4.5 Article

Ultra-High Field MRI in Alzheimer's Disease: Effective Transverse Relaxation Rate and Quantitative Susceptibility Mapping of Human Brain In Vivo and Ex Vivo compared to Histology

Journal

JOURNAL OF ALZHEIMERS DISEASE
Volume 73, Issue 4, Pages 1481-1499

Publisher

IOS PRESS
DOI: 10.3233/JAD-190424

Keywords

Alzheimer's disease; amyloid-beta; amyloid plaque load; biomarkers; effective transverse relaxation rate; histology; quantitative susceptibility mapping; ultra-high field

Categories

Funding

  1. Alzheimer Forder Initiative eV, Germany Grant [DE-15036]
  2. EU-LACH Grant [16/T01-0118]

Ask authors/readers for more resources

Alzheimer's disease (AD) is the most common cause of dementia worldwide. So far, diagnosis of AD is only unequivocally defined through postmortem histology. Amyloid plaques are a classical hallmark of AD and amyloid load is currently quantified by Positron Emission tomography (PET) in vivo. Ultra-high field magnetic resonance imaging (UHFMRI) can potentially provide a non-invasive biomarker for AD by allowing imaging of pathological processes at a very-high spatial resolution. The first aim of this work was to reproduce the characteristic cortical pattern previously observed in vivo in AD patients using weighted-imaging at 7T. We extended these findings using quantitative susceptibility mapping (QSM) and quantification of the effective transverse relaxation rate (R-2*) at 9.4T. The second aim was to investigate the origin of the contrast patterns observed in vivo in the cortex of AD patients at 9.4T by comparing quantitative UHF-MRI (9.4T and 14.1T) of postmortem samples with histology. We observed a distinctive cortical pattern in vivo in patients compared to healthy controls (HC), and these findings were confirmed ex vivo. Specifically, we found a close link between the signal changes detected by QSM in the AD sample at 14.1T and the distribution pattern of amyloid plaques in the histological sections of the same specimen. Our findings showed that QSM and R-2* maps can distinguish AD from HC at UHF by detecting cortical alterations directly related to amyloid plaques in AD patients. Furthermore, we provided a method to quantify amyloid plaque load in AD patients at UHF non-invasively.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Radiology, Nuclear Medicine & Medical Imaging

Developing formalin-based fixative agents for post mortem brain MRI at 9.4 T

Azadeh Nazemorroaya, Ali Aghaeifar, Thomas Shiozawa, Bernhard Hirt, Hildegard Schulz, Klaus Scheffler, Gisela E. Hagberg

Summary: The study aimed to develop fixative agents suitable for high-field MRI and measure MR properties in immersion-fixed brain tissue. The results showed that using fixatives with polyvinylpyrrolidone and low salt concentration can achieve in vivo-like B-1 fields and higher R2* values, while replacing the embedding medium with phosphate-buffered saline leads to different effects.

MAGNETIC RESONANCE IN MEDICINE (2022)

Article Neurosciences

Disturbed Balance of Inhibitory Signaling Links Hearing Loss and Cognition

Marlies Knipper, Wibke Singer, Kerstin Schwabe, Gisela E. Hagberg, Yiwen Li Hegner, Lukas Ruettiger, Christoph Braun, Ruediger Land

Summary: Neuronal hyperexcitability in the central auditory pathway linked to reduced inhibitory activity is associated with various forms of hearing loss, including noise damage and tinnitus, as well as auditory processing deficits in autism spectrum disorder. Hyperexcitability may be related to an immaturity or impairment of tonic inhibitory strength, which could occur in congenital deafness or following sudden auditory trauma.

FRONTIERS IN NEURAL CIRCUITS (2022)

Article Multidisciplinary Sciences

Microvascular imaging of the unstained human superior colliculus using synchrotron-radiation phase-contrast microtomography

Ju Young Lee, Andreas F. Mack, Thomas Shiozawa, Renata Longo, Giuliana Tromba, Klaus Scheffler, Gisela E. Hagberg

Summary: In this study, a new method using edge-based segmentation was employed to extract the 3D microvasculature from unstained human brain tissue. The results revealed distinctive types of blood vessels in the superior colliculi and provided measurements of vessel diameter, length, and volume fraction. This method opens up new possibilities for investigating vascular research of the central nervous system.

SCIENTIFIC REPORTS (2022)

Article Biology

Perception is associated with the brain's metabolic response to sensory stimulation

Mauro DiNuzzo, Silvia Mangia, Marta Moraschi, Daniele Mascali, Gisela E. Hagberg, Federico Giove

Summary: Perceived and unperceived isoluminant chromatic flickering stimuli have similar neurovascular responses but markedly different neurometabolic responses in the primary visual cortex. The buildup of lactate and glutamate occurred only when the flickering was perceived in V1, without any relation to other variables. Additionally, the BOLD-fMRI signal in secondary visual areas was larger during perceived flickering, indicating increased output from V1.

ELIFE (2022)

Article Clinical Neurology

Accumulation of TMEM106B C-terminal fragments in neurodegenerative disease and aging

Jolien Perneel, Manuela Neumann, Bavo Heeman, Simon Cheung, Marleen van den Broeck, Sarah Wynants, Matt Baker, Cristina T. Vicente, Julia Faura, Rosa Rademakers, Ian R. A. Mackenzie

Summary: Several studies using cryo-EM techniques have found novel protein filaments composed of a CTF of TMEM106B in brain tissue with neurodegenerative conditions and aging. TMEM106B variants are known to affect the risk and presentation of neurodegenerative diseases. TMEM106B CTF accumulation was found to be a common age-related phenomenon, suggesting lysosomal dysfunction.

ACTA NEUROPATHOLOGICA (2023)

Article Oncology

Germline findings in patients with advanced malignancies screened with paired blood-tumour testing for personalised treatment approaches

Cristiana Roggia, Sorin Armeanu-Ebinger, Axel Gschwind, Olga Seibel-Kelemen, Sonja Hertler, Ulrike Faust, Alexandra Liebmann, Tobias B. Haack, Manuela Neumann, Irina Bonzheim, Andrea Forschner, Hans-Georg Kopp, Franziska Herster, Andreas Hartkopf, Michael Bitzer, Nisar P. Malek, Ines B. Brecht, Kristina Ruhm, Yvonne Moeller, Hubert Loewenheim, Stephan Ossowski, Olaf H. Riess, Christopher Schroeder

Summary: Sequencing of tumour tissue with gene panels is used for precision oncology. Tumour-normal pairs allow discrimination between somatic and germline alterations, which is important for patients and families.

EUROPEAN JOURNAL OF CANCER (2023)

Letter Clinical Neurology

Limbic-predominant age-related TDP-43 proteinopathy (LATE-NC) is associated with abundant TMEM106B pathology

Manuela Neumann, Jolien Perneel, Simon Cheung, Marleen van den Broeck, Haakon Nygaard, Ging-Yuek R. Hsiung, Sarah Wynants, Bavo Heeman, Rosa Rademakers, Ian R. A. Mackenzie

ACTA NEUROPATHOLOGICA (2023)

Article Clinical Neurology

GAA-FGF14 ataxia (SCA27B): phenotypic profile, natural history progression and 4-aminopyridine treatment response

Carlo Wilke, David Pellerin, David Mengel, Andreas Traschuetz, Matt C. Danzi, Marie-Josee Dicaire, Manuela Neumann, Holger Lerche, Benjamin Bender, Henry Houlden, Stephan Zuechner, Ludger Schoels, Bernard Brais, Matthis Synofzik

Summary: GAA-FGF14 ataxia is a common late-onset ataxia caused by intronic GAA repeat expansion in the FGF14 gene. This study characterized its phenotypic profile, natural history progression, and treatment response to 4-aminopyridine (4-AP). The results showed that GAA-FGF14 ataxia is typically late-onset with mild progression, and has a positive response to 4-AP treatment.

BRAIN (2023)

Article Clinical Neurology

Update on quality assurance in neuropathology: Summary of the round robin trials on TERT promoter mutation, H3-3A mutation, 1p/19q codeletion, and KIAA1549::BRAF fusion testing in Germany in 2020 and 2021

Sandra Pohl, Lora Dimitrova, Maja Grassow-Narlik, Korinna Joehrens, Till Acker, Hildegard Dohmen, Jochen Herms, Mario Dorostkar, Christian Hartmann, Martin Hasselblatt, Manuela Neumann, Guido Reifenberger, Joerg Felsberg, Ulrich Schueller, Saida Zoubaa, Julia Lorenz, Tanja Rothhammer-Hampl, Katrin Mauch-Muecke, Markus J. Riemenschneider

Summary: In 2020 and 2021, neuropathological round robin trials expanded to include IDH mutational testing, MGMT promoter methylation analysis, 1p/19q codeletion testing, and new molecular markers such as TERT promoter mutation, KIAA1549::BRAF fusions, and H3-3A mutations. The success rates in all four trials ranged from 75 to 96%, indicating a high overall quality level in molecular neuropathological diagnostics.

CLINICAL NEUROPATHOLOGY (2023)

Article Neurosciences

Immunotherapy targeting the C-terminal domain of TDP-43 decreases neuropathology and confers neuroprotection in mouse models of ALS/FTD

Tariq Afroz, Elodie Chevalier, Mickael Audrain, Christopher Dumayne, Tamar Ziehm, Roger Moser, Anne-Laure Egesipe, Lorene Mottier, Monisha Ratnam, Manuela Neumann, Daniel Havas, Romain Ollier, Kasia Piorkowska, Mayank Chauhan, Alberto B. Silva, Samjhana Thapa, Jan Stohr, Andrej Bavdek, Valerie Eligert, Oskar Adolfsson, Peter T. Nelson, Silvia Porta, Virginia M. -Y. Lee, Andrea Pfeifer, Marie Kosco-Vilbois, Tamara Seredenina

Summary: Effective therapies urgently needed to target TDP-43 pathology, which is closely associated with devastating diseases such as FTLD-TDP and ALS. Our approach is to develop a TDP-43-specific immunotherapy that limits neuronal damage while maintaining physiological TDP-43 function. Targeting the C-terminal domain of TDP-43 reduces pathology and neurotoxicity through microglia engagement.

NEUROBIOLOGY OF DISEASE (2023)

Article Neurosciences

C9ORF72 knockdown triggers FTD-like symptoms and cell pathology in mice

Maria-Belen Lopez-Herdoiza, Stephanie Bauche, Baptiste Wilmet, Caroline Le Duigou, Delphine Roussel, Magali Frah, Jonas Beal, Gabin Devely, Susana Boluda, Petra Frick, Delphine Bouteiller, Sebastien Dussaud, Pierre Guillabert, Carine Dalle, Magali Dumont, Agnes Camuzat, Dario Saracino, Mathieu Barbier, Gaelle Bruneteau, Phillippe Ravassard, Manuela Neumann, Sophie Nicole, Isabelle Le Ber, Alexis Brice, Morwena Latouche

Summary: The GGGGCC intronic repeat expansion within C9ORF72 is a common genetic cause of ALS and FTD. This mutation leads to toxic gain of function through accumulation of expanded RNA foci and aggregation of abnormally translated dipeptide repeat proteins, as well as loss of function due to impaired transcription of C9ORF72. Knockdown mice with decreased C9ORF72 showed abnormalities in the autophagy/lysosomal pathway, cytoplasmic accumulation of TDP-43, decreased synaptic density in the cortex, and developed FTD-like behavioral deficits and mild motor phenotypes at a later stage. These findings indicate that partial loss of function of C9ORF72 contributes to the damaging events leading to C9-FTD/ALS.

FRONTIERS IN CELLULAR NEUROSCIENCE (2023)

Article Neurosciences

AAV-mediated expression of a new conformational anti-aggregated α-synuclein antibody prolongs survival in a genetic model of α-synucleinopathies

Matthias Duechs, Dragica Blazevic, Philipp Rechtsteiner, Cynthia Kenny, Thorsten Lamla, Sarah Low, Jimmy Savistchenko, Manuela Neumann, Ronald Melki, Tanja Schoenberger, Birgit Stierstorfer, David Wyatt, Frederik Igney, Thomas Ciossek

Summary: This paper identifies a highly selective, aggregate-specific alpha-synuclein antibody, 306C7B3, which can bind to various aggregated forms of alpha-synuclein. Through AAV-mediated expression, it shows potential as a disease-modifying therapy for alpha-synucleinopathies by ensuring widespread CNS exposure and significantly increasing survival in mice.

NPJ PARKINSONS DISEASE (2023)

Article Clinical Neurology

Psychotic symptoms in frontotemporal dementia with TDP-43 tend to be associated with type B pathology

Veronica Hirsch-Reinshagen, Christa Hercher, Fidel Vila-Rodriguez, Manuela Neumann, Rosa Rademakers, William G. Honer, Ging-Yuek R. Hsiung, Ian R. Mackenzie

Summary: This study suggests that psychotic symptoms in patients with FTLD-TDP are associated with subtype B pathology, which is not solely explained by the effects of the C9orf72 mutation.

NEUROPATHOLOGY AND APPLIED NEUROBIOLOGY (2023)

Article Multidisciplinary Sciences

Phenylalanine-tRNA aminoacylation is compromised by ALS/FTD-associated C9orf72 C4G2 repeat RNA

Mirjana Malnar Crnigoj, Ursa Cercek, Xiaoke Yin, Manh Tin Ho, Barbka Repic Lampret, Manuela Neumann, Andreas Hermann, Guy Rouleau, Beat Suter, Manuel Mayr, Boris Rogelj

Summary: In this study, the authors found that the expansion of GGGGCC repeat in the C9orf72 gene leads to amyotrophic lateral sclerosis and frontotemporal dementia. They identified CCCCGG antisense repeat RNA as the main binder and inhibitor of phenylalanine-tRNA synthetase, resulting in decreased levels of tRNAphe and phenylalanine-rich proteins.

NATURE COMMUNICATIONS (2023)

Article Oncology

Clinical outcome of biomarker-guided therapies in adult patients with tumors of the nervous system

Mirjam Renovanz, Sylvia C. Kurz, Johannes Rieger, Bianca Walter, Hannes Becker, Hanni Hille, Paula Bombach, David Rieger, Lucia Grosse, Lara Haeusser, Marco Skardelly, Daniel J. Merk, Frank Paulsen, Elgin Hoffmann, Cihan Gani, Manuela Neumann, Rudi Beschorner, Olaf Riess, Cristiana Roggia, Christopher Schroeder, Stephan Ossowski, Sorin Armeanu-Ebinger, Axel Gschwind, Saskia Biskup, Martin Schulze, Falko Fend, Stephan Singer, Lars Zender, Claudia Lengerke, Sara Yvonne Brucker, Tobias Engler, Andrea Forschner, Arnulf Stenzl, Oliver Kohlbacher, Sven Nahnsen, Gisela Gabernet, Sven Fillinger, Benjamin Bender, Ulrike Ernemann, Oeznur Oener, Janina Beha, Holly Sundberg Malek, Yvonne Moeller, Kristina Ruhm, Marcos Tatagiba, Jens Schittenhelm, Michael Bitzer, Nisar Malek, Daniel Zips, Ghazaleh Tabatabai

Summary: This study investigates the feasibility and clinical utility of molecular profiling and targeted therapy in patients with advanced tumors in the nervous system. The results show that 93.1% of patients can receive biomarker-guided therapy recommendations, with treatment initiated in 22.6% of cases and a progression-free survival ratio >1.3 observed in 31.3% of patients. These findings support the clinical efficacy of biomarker-guided therapies in neuro-oncology patients and have implications for future clinical trials and care.

NEURO-ONCOLOGY ADVANCES (2023)

No Data Available