确定杏仁核中tau病理对衰老中抑郁症状增加的贡献。

IF 11.1 1区 医学 Q1 CLINICAL NEUROLOGY
Teodora Z. Markova, Corrina S. Fonseca, Claire J. Ciampa, Alice Murphy, Susan Landau, Theresa M. Harrison, Anne S. Berry, for the Alzheimer's Disease Neuroimaging Initiative
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引用次数: 0

摘要

背景:在认知正常的个体中,杏仁核tau会积累,并可能导致神经精神的改变。方法利用阿尔茨海默病神经影像学计划(ADNI)的数据,研究了横断面和纵向tau ([18F]Flortaucipir [FTP]正电子发射断层扫描)、抑郁症状和记忆的变化以及淀粉样蛋白β和载脂蛋白E (APOE) ε4状态之间的关系。我们报告来自伯克利老龄化队列研究(BACS)的二次分析。结果抑郁症状的纵向增加与较高的基线FTP和杏仁核中FTP的增加有关。FTP与抑郁症状的关系在APOE ε4携带者中最强,在BACS中也有调节作用。除杏仁核解释的差异外,内嗅FTP没有显示出与抑郁症状的关联,但显示出与记忆衰退的某些特定关联。我们的研究结果表明,APOE ε4携带者的tau积累与抑郁症状之间存在最强烈的耦合,并加强了杏仁核tau在理解老年人神经精神变化中的重要性。目前缺乏关于认知正常老年人杏仁核中tau蛋白作用的研究。杏仁核tau与抑郁症状恶化和记忆力下降有关。APOE ε4携带者似乎与抑郁症状呈正相关。关注杏仁核tau对于理解认知未受损老年人的神经精神轨迹是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Defining the contributions of tau pathology in the amygdala to increasing depressive symptoms in aging

BACKGROUND

Amygdala tau accumulates in cognitively normal individuals and may contribute to neuropsychiatric changes.

METHODS

Using data from the Alzheimer's Disease Neuroimaging Initiative (ADNI), we investigated relationships among cross-sectional and longitudinal tau ([18F]Flortaucipir [FTP] positron emission tomography), changes in depressive symptoms and memory, and amyloid beta and apolipoprotein E (APOE) ε4 status. We report secondary analyses from the Berkeley Aging Cohort Study (BACS).

RESULTS

Longitudinal increases in depressive symptoms were associated with higher baseline FTP and increasing FTP in the amygdala. Relationships between FTP and depressive symptoms were strongest in APOE ε4 carriers, with moderation effects replicating in BACS. Entorhinal FTP did not show associations with depressive symptoms beyond variance explained by the amygdala but showed some specific associations with memory decline.

DISCUSSION

Our findings indicate the strongest coupling between tau accumulation and depressive symptoms in APOE ε4 carriers and reinforce the importance of amygdala tau in understanding neuropsychiatric changes in older adults.

Highlights

  • There is a lack of research focused on the role of tau in the amygdala in cognitively normal older adults.
  • Amygdala tau is related to both worsening depressive symptoms and declining memory performance.
  • APOE ε4 carriers seem to drive positive tau-depressive symptom associations.
  • Focusing on the amygdala tau is useful for understanding neuropsychiatric trajectories in cognitively unimpaired older adults.
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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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