White Matter Hyperintensities Are No Major Confounder for Alzheimer's Disease Cerebrospinal Fluid Biomarkers

Autor: Van Waalwijk Van Doorn, L. J. C., Ghafoorian, M., Van Leijsen, E. M. C., Claassen, J. A. H. R., Arighi, A., Bozzali, M., Cannas, J., Cavedo, E., Eusebi, P., Farotti, L., Fenoglio, C., Fortea, J., Frisoni, G. B., Galimberti, D., Greco, V., Herukka, S. -K., Liu, Y., Lleo, A., De Mendonca, A., Nobili, F. M., Parnetti, L., Picco, A., Pikkarainen, M., Salvadori, N., Scarpini, E., Soininen, H., Tarducci, R., Urbani, A., Vilaplana, E., Meulenbroek, O., Platel, B., Verbeek, M. M., Kuiperij, H. B., Martins, R.
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
0301 basic medicine
Pathology
Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1]
tau proteins
0302 clinical medicine
Cerebrospinal fluid
Leukoencephalopathies
Image Processing
Computer-Assisted

magnetic resonance imaging
Phosphorylation
medicine.diagnostic_test
biology
General Neuroscience
amyloid
Confounding Factors
Epidemiologic

General Medicine
Middle Aged
Alzheimer's disease
white matter hyperintensities
Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3]
Psychiatry and Mental health
Clinical Psychology
Brain size
Alzheimer’s disease
biomarkers
cerebrospinal fluid
white matter lesions
Female
Research Article
medicine.medical_specialty
Tau protein
03 medical and health sciences
All institutes and research themes of the Radboud University Medical Center
Neuroimaging
Alzheimer Disease
mental disorders
medicine
Humans
Cognitive Dysfunction
Memory disorder
Settore BIO/10 - BIOCHIMICA
Aged
Amyloid beta-Peptides
business.industry
Magnetic resonance imaging
medicine.disease
Peptide Fragments
Hyperintensity
030104 developmental biology
biology.protein
Geriatrics and Gerontology
business
030217 neurology & neurosurgery
Zdroj: Journal of Alzheimer's Disease, 79, 163-175
Journal of Alzheimer's Disease
JOURNAL OF ALZHEIMERS DISEASE
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
Fundacion Sancho el Sabio Fundazioa (FSS)
Dipòsit Digital de Documents de la UAB
Universitat Autònoma de Barcelona
Journal of Alzheimer's Disease, 79, 1, pp. 163-175
ISSN: 1387-2877
Popis: Altres ajuts: Additionally, this work was funded by the CIBERNED program (Program 1, Alzheimer Disease), FondoEuropeo de Desarrollo Regional (FEDER), Unión Europea, "Una manera de hacer Europa" and a "Marató TV3" grant (grant number: 201412.10). The cerebrospinal fluid (CSF) biomarkers amyloid-β 1-42 (Aβ), total and phosphorylated tau (t-tau, p-tau) are increasingly used to assist in the clinical diagnosis of Alzheimer's disease (AD). However, CSF biomarker levels can be affected by confounding factors. To investigate the association of white matter hyperintensities (WMHs) present in the brain with AD CSF biomarker levels. We included CSF biomarker and magnetic resonance imaging (MRI) data of 172 subjects (52 controls, 72 mild cognitive impairment (MCI), and 48 AD patients) from 9 European Memory Clinics. A computer aided detection system for standardized automated segmentation of WMHs was used on MRI scans to determine WMH volumes. Association of WMH volume with AD CSF biomarkers was determined using linear regression analysis. A small, negative association of CSF Aβ, but not p -tau and t -tau, levels with WMH volume was observed in the AD (r 2 = 0.084, p = 0.046), but not the MCI and control groups, which was slightly increased when including the distance of WMHs to the ventricles in the analysis (r 2 = 0.105, p = 0.025). Three global patterns of WMH distribution, either with 1) a low, 2) a peak close to the ventricles, or 3) a high, broadly-distributed WMH volume could be observed in brains of subjects in each diagnostic group. Despite an association of WMH volume with CSF Aβ levels in AD patients, the occurrence of WMHs is not accompanied by excess release of cellular proteins in the CSF, suggesting that WMHs are no major confounder for AD CSF biomarker assessment.
Databáze: OpenAIRE