Multimodal in vivo and postmortem assessments of tau in Lewy body disorders.

Multimodal in vivo and postmortem assessments of tau in Lewy body disorders.
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DOI:
10.1016/j.neurobiolaging.2020.08.003
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发表时间:
2020-12
影响因子:
4.2
通讯作者:
Alzheimer’s Disease Neuroimaging Initiative
Alzheimer’s Disease Neuroimaging Initiative
中科院分区:
医学2区
文献类型:
--
作者:
Coughlin DG;Phillips JS;Roll E;Peterson C;Lobrovich R;Rascovsky K;Ungrady M;Wolk DA;Das S;Weintraub D;Lee EB;Trojanowski JQ;Shaw LM;Vaishnavi S;Siderowf A;Nasrallah IM;Irwin DJ;McMillan CT;Alzheimer’s Disease Neuroimaging Initiative

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我们比较了20名路易体疾病(LBD)患者、12名淀粉样蛋白PET扫描呈阳性的匹配阿尔茨海默病患者(AD+Aβ)和15名淀粉样蛋白PET扫描呈阴性的健康对照者(HC-Aβ)中18 F-氟陶西匹的局部保留以及LBD中保留与尸检时CSF tau、认知能力和神经病理学tau之间的关联。使用已确立的Aβ42临界值192 pg/ml对LBD队列进行分层,以富集可能具有tau病理学的组(LBD+Aβ=11,LBD-Aβ=9)。LBD+AB组在5个(主要是颞顶叶)皮质区域中的18 F-flortaucipir保留率高于HC-Aβ,而LBD-A β在一个皮质区域中升高,内侧颞区除外。更高的保留与更高的CSF总tau水平(p=0.04)、更差的领域特异性认知表现(p=0.02-0.04)和相应区域中更严重的神经病理性tau相关。我们的结论是,虽然18F-flotaucipir保留在LBD是健康对照和AD之间的中间,保留与认知障碍,CSF总tau蛋白和神经病理性tau蛋白。未来需要在更大的尸检验证队列中开展工作,以定义LBD特异性tau生物标志物谱。
We compared the regional retention of 18F-flortaucipir in twenty patients with Lewy Body disorders (LBD), twelve matched Alzheimer’s disease patients with positive amyloid PET scans (AD+Aβ), and fifteen healthy-controls with negative amyloid PET scans (HC-Aβ) and the association in LBD between retention and CSF tau, cognitive performance, and neuropathological tau at autopsy. The LBD cohort was stratified using an established Aβ42 cut-off of 192pg/ml to enrich for groups likely harboring tau pathology (LBD+Aβ=11, LBD-Aβ=9). 18F-flortaucipir retention was higher in LBD+AB than HC-Aβ in five, largely temporal-parietal, cortical regions whereas LBD-Aβ had elevations in one cortical region with sparing of medial temporal areas. Higher retention was associated with higher CSF total-tau levels (p=0.04), poorer domain-specific cognitive performance (p=0.02-0.04), and greater severity of neuropathological tau in corresponding regions. We conclude that while 18F-flortaucipir retention in LBD is intermediate between healthy-controls and AD, retention relates to cognitive impairment, CSF total-tau, and neuropathological tau. Future work in larger autopsy-validated cohorts are needed to define LBD-specific tau biomarker profiles.
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