Distinct effects of beta-amyloid and tau on cortical thickness in cognitively healthy older adults

被引:50
作者
Harrison, Theresa M. [1 ]
Du, Richard [1 ]
Klencklen, Giuliana [1 ]
Baker, Suzanne L. [2 ]
Jagust, William J. [1 ,2 ]
机构
[1] Univ Calif Berkeley, Helen Wills Neurosci Inst, 132 Barker Hall, Berkeley, CA 94720 USA
[2] Lawrence Berkeley Natl Lab, Berkeley, CA USA
基金
美国国家卫生研究院;
关键词
Alzheimer's disease; atrophy; cortical integrity; flortaucipir; literature review; neurodegeneration; normal aging; PART; Pittsburgh compound B; positron emission tomography; publication bias; structural magnetic resonance imaging; HUMAN CEREBRAL-CORTEX; ALZHEIMERS-DISEASE; PET; VOLUME; DEPOSITION; MODEL; ASSOCIATION; METABOLISM;
D O I
10.1002/alz.12249
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction Published reports of associations between beta-amyloid (A beta) and cortical integrity conflict. Tau biomarkers may help elucidate the complex relationship between pathology and neurodegeneration in aging. Methods We measured cortical thickness using magnetic resonance imaging, A beta using Pittsburgh compound B positron emission tomography (PiB-PET), and tau using flortaucipir (FTP)-PET in 125 cognitively normal older adults. We examined relationships among PET measures, cortical thickness, and cognition. Results Cortical thickness was reduced in PiB+/FTP+ participants compared to the PiB+/FTP- and PiB-/FTP- groups. Continuous PiB associations with cortical thickness were weak but positive in FTP- participants and negative in FTP+. FTP strongly negatively predicted thickness regardless of PiB status. FTP was associated with memory and cortical thickness, and mediated the association of PiB with memory. Discussion Past findings linking A beta and cortical thickness are likely weak due to opposing effects of A beta on cortical thickness relative to tau burden. Tau, in contrast to A beta, is strongly related to cortical thickness and memory.
引用
收藏
页码:1085 / 1096
页数:12
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