Face-name associative memory performance is related to amyloid burden in normal elderly.

Face-name associative memory performance is related to amyloid burden in normal elderly.
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DOI:
10.1016/j.neuropsychologia.2011.06.006
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发表时间:
2011-07
期刊:
影响因子:
2.6
通讯作者:
Sperling RA
Sperling RA
中科院分区:
心理学3区
文献类型:
--
作者:
Rentz DM;Amariglio RE;Becker JA;Frey M;Olson LE;Frishe K;Carmasin J;Maye JE;Johnson KA;Sperling RA

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脑β淀粉样蛋白(a β)沉积发生在相当一部分认知正常(CN)老年人中。然而,使用标准的神经心理学测量方法很难可靠地检测到CN中淀粉样蛋白相关认知改变的证据。我们试图确定高要求的面孔-名字联想记忆测试(FNAME)是否可以检测到与a β相关的CN记忆障碍的证据。我们研究了45例CN患者(平均年龄= 71.7±8.8),临床痴呆评分(CDR)评分= 0,MMSE≥28,使用匹兹堡化合物B (PiB PET)正电子发射断层扫描。记忆因子得分由FNAME名称检索(FN-N)、FNAME职业检索(FN-O)和6项选择性提醒测验(SRT)的主成分分析得出。使用多元线性和逻辑回归分析,我们将记忆因子得分与PiB分布体积比(DVR,小脑参考)联系起来,作为额叶皮质和代表楔前叶、后扣带和侧顶叶皮质(PPCLP)的后皮质区域的连续变量或二分类变量,并与年龄和AMNART智商(认知储备(CR)的代理)共变。FN-N与A - β沉积在额叶(R2 = 0.29, β = - 2.2, p = 0.02)和PPCLP皮层(R2 = 0.26, β = - 2.4, p = 0.05)呈显著负相关。相比之下,FN-O和SRT与Aβ沉积均无显著相关性。在一项要求苛刻的面孔-名字联想记忆测试中的表现与与记忆系统相关的大脑区域的a β负荷有关。老年人对面孔和名字的联想记忆是一种常见的抱怨,可能是早期a β相关损伤的敏感标志。
Cerebral amyloid beta (Aβ) deposition occurs in a substantial fraction of cognitively normal (CN) older individuals. However, it has been difficult to reliably detect evidence of amyloid-related cognitive alterations in CN using standard neuropsychological measures. We sought to determine whether a highly demanding face-name associative memory exam (FNAME) could detect evidence of Aβ-related memory impairment in CN. We studied 45 CN subjects (mean age = 71.7 ± 8.8) with Clinical Dementia Rating (CDR) scores = 0 and MMSE ≥ 28, using Positron Emission Tomography with Pittsburgh Compound B (PiB PET). Memory factor scores were derived from a principal components analysis for FNAME name retrieval (FN-N), FNAME occupation retrieval (FN-O) and the 6-Trial Selective Reminding Test (SRT). Using multiple linear and logistic regression analyses, we related the memory factor scores to PiB distribution volume ratios (DVR, cerebellar reference) as either a continuous or a dichotomous variable in frontal cortex and a posterior cortical region representing the precuneus, posterior cingulate and lateral parietal cortices (PPCLP), co-varying for age and AMNART IQ (a proxy of cognitive reserve (CR)). A significant inverse relationship for FN-N was found with Aβ deposition in frontal (R2 = .29, β = −2.2, p = 0.02) and PPCLP cortices (R2 = .26, β = −2.4, p = 0.05). In contrast, neither FN-O nor the SRT were significantly related to Aβ deposition. Performance on a demanding test of face-name associative memory was related to Aβ burden in brain regions associated with memory systems. Associative memory for faces and names, a common complaint among older adults, may be a sensitive marker of early Aβ-related impairment.
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发表时间: 2002-10-01
期刊: NEUROPSYCHOLOGY
影响因子: 2.4
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期刊: The Journal of neuroscience : the official journal of the Society for Neuroscience
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发表时间: 2008-11
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