Locus coeruleus integrity is related to tau burden and memory loss in autosomal-dominant Alzheimer's disease

被引:62
作者
Dahl, Martin J. [1 ,2 ]
Mather, Mara [2 ]
Werkle-Bergner, Markus [1 ]
Kennedy, Briana L. [2 ,3 ]
Guzman, Samuel [4 ]
Hurth, Kyle [4 ]
Miller, Carol A. [4 ]
Qiao, Yuchuan [5 ]
Shi, Yonggang [5 ]
Chui, Helena C. [6 ]
Ringman, John M. [6 ]
机构
[1] Max Planck Inst Human Dev, Ctr Lifespan Psychol, D-14195 Berlin, Germany
[2] Univ Southern Calif, Davis Sch Gerontol, Los Angeles, CA 90007 USA
[3] Univ Western Australia, Sch Psychol Sci, Perth, WA, Australia
[4] Univ Southern Calif, Keck Sch Med, Dept Pathol, Los Angeles, CA 90007 USA
[5] Univ Southern Calif, Keck Sch Med, USC Stevens Neuroimaging & Informat Inst, Lab Neuro Imaging LONI, Los Angeles, CA 90007 USA
[6] Univ Southern Calif, Keck Sch Med, Dept Neurol, Los Angeles, CA 90007 USA
关键词
Locus coeruleus; Autosomal-dominant Alzheimer's disease; Noradrenaline; Norepinephrine; Tau pathology; Neurodegeneration; A431E; MILD COGNITIVE IMPAIRMENT; SURFACE-BASED ANALYSIS; IN-VIVO VISUALIZATION; VERBAL-LEARNING TEST; NORADRENALINE SYSTEM; IMAGE SEGMENTATION; MRI CONTRAST; HUMAN BRAIN; AGE; MUTATION;
D O I
10.1016/j.neurobiolaging.2021.11.006
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Abnormally phosphorylated tau, an indicator of Alzheimer's disease, accumulates in the first decades of life in the locus coeruleus (LC), the brain's main noradrenaline supply. However, technical challenges in in-vivo assessments have impeded research into the role of the LC in Alzheimer's disease. We studied participants with or known to be at-risk for mutations in genes causing autosomal-dominant Alzheimer's disease (ADAD) with early onset, providing a unique window into the pathogenesis of Alzheimer's largely disentangled from age-related factors. Using high-resolution MRI and tau PET, we found lower rostral LC integrity in symptomatic participants. LC integrity was associated with individual differences in tau burden and memory decline. Post-mortem analyses in a separate set of carriers of the same mutation confirmed substantial neuronal loss in the LC. Our findings link LC degeneration to tau burden and memory in Alzheimer's, and highlight a role of the noradrenergic system in this neurodegenerative disease. (C) 2021 The Authors. Published by Elsevier Inc.
引用
收藏
页码:39 / 54
页数:16
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