Amyloid and tau-PET in early-onset AD: Baseline data from the Longitudinal Early-onset Alzheimer′s Disease Study (LEADS)

被引:31
作者
Cho, Hanna [2 ,3 ,4 ]
Mundada, Nidhi S. [2 ]
Apostolova, Liana G. [5 ,6 ,7 ]
Carrillo, Maria C. [8 ]
Shankar, Ranjani [2 ]
Amuiri, Alinda N. [2 ]
Zeltzer, Ehud [2 ]
Windon, Charles C. [2 ]
Soleimani-Meigooni, David N. [2 ]
Tanner, Jeremy A. [2 ]
Heath, Courtney Lawhn [9 ]
Lesman-Segev, Orit H. [2 ,10 ]
Aisen, Paul [11 ]
Eloyan, Ani [12 ]
Lee, Hye Sun [13 ]
Hammers, Dustin B. [5 ]
Kirby, Kala [5 ]
Dage, Jeffrey L. [5 ]
Fagan, Anne [14 ]
Foroud, Tatiana [7 ]
Grinberg, Lea T. [2 ,15 ]
Jack, Clifford R. [16 ]
Kramer, Joel [2 ]
Kukull, Walter A. [17 ]
Murray, Melissa E. [18 ]
Nudelman, Kelly [7 ]
Toga, Arthur [19 ]
Vemuri, Prashanthi [16 ]
Atri, Alireza [20 ]
Day, Gregory S. [21 ]
Duara, Ranjan [22 ]
Graff-Radford, Neill R. [21 ]
Honig, Lawrence S. [23 ]
Jones, David T. [16 ,24 ]
Masdeu, Joseph [25 ]
Mendez, Mario [26 ]
Musiek, Erik [14 ]
Onyike, Chiadi U. [27 ]
Riddle, Meghan [28 ]
Rogalski, Emily J. [29 ]
Salloway, Stephen [28 ]
Sha, Sharon [30 ]
Turner, Raymond Scott [31 ,32 ]
Wingo, Thomas S.
Wolk, David A. [33 ]
Koeppe, Robert [34 ]
Iaccarino, Leonardo [2 ]
Dickerson, Bradford C. [35 ,36 ]
La Joie, Renaud [2 ]
Rabinovici, Gil D. [1 ,2 ,9 ]
机构
[1] Univ Calif San Francisco, San Francisco UCSF, Memory & Aging Ctr, MC 1207, 675 Nelson Rising Lane, Suite 190, San Francisco, CA 94158 USA
[2] Univ Calif San Francisco, UCSF Weill Inst Neurosci, Memory & Aging Ctr, Dept Neurol, San Francisco, CA USA
[3] Yonsei Univ, Coll Med, Gangnam Severance Hosp, Dept Neurol, Seoul, South Korea
[4] Univ Calif San Francisco, Global Brain Hlth Inst, San Francisco, CA USA
[5] Indiana Univ Sch Med, Dept Neurol, Indianapolis, IN USA
[6] Indiana Univ Sch Med, Ctr Neuroimaging, Dept Radiol & Imaging Sci, Indianapolis, IN 46204 USA
[7] Indiana Univ Sch Med, Dept Med & Mol Genet, Indianapolis, IN USA
[8] Alzheimers Assoc, Med & Sci Relat Div, Chicago, IL USA
[9] Univ Calif San Francisco, Dept Radiol & Biomed Imaging, San Francisco, CA USA
[10] Sheba Med Ctr, Dept Diagnost Imaging, Tel Hashomer, Israel
[11] Univ Southern Calif, Alzheimers Therapeut Res Inst, San Diego, CA USA
[12] Brown Univ, Ctr Stat Sci, Dept Biostat, Providence, RI 02912 USA
[13] Yonsei Univ, Coll Med, Biostat Collaborat Unit, Seoul 120752, South Korea
[14] Washington Univ St Louis, Dept Neurol, St Louis, MO USA
[15] Univ Calif San Francisco, Dept Pathol, San Francisco, CA USA
[16] Mayo Clin, Dept Radiol, Rochester, MN USA
[17] Univ Washington, Dept Epidemiol, Seattle, WA USA
[18] Mayo Clin, Dept Neurosci, Jacksonville, FL USA
[19] Univ Southern Calif, USC Stevens Neuroimaging & Informat Inst, Keck Sch Med USC, Lab Neuro Imaging, Los Angeles, CA 90007 USA
[20] Banner Sun Hlth Res Inst, Sun City, AZ USA
[21] Mayo Clin, Dept Neurol, Jacksonville, FL USA
[22] Mt Sinai Med Ctr, Wien Ctr Alzheimers Dis & Memory Disorders, Miami, FL USA
[23] Columbia Univ, Irving Med Ctr, Dept Neurol, New York, NY USA
[24] Mayo Clin, Dept Neurol, Rochester, MN USA
[25] Houston Methodist and Weill Cornell Med, Nantz Natl Alzheimer Ctr, Houston, TX USA
[26] David Geffen Sch Med UCLA, Dept Neurol, Los Angeles, CA USA
[27] Johns Hopkins Univ, Dept Psychiat & Behav Sci, Sch Med, Baltimore, MD USA
[28] Brown Univ, Alpert Med Sch, Dept Neurol, Providence, RI 02912 USA
[29] Northwestern Univ, Mesualm Ctr Cognit Neurol & Alzheimers Dis, Feinberg Sch Med, Chicago, IL USA
[30] Stanford Univ, Dept Neurol & Neurol Sci, Palo Alto, CA USA
[31] Georgetown Univ, Dept Neurol, Washington, DC USA
[32] Emory Univ, Dept Neurol & Human Genet, Dept Human Genet, Sch Med, Atlanta, GA USA
[33] Univ Penn, Perelman Sch Med, Dept Neurol, Philadelphia, PA USA
[34] Univ Michigan, Dept Radiol, Div Nucl Med, Ann Arbor, MI 48105 USA
[35] Massachusetts Gen Hosp, Dept Neurol, Boston, MA USA
[36] Harvard Med Sch, Boston, MA USA
关键词
Alzheimer ' s disease; amyloid-PET; atypical AD; centiloids; early-onset; EOAD; LEADS; sex differences; tau-PET; POSITRON-EMISSION-TOMOGRAPHY; NATIONAL INSTITUTE; ASSOCIATION WORKGROUPS; DIAGNOSTIC GUIDELINES; COGNITIVE IMPAIRMENT; DEMENTIA; RECOMMENDATIONS; BIOMARKERS; RETENTION; VARIANT;
D O I
10.1002/alz.13453
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
INTRODUCTION: We aimed to describe baseline amyloid-beta (A ss) and tau-positron emission tomograrphy (PET) from Longitudinal Early-onset Alzheimer ' s Disease Study (LEADS), a prospective multi-site observational study of sporadic early-onset Alzheimer ' s disease (EOAD). METHODS: We analyzed baseline [18F]Florbetaben (A ss) and [18F]Flortaucipir (tau)PET from cognitively impaired participants with a clinical diagnosis of mild cognitive impairment (MCI) or AD dementia aged < 65 years. Florbetaben scans were used to distinguish cognitively impaired participants with EOAD (A ss+) from EOnonAD (A ss-) based on the combination of visual read by expert reader and image quantification. RESULTS: 243/321 (75.7%) of participants were assigned to the EOAD group based on amyloid-PET; 231 (95.1%) of them were tau-PET positive (A+T+). Tau-PET signal was elevated across cortical regions with a parietal-predominant pattern, and higher burden was observed in younger and female EOAD participants. DISCUSSION: LEADS data emphasizes the importance of biomarkers to enhance diagnostic accuracy in EOAD. The advanced tau-PET binding at baseline might have implications for therapeutic strategies in patients with EOAD.
引用
收藏
页码:S98 / S114
页数:17
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