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Suspected non-Alzheimer disease pathophysiology—concept and controversy

Identifieur interne : 001687 ( Main/Exploration ); précédent : 001686; suivant : 001688

Suspected non-Alzheimer disease pathophysiology—concept and controversy

Auteurs : Clifford R. Jack ; David S. Knopman ; Gaël Chételat ; Dennis Dickson ; Anne M. Fagan ; Giovanni B. Frisoni ; William Jagust ; Elizabeth C. Mormino ; Ronald C. Petersen ; Reisa A. Sperling ; Wiesje M. Van Der Flier ; Victor L. Villemagne ; Pieter J. Visser ; Stephanie J. B. Vos

Source :

RBID : PMC:4784257

Descripteurs français

English descriptors

Abstract

Suspected non-Alzheimer disease pathophysiology (SNAP) is a biomarker-based concept that applies to individuals with normal levels of amyloid-β biomarkers in the brain, but in whom biomarkers of neurodegeneration are abnormal. The term SNAP has been applied to individuals who are clinically normal for their age and to individuals with mild cognitive impairment, but is applicable to any amyloid-negative, neurodegeneration-positive individual regardless of clinical status, except when the pathology underlying neurodegeneration can be confidently inferred from the clinical presentation. SNAP is present in ~23% of clinically normal individuals aged >65 years and in ~25% of mildly cognitively impaired individuals. APOE4 is underrepresented in individuals with SNAP compared with amyloid-positive individuals. Clinically normal and mildly impaired individuals with SNAP have worse clinical and/or cognitive outcomes than individuals with normal levels of neurodegeneration and amyloid-β biomarkers. In this Perspectives article we describe the available data on SNAP and address topical controversies in the field.


Url:
DOI: 10.1038/nrneurol.2015.251
PubMed: 26782335
PubMed Central: 4784257


Affiliations:


Links toward previous steps (curation, corpus...)


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<p id="P1">Suspected non-Alzheimer disease pathophysiology (SNAP) is a biomarker-based concept that applies to individuals with normal levels of amyloid-β biomarkers in the brain, but in whom biomarkers of neurodegeneration are abnormal. The term SNAP has been applied to individuals who are clinically normal for their age and to individuals with mild cognitive impairment, but is applicable to any amyloid-negative, neurodegeneration-positive individual regardless of clinical status, except when the pathology underlying neurodegeneration can be confidently inferred from the clinical presentation. SNAP is present in ~23% of clinically normal individuals aged >65 years and in ~25% of mildly cognitively impaired individuals.
<italic>APOE4</italic>
is underrepresented in individuals with SNAP compared with amyloid-positive individuals. Clinically normal and mildly impaired individuals with SNAP have worse clinical and/or cognitive outcomes than individuals with normal levels of neurodegeneration and amyloid-β biomarkers. In this Perspectives article we describe the available data on SNAP and address topical controversies in the field.</p>
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