Serveur d'exploration sur les relations entre la France et l'Australie

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Relationship between Atrophy and β-Amyloid Deposition in Alzheimer Disease

Identifieur interne : 003844 ( PascalFrancis/Curation ); précédent : 003843; suivant : 003845

Relationship 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 :

RBID : Pascal:10-0201781

Descripteurs français

English descriptors

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.
pA  
A01 01  1    @0 0364-5134
A02 01      @0 ANNED3
A03   1    @0 Ann. neurol.
A05       @2 67
A06       @2 3
A08 01  1  ENG  @1 Relationship between Atrophy and β-Amyloid Deposition in Alzheimer Disease
A11 01  1    @1 CHETELAT (Gaël)
A11 02  1    @1 VILLEMAGNE (Victor L.)
A11 03  1    @1 BOURGEAT (Pierrick)
A11 04  1    @1 PIKE (Kerryn E.)
A11 05  1    @1 JONES (Gareth)
A11 06  1    @1 AMES (David)
A11 07  1    @1 ELLIS (Kathryn A.)
A11 08  1    @1 SZOEKE (Cassandra)
A11 09  1    @1 MARTINS (Ralph N.)
A11 10  1    @1 O'KEEFE (Graeme J.)
A11 11  1    @1 SALVADO (Olivier)
A11 12  1    @1 MASTERS (Colin L.)
A11 13  1    @1 ROWE (Christopher C.)
A14 01      @1 Department of Nuclear Medicine and Center for PET, Austin Health @2 Heidelberg @3 AUS @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 5 aut. @Z 10 aut. @Z 13 aut.
A14 02      @1 Inserm-EPHE-University of Caen/Basse-Normandie, Unit U923, GIP Cyceron, CHU Côte de Nacre @2 Caen @3 FRA @Z 1 aut.
A14 03      @1 Mental Health Research Institute, University of Melbourne @2 Melbourne @3 AUS @Z 2 aut. @Z 4 aut. @Z 12 aut.
A14 04      @1 Department of Medicine, Austin Health, University of Melbourne @2 Heidelberg @3 AUS @Z 2 aut. @Z 13 aut.
A14 05      @1 CSIRO Preventative Health National Research Flagship ICTC, Australian e-Health Research Centre, BioMedIA, Royal Brisbane and Women's Hospital @2 Herston @3 AUS @Z 3 aut. @Z 8 aut. @Z 11 aut.
A14 06      @1 National Ageing Research Institute @2 Melbourne @3 AUS @Z 6 aut.
A14 07      @1 Academic Unit for Psychiatry of Old Age, Department of Psychiatry, University of Melbourne, St. Vincent's Aged Psychiatry Service, St George's Hospital @2 Melbourne @3 AUS @Z 7 aut.
A14 08      @1 Centre of Excellence for Alzheimer's Disease Research & Care, School of Exercise, Biomedical, and Health Sciences, Edith Cowan University @2 Joondalup @3 AUS @Z 9 aut.
A17 01  1    @1 Australian Imaging Biomarkers and Lifestyle Research Group @3 AUS
A20       @1 317-324
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 16555 @5 354000181717290060
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 33 ref.
A47 01  1    @0 10-0201781
A60       @1 P
A61       @0 A
A64 01  1    @0 Annals of neurology
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C03 01  X  FRE  @0 Atrophie @5 01
C03 01  X  ENG  @0 Atrophy @5 01
C03 01  X  SPA  @0 Atrofia @5 01
C03 02  X  FRE  @0 Démence d'Alzheimer @5 02
C03 02  X  ENG  @0 Alzheimer disease @5 02
C03 02  X  SPA  @0 Demencia Alzheimer @5 02
C03 03  X  FRE  @0 Pathologie du système nerveux @5 03
C03 03  X  ENG  @0 Nervous system diseases @5 03
C03 03  X  SPA  @0 Sistema nervioso patología @5 03
C03 04  X  FRE  @0 Amyloïde @5 09
C03 04  X  ENG  @0 Amyloid @5 09
C03 04  X  SPA  @0 Amiloide @5 09
C07 01  X  FRE  @0 Pathologie de l'encéphale @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Maladie dégénérative @5 38
C07 02  X  ENG  @0 Degenerative disease @5 38
C07 02  X  SPA  @0 Enfermedad degenerativa @5 38
C07 03  X  FRE  @0 Pathologie du système nerveux central @5 39
C07 03  X  ENG  @0 Central nervous system disease @5 39
C07 03  X  SPA  @0 Sistema nervosio central patología @5 39
N21       @1 130
N44 01      @1 OTO
N82       @1 OTO

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Pascal:10-0201781

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<title xml:lang="en" level="a">Relationship between Atrophy and β-Amyloid Deposition in Alzheimer Disease</title>
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<name sortKey="Pike, Kerryn E" sort="Pike, Kerryn E" uniqKey="Pike K" first="Kerryn E." last="Pike">Kerryn E. Pike</name>
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<s1>Department of Nuclear Medicine and Center for PET, Austin Health</s1>
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</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Mental Health Research Institute, University of Melbourne</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
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<sZ>4 aut.</sZ>
<sZ>12 aut.</sZ>
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<country>Australie</country>
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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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<s1>Department of Nuclear Medicine and Center for PET, Austin Health</s1>
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<sZ>1 aut.</sZ>
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<author>
<name sortKey="Ames, David" sort="Ames, David" uniqKey="Ames D" first="David" last="Ames">David Ames</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>
<affiliation wicri:level="1">
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<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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<name sortKey="Salvado, Olivier" sort="Salvado, Olivier" uniqKey="Salvado O" first="Olivier" last="Salvado">Olivier Salvado</name>
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<name sortKey="Masters, Colin L" sort="Masters, Colin L" uniqKey="Masters C" first="Colin L." last="Masters">Colin L. Masters</name>
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<name sortKey="Rowe, Christopher C" sort="Rowe, Christopher C" uniqKey="Rowe C" first="Christopher C." last="Rowe">Christopher C. Rowe</name>
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<s1>Department of Nuclear Medicine and Center for PET, Austin Health</s1>
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<s1>Department of Medicine, Austin Health, University of Melbourne</s1>
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<title level="j" type="main">Annals of neurology</title>
<title level="j" type="abbreviated">Ann. neurol.</title>
<idno type="ISSN">0364-5134</idno>
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<date when="2010">2010</date>
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<title level="j" type="main">Annals of neurology</title>
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<term>Alzheimer disease</term>
<term>Amyloid</term>
<term>Atrophy</term>
<term>Nervous system diseases</term>
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<term>Atrophie</term>
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<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>
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<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>
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