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국회도서관 홈으로 정보검색 소장정보 검색

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Purpose: Alzheimer’s disease (AD) dementia may not be a single disease entity. Early-onset AD (EOAD) and late-onset AD (LOAD) have been united under the same eponym of AD until now, but disentangling the heterogeneity according to the age of sonset has been a major tenet in the field of AD research.

Materials and Methods: Ninety-nine patients with AD (EOAD, n=54; LOAD, n=45) and 66 cognitively normal controls completed both [18F]THK5351 and [18F]flutemetamol (FLUTE) positron emission tomography scans along with structural magnetic resonance imaging and detailed neuropsychological tests.

Results: EOAD patients had higher THK retention in the precuneus, parietal, and frontal lobe, while LOAD patients had higher THK retention in the medial temporal lobe. Intravoxel correlation analyses revealed that EOAD presented narrower territory of local FLUTE-THK correlation, while LOAD presented broader territory of correlation extending to overall parieto-occipito-temporal regions. EOAD patients had broader brain areas which showed significant negative correlations between cortical thickness and THK retention, whereas in LOAD, only limited brain areas showed significant correlation with THK retention. In EOAD, most of the cognitive test results were correlated with THK retention. However, a few cognitive test results were correlated with THK retention in LOAD.

Conclusion: LOAD seemed to show gradual increase in tau and amyloid, and those two pathologies have association to each other. On the other hand, in EOAD, tau and amyloid may develop more abruptly and independently. These findings suggest LOAD and EOAD may have different courses of pathomechanism.

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참고문헌 (38건) : 자료제공( 네이버학술정보 )

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번호 참고문헌 국회도서관 소장유무
1 Alzheimer's Disease: The Downside of a Highly Evolved Parietal Lobe? 미소장
2 Functional connectivity changes differ in early and late-onset alzheimer's disease 미소장
3 The preclinical phase of the pathological process underlying sporadic Alzheimer’s disease 미소장
4 Differences between early and late onset Alzheimer's disease. 미소장
5 Emerging β-Amyloid Pathology and Accelerated Cortical Atrophy 미소장
6 Individual subject classification for Alzheimer's disease based on incremental learning using a spatial frequency representation of cortical thickness data 미소장
7 Amyloid-Independent Mechanisms in Alzheimer's Disease Pathogenesis 미소장
8 Widespread Disruption of Functional Brain Organization in Early-Onset Alzheimer’s Disease 미소장
9 Neocortical morphometry, lesion counts, and choline acetyltransferase levels in the age spectrum of Alzheimer's disease 미소장
10 Anatomical heterogeneity of Alzheimer disease 미소장
11 Differences between Early and Late-Onset Alzheimer’s Disease in Neuropsychological Tests 미소장
12 Increased metabolic vulnerability in early-onset Alzheimer’s disease is not related to amyloid burden 미소장
13 Early-onset dementias: diagnostic and etiological considerations 미소장
14 Early-Onset Alzheimer’s Disease Is Associated With Greater Pathologic Burden 미소장
15 Neuropathologically defined subtypes of Alzheimer's disease with distinct clinical characteristics: a retrospective study 미소장
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37 Imaging of Reactive Astrogliosis by Positron Emission Tomography 미소장
38 Lecanemab in Early Alzheimer’s Disease 미소장