Relationship between Atrophy and β-Amyloid Deposition in Alzheimer Disease
Identifieur interne : 003844 ( PascalFrancis/Curation ); précédent : 003843; suivant : 003845Relationship between Atrophy and β-Amyloid Deposition in Alzheimer Disease
Auteurs : Gaël Chetelat [Australie, France] ; Victor L. Villemagne [Australie] ; Pierrick Bourgeat [Australie] ; Kerryn E. Pike [Australie] ; Gareth Jones [Australie] ; David Ames [Australie] ; Kathryn A. Ellis [Australie] ; Cassandra Szoeke [Australie] ; Ralph N. Martins [Australie] ; Graeme J. O'Keefe [Australie] ; Olivier Salvado [Australie] ; Colin L. Masters [Australie] ; Christopher C. Rowe [Australie]Source :
- Annals of neurology [ 0364-5134 ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Objective: Elucidating the role of aggregated β-amyloid in relation to gray matter atrophy is crucial to the understanding of the pathological mechanisms of Alzheimer disease and for the development of therapeutic trials. The present study aims to assess this relationship. Methods: Brain magnetic resonance imaging and [11C]Pittsburgh compound B (PiB)-positron emission tomography scans were obtained from 94 healthy elderly subjects (49 with subjective cognitive impairment), 34 patients with mild cognitive impairment, and 35 patients with Alzheimer disease. The correlations between global and regional neocortical PiB retention and atrophy were analyzed in each clinical group. Results: Global and regional atrophy were strongly related to β-amyloid load in participants with subjective cognitive impairment but not in patients with mild cognitive impairment or Alzheimer disease. Global neocortical β-amyloid deposition correlated to atrophy in a large brain network including the hippocampus, medial frontal and parietal areas, and lateral temporoparietal cortex, whereas regional β-amyloid load was related to local atrophy in the areas of highest β-amyloid load only, that is, medial orbitofrontal and anterior and posterior cingulate/ precuneus areas. Interpretation: There is a strong relationship between β-amyloid deposition and atrophy very early in the disease process. As the disease progresses to mild cognitive impairment and Alzheimer disease clinical stages, pathological events other than, and probably downstream from, aggregated β-amyloid deposition might be responsible for the ongoing atrophic process. These findings suggest that antiamyloid therapy should be administered very early in the disease evolution to minimize synaptic and neuronal loss.
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Relationship between Atrophy and β-Amyloid Deposition in Alzheimer Disease</title>
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<author><name sortKey="Jones, Gareth" sort="Jones, Gareth" uniqKey="Jones G" first="Gareth" last="Jones">Gareth Jones</name>
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<author><name sortKey="Ellis, Kathryn A" sort="Ellis, Kathryn A" uniqKey="Ellis K" first="Kathryn A." last="Ellis">Kathryn A. Ellis</name>
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<author><name sortKey="Szoeke, Cassandra" sort="Szoeke, Cassandra" uniqKey="Szoeke C" first="Cassandra" last="Szoeke">Cassandra Szoeke</name>
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<author><name sortKey="Martins, Ralph N" sort="Martins, Ralph N" uniqKey="Martins R" first="Ralph N." last="Martins">Ralph N. Martins</name>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Centre of Excellence for Alzheimer's Disease Research & Care, School of Exercise, Biomedical, and Health Sciences, Edith Cowan University</s1>
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<author><name sortKey="O Keefe, Graeme J" sort="O Keefe, Graeme J" uniqKey="O Keefe G" first="Graeme J." last="O'Keefe">Graeme J. O'Keefe</name>
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<author><name sortKey="Salvado, Olivier" sort="Salvado, Olivier" uniqKey="Salvado O" first="Olivier" last="Salvado">Olivier Salvado</name>
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<author><name sortKey="Masters, Colin L" sort="Masters, Colin L" uniqKey="Masters C" first="Colin L." last="Masters">Colin L. Masters</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Mental Health Research Institute, University of Melbourne</s1>
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<author><name sortKey="Rowe, Christopher C" sort="Rowe, Christopher C" uniqKey="Rowe C" first="Christopher C." last="Rowe">Christopher C. Rowe</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Nuclear Medicine and Center for PET, Austin Health</s1>
<s2>Heidelberg</s2>
<s3>AUS</s3>
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</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Medicine, Austin Health, University of Melbourne</s1>
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</analytic>
<series><title level="j" type="main">Annals of neurology</title>
<title level="j" type="abbreviated">Ann. neurol.</title>
<idno type="ISSN">0364-5134</idno>
<imprint><date when="2010">2010</date>
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<seriesStmt><title level="j" type="main">Annals of neurology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alzheimer disease</term>
<term>Amyloid</term>
<term>Atrophy</term>
<term>Nervous system diseases</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Atrophie</term>
<term>Démence d'Alzheimer</term>
<term>Pathologie du système nerveux</term>
<term>Amyloïde</term>
</keywords>
</textClass>
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</teiHeader>
<front><div type="abstract" xml:lang="en">Objective: Elucidating the role of aggregated β-amyloid in relation to gray matter atrophy is crucial to the understanding of the pathological mechanisms of Alzheimer disease and for the development of therapeutic trials. The present study aims to assess this relationship. Methods: Brain magnetic resonance imaging and [<sup>11</sup>
C]Pittsburgh compound B (PiB)-positron emission tomography scans were obtained from 94 healthy elderly subjects (49 with subjective cognitive impairment), 34 patients with mild cognitive impairment, and 35 patients with Alzheimer disease. The correlations between global and regional neocortical PiB retention and atrophy were analyzed in each clinical group. Results: Global and regional atrophy were strongly related to β-amyloid load in participants with subjective cognitive impairment but not in patients with mild cognitive impairment or Alzheimer disease. Global neocortical β-amyloid deposition correlated to atrophy in a large brain network including the hippocampus, medial frontal and parietal areas, and lateral temporoparietal cortex, whereas regional β-amyloid load was related to local atrophy in the areas of highest β-amyloid load only, that is, medial orbitofrontal and anterior and posterior cingulate/ precuneus areas. Interpretation: There is a strong relationship between β-amyloid deposition and atrophy very early in the disease process. As the disease progresses to mild cognitive impairment and Alzheimer disease clinical stages, pathological events other than, and probably downstream from, aggregated β-amyloid deposition might be responsible for the ongoing atrophic process. These findings suggest that antiamyloid therapy should be administered very early in the disease evolution to minimize synaptic and neuronal loss.</div>
</front>
</TEI>
<inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0364-5134</s0>
</fA01>
<fA02 i1="01"><s0>ANNED3</s0>
</fA02>
<fA03 i2="1"><s0>Ann. neurol.</s0>
</fA03>
<fA05><s2>67</s2>
</fA05>
<fA06><s2>3</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG"><s1>Relationship between Atrophy and β-Amyloid Deposition in Alzheimer Disease</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>CHETELAT (Gaël)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>VILLEMAGNE (Victor L.)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>BOURGEAT (Pierrick)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>PIKE (Kerryn E.)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>JONES (Gareth)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>AMES (David)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>ELLIS (Kathryn A.)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>SZOEKE (Cassandra)</s1>
</fA11>
<fA11 i1="09" i2="1"><s1>MARTINS (Ralph N.)</s1>
</fA11>
<fA11 i1="10" i2="1"><s1>O'KEEFE (Graeme J.)</s1>
</fA11>
<fA11 i1="11" i2="1"><s1>SALVADO (Olivier)</s1>
</fA11>
<fA11 i1="12" i2="1"><s1>MASTERS (Colin L.)</s1>
</fA11>
<fA11 i1="13" i2="1"><s1>ROWE (Christopher C.)</s1>
</fA11>
<fA14 i1="01"><s1>Department of Nuclear Medicine and Center for PET, Austin Health</s1>
<s2>Heidelberg</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>13 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Inserm-EPHE-University of Caen/Basse-Normandie, Unit U923, GIP Cyceron, CHU Côte de Nacre</s1>
<s2>Caen</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Mental Health Research Institute, University of Melbourne</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>12 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Department of Medicine, Austin Health, University of Melbourne</s1>
<s2>Heidelberg</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
<sZ>13 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>CSIRO Preventative Health National Research Flagship ICTC, Australian e-Health Research Centre, BioMedIA, Royal Brisbane and Women's Hospital</s1>
<s2>Herston</s2>
<s3>AUS</s3>
<sZ>3 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>11 aut.</sZ>
</fA14>
<fA14 i1="06"><s1>National Ageing Research Institute</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="07"><s1>Academic Unit for Psychiatry of Old Age, Department of Psychiatry, University of Melbourne, St. Vincent's Aged Psychiatry Service, St George's Hospital</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="08"><s1>Centre of Excellence for Alzheimer's Disease Research & Care, School of Exercise, Biomedical, and Health Sciences, Edith Cowan University</s1>
<s2>Joondalup</s2>
<s3>AUS</s3>
<sZ>9 aut.</sZ>
</fA14>
<fA17 i1="01" i2="1"><s1>Australian Imaging Biomarkers and Lifestyle Research Group</s1>
<s3>AUS</s3>
</fA17>
<fA20><s1>317-324</s1>
</fA20>
<fA21><s1>2010</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>16555</s2>
<s5>354000181717290060</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2010 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>33 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>10-0201781</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Annals of neurology</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Objective: Elucidating the role of aggregated β-amyloid in relation to gray matter atrophy is crucial to the understanding of the pathological mechanisms of Alzheimer disease and for the development of therapeutic trials. The present study aims to assess this relationship. Methods: Brain magnetic resonance imaging and [<sup>11</sup>
C]Pittsburgh compound B (PiB)-positron emission tomography scans were obtained from 94 healthy elderly subjects (49 with subjective cognitive impairment), 34 patients with mild cognitive impairment, and 35 patients with Alzheimer disease. The correlations between global and regional neocortical PiB retention and atrophy were analyzed in each clinical group. Results: Global and regional atrophy were strongly related to β-amyloid load in participants with subjective cognitive impairment but not in patients with mild cognitive impairment or Alzheimer disease. Global neocortical β-amyloid deposition correlated to atrophy in a large brain network including the hippocampus, medial frontal and parietal areas, and lateral temporoparietal cortex, whereas regional β-amyloid load was related to local atrophy in the areas of highest β-amyloid load only, that is, medial orbitofrontal and anterior and posterior cingulate/ precuneus areas. Interpretation: There is a strong relationship between β-amyloid deposition and atrophy very early in the disease process. As the disease progresses to mild cognitive impairment and Alzheimer disease clinical stages, pathological events other than, and probably downstream from, aggregated β-amyloid deposition might be responsible for the ongoing atrophic process. These findings suggest that antiamyloid therapy should be administered very early in the disease evolution to minimize synaptic and neuronal loss.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B17</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B17G</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Atrophie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Atrophy</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Atrofia</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Démence d'Alzheimer</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Alzheimer disease</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Demencia Alzheimer</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Pathologie du système nerveux</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Amyloïde</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Amyloid</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Amiloide</s0>
<s5>09</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Pathologie de l'encéphale</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Maladie dégénérative</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Degenerative disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Pathologie du système nerveux central</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>39</s5>
</fC07>
<fN21><s1>130</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>
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