Cerebral changes and disrupted gray-matter cortical networks in asymptomatic older adults at risk for Alzheimer's disease

The diagnostic value of cerebrospinal fluid (CSF) biomarkers is well established in Alzheimer's disease, but our current knowledge about how abnormal CSF levels affect cerebral integrity, at local and network levels, is incomplete in asymptomatic older adults. Here, we have collected CSF sample...

Descripción completa

Detalles Bibliográficos
Autores: Cantero, José L., Atienza, Mercedes, Sánchez-Juan, Pascual|||0000-0002-6081-8037, Rodríguez Rodríguez, Eloy Manuel, Vázquez Higuera, José Luis, Pozueta Cantudo, Ana, González Suárez, Andrea, Vilaplana, Eduard, Pegueroles, Jordi, Montal, Víctor, Blesa, Rafael, Alcolea, Daniel, Lleo, Alberto, Fortea, Juan
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/12928
Acceso en línea:http://hdl.handle.net/10902/12928
Access Level:acceso abierto
Palabra clave:Preclinical Alzheimer's disease
SNAP
CSF biomarkers
Cortical thickness
Structural cortical networks
White matter
Descripción
Sumario:The diagnostic value of cerebrospinal fluid (CSF) biomarkers is well established in Alzheimer's disease, but our current knowledge about how abnormal CSF levels affect cerebral integrity, at local and network levels, is incomplete in asymptomatic older adults. Here, we have collected CSF samples and performed structural magnetic resonance imaging scans in cognitively normal elderly as part of a cross-sectional multicenter study (SIGNAL project). To identify group differences in cortical thickness, white matter volume, and properties of structural networks, participants were split into controls (N = 20), positive amyloid-? (A?1?42 +) (N = 19), and positive phosphorylated tau (N = 18). The A?1?42 + group exhibited thickening of middle temporal regions, while positive phosphorylated tau individuals showed thinning in the superior parietal and orbitofrontal cortices. Subjects with abnormal CSF biomarkers further showed regional white matter atrophy and more segregated cortical networks, the A?1?42 + group showing heightened isolation of cingulate and temporal cortices. Collectively, these findings highlight the relevance of combining structural brain imaging and connectomics for in vivo tracking of Alzheimer's disease lesions in asymptomatic stages.