Covarying alterations in Aβ deposition, glucose metabolism, and gray matter volume in cognitively normal elderly.

Covarying alterations in Aβ deposition, glucose metabolism, and gray matter volume in cognitively normal elderly.
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DOI:
10.1002/hbm.22173
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发表时间:
2014-01
影响因子:
4.8
通讯作者:
Jagust, William
Jagust, William
中科院分区:
医学2区
文献类型:
--
作者:
Oh, Hwamee;Habeck, Christian;Madison, Cindee;Jagust, William

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β-amyloid (Aβ), a feature of Alzheimer’s disease (AD) pathology, may precede reduced glucose metabolism and gray matter volume and cognitive decline in AD patients. Accumulation of Aβ, however, has been also reported in cognitively intact older people, although it remains unresolved whether and how Aβ deposition, glucose metabolism, and gray matter volume relate to one another in cognitively normal elderly. Fifty-two cognitively normal older adults underwent Pittsburgh Compound B positron emission tomography (PIB-PET), [18F]fluorodeoxyglucose (FDG) PET, and structural magnetic resonance (MRI) imaging to measure whole brain amyloid deposition, glucose metabolism, and gray matter volume, respectively. Covariance patterns of these measures in association with global amyloid burden measured by PIB index were extracted using principal component analysis-based multivariate methods. Higher global amyloid burden was associated with relative increases of amyloid deposition and glucose metabolism and relative decreases of gray matter volume in brain regions collectively known as the default mode network including the posterior cingulate/precuneus, lateral parietal cortices, and medial frontal cortex. Relative increases of amyloid deposition and glucose metabolism were also noted in the lateral prefrontal cortices, and relative decreases of gray matter volume were pronounced in hippocampus. The degree of expression of the topographical patterns of the PIB data was further associated with visual memory performance when controlling for age, sex, and education. The present findings suggest that cognitively normal older adults with greater amyloid deposition are relatively hypermetabolic in frontal and parietal brain regions while undergoing gray matter volume loss in overlapping brain regions.
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期刊: The Journal of neuroscience : the official journal of the Society for Neuroscience
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