Odor memory and functional neuroimaging in cognitively impaired older adults and Alzheimer's disease

认知障碍老年人和阿尔茨海默病的气味记忆和功能神经影像

基本信息

项目摘要

Project Summary This K23 application presents a training and research program that will support the applicant on a path towards becoming an NIH-funded independent investigator focused on understanding the neurobiology of the olfactory system in Alzheimer’s disease (AD). Training: The activities in this application build on the candidate’s prior clinical neuropsychology training and research experience and are set in a resource-rich environment that will foster his development of expertise in 1) principles of functional imaging in AD, 2) mechanisms and neural circuitry of the olfactory system, 3) biostatistics and psychometrics, and 4) responsible conduct of research. These training goals will be supported by a combination of didactics, formal advisory plans, and hands-on- practicum throughout the award period. Under the guidance of his primary mentor, Dr. Davangere Devanand, his co-mentor Dr. Terry Goldberg, scientific advisors (Drs. Gaurav Patel, Prasanna Karunanayaka, Mark Albers, Jonas Olofsson, and Scott Small), and peer mentor (Dr. Jonathan Overdevest), the candidate will acquire advanced skills in neuroimaging methodologies, olfactory evaluations, and AD biomarker mechanics that will be directly applied to this proposal. Research: The overarching goal of the research to be carried out in this application is to determine the neural mechanisms underlying odor memory deficits, and to define the relationship between odor memory and AD biomarkers using a new process-pure variant of an odor memory test. There is an urgent and unmet need to develop tools for enhancing early detection of AD. Olfaction and memory are systems in which impairments develop during initial stages of AD. Odor memory, which combines these two systems, has potential for improving upon the capabilities of existing tools which commonly measure either system in isolation. Currently, the precise neural substrates of odor memory remain undefined. By investigating the brain activation patterns involved in odor memory, there is promise for enhancing our ability to identify individuals at risk for decline. This proposal will be the first to evaluate odor detection and odor memory jointly within the same imaging paradigm. Aim 1 of the research project will examine fMRI task-related signal in the olfactory cortex and medial temporal lobe during an fMRI odor memory procedure. Patients with AD, patients with amnestic mild cognitive impairment, and cognitively intact older adults will undergo scanning. Aim 2 strives to establish the association of abnormal odor memory with apolipoprotein genotype and plasma tau biomarkers. In Aim 3, the clinical utility of odor memory for differentiating groups (patients with AD, patients with mild cognitive impairment, and cognitively intact older adults) will be compared against established odor identification and verbal memory measures.
项目摘要 此K23应用程序提出了一个培训和研究计划,将支持申请人的道路上, 成为NIH资助的独立研究员,专注于了解嗅觉的神经生物学 阿尔茨海默病(AD)的发病机制。培训:此应用程序中的活动建立在候选人先前的 临床神经心理学培训和研究经验,并设置在一个资源丰富的环境,将 促进他在1)AD功能成像原理,2)机制和神经 嗅觉系统的电路,3)生物统计学和心理测量学,以及4)负责任的研究行为。 这些培训目标将得到教学法、正式咨询计划和实践的支持, 在整个颁奖期间。在他的主要导师达旺格尔·德瓦南博士的指导下, 他的共同导师Terry Goldberg博士,科学顾问(Gaurav Patel博士,Prasanna Karunanayaka博士,Mark 阿尔伯斯,乔纳斯Olofsson和斯科特小),和同行导师(乔纳森Overdevest博士),候选人将 获得神经影像学方法,嗅觉评估和AD生物标志物力学方面的高级技能 将直接应用于本提案。研究:研究的首要目标是在 本申请旨在确定气味记忆缺陷背后的神经机制,并定义 气味记忆和AD生物标志物之间的关系,使用气味记忆的新过程纯变体 test.迫切需要开发用于增强AD的早期检测的工具。嗅觉与 记忆是在AD的初始阶段出现损伤的系统。气味记忆结合了 这两个系统具有改进现有工具能力的潜力, 系统孤立。目前,气味记忆的精确神经基质仍然不确定。通过 通过研究气味记忆中涉及的大脑激活模式,有希望提高我们的能力, 识别有下降风险的个体。这一提案将首次对气味检测和气味记忆进行评估 在相同的成像范例中联合。该研究项目的目标1将检查fMRI任务相关信号, 嗅觉皮层和内侧颞叶在功能磁共振成像气味记忆过程中。AD患者, 患有遗忘性轻度认知障碍的患者和认知功能完好的老年人将接受扫描。目的 2努力建立异常气味记忆与载脂蛋白基因型和血浆tau蛋白的关联 生物标志物。在目标3中,气味记忆用于区分组(AD患者, 轻度认知障碍和认知完整的老年人)将与已建立的气味进行比较 识别和非文字记忆测试。

项目成果

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