4.7 Article

The pattern of amyloid accumulation in the brains of adults with Down syndrome

期刊

ALZHEIMERS & DEMENTIA
卷 12, 期 5, 页码 538-545

出版社

WILEY
DOI: 10.1016/j.jalz.2015.07.490

关键词

Alzheimer's disease; Down syndrome; Amyloid; PIB; PET; Dementia; Striatum; Preclinical

资金

  1. Medical Research Council [98480]
  2. NIHR Cambridge Biomedical Research Centre
  3. NIHR Collaborations in Leadership for Applied Health Research and Care (CLAHRC) for East of England
  4. NIHR Cambridge Dementia Biomedical Research Unit
  5. Down Syndrome Association
  6. Health Foundation
  7. MRC [MR/M024873/1, MR/M009041/1, G1002252] Funding Source: UKRI
  8. Medical Research Council [G1002252] Funding Source: researchfish
  9. National Institute for Health Research [NF-SI-0512-10090, NF-SI-0509-10211] Funding Source: researchfish

向作者/读者索取更多资源

Introduction: Adults with Down syndrome (DS) invariably develop Alzheimer's disease (AD) neuropathology. Understanding amyloid deposition in DS can yield crucial information about disease pathogenesis. Methods: Forty-nine adults with DS aged 25-65 underwent positron emission tomography with Pittsburgh compound-B (PIB). Regional PIB binding was assessed with respect to age, clinical, and cognitive status. Results: Abnormal PIB binding became evident from 39 years, first in striatum followed by rostral prefrontal-cingulo-parietal regions, then caudal frontal, rostral temporal, primary sensorimotor and occipital, and finally parahippocampal cortex, thalamus, and amygdala. PM binding was related to age, diagnostic status, and cognitive function. Discussion: PIB binding in DS, first appearing in striatum, began around age 40 and was strongly associated with dementia and cognitive decline. The absence of a substantial time lag between amyloid accumulation and cognitive decline contrasts to sporadic/familial AD and suggests this population's suitability for an amyloid primary prevention trial. (C) 2015 The Authors. Published by Elsevier Inc. on behalf of Alzheimer's Association.

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