic (rsEEG), structural magnetic resonance imaging (sMRI), and cognitive variables, depending on educational attainment.

METHODS

We analyzed these markers in 84 SMC participants from INSIGHT-Pre-AD study, grouped by amyloid-β deposition (18F-florbetapir positron emission tomography) and educational attainment.

RESULTS

In amyloid-negative individuals, higher educational attainment was linked to greater posterior rsEEG alpha activity, possibly reflecting neuroprotective effects. Conversely, amyloid-positive individuals with higher educational attainment showed reduced posterior rsEEG alpha rhythms and lower parietal cortical thickness, potentially indicating compensatory mechanisms counteracting early amyloidosis and neurodegeneration. No longitudinal changes were found in either group over 2 years.

DISCUSSION

Education had a stable influence on rsEEG, sMRI, and cognitive markers over 2 years in SMC individuals. Longer follow-up periods should be used to monitor brain status with those markers.

Highlights

  • Education, subjective memory complaint (SMC), and brain amyloid-β deposition.
  • Stable influence of education on resting-state electroencephalographic (rsEEG), structural magnetic resonance imaging (sMRI), and cognitive markers over 2 years.
  • Compensatory mechanism of education against early amyloidosis and neurodegeneration.
  • Longer follow-up periods to monitor brain status in SMC older adults with those markers.
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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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