In:
Alzheimer's & Dementia, Wiley, Vol. 19, No. S2 ( 2023-06)
Abstract:
The noradrenergic (NA) system comprises several cortical and subcortical brain areas with differential densities of NA transporters and receptors. A decline in the NA system, together with additional risk factors such as ApoE4‐status, gender, age, vascular changes and years of education may contribute to the development of Alzheimer’s disease (AD). The aim of this study was to examine whether brain areas known to be rich in NA receptors and transporters are particularly vulnerable to degeneration in preclinical AD. Method We examined interindividual differences in volumes of specific brain areas grouped into high and low NA density regions (NA‐high/NA‐low) for healthy controls (HC) and AD relatives (n = 122), individuals with subjective cognitive decline (SCD) (n = 152) and mild cognitive impairment (MCI) (n = 78). Structural equation modeling (SEM) was used to simultaneously examine associations between NA‐high and NA‐low regions across clinical groups. We investigated whether brain volumes in NA‐high and NA‐low areas were differentially related to known AD risk factors (ApoE4 status, CSF amyloid‐ß (Aß) 42/40 and phosphorylated tau (pTau)), and whether these links differed in HC, SCD and MCI. Result Estimating a two‐factor model with NA‐high and NA‐low revealed a better model fit than estimating one general factor. ApoE4‐carriers were associated with a lower ratio of Aß42/40 (‐0.472***) and a higher level of pTau (0.263***). In the whole sample, a low ratio of Aß42/40 was associated with lower brain volume in NA‐high (0.157***), but not NA‐low areas. pTau showed no significant association to NA‐high or NA‐low areas. The group analysis revealed an increasing association between ApoE4, pTau and Aß42/40 in HC, SCD and MCI. An association between Aß42/40 and NA‐high areas was observed in all groups, whilst for an additional positive association to NA‐low in HC (0.125*), but negative association in SCD (‐0.184*). Finally, the negative association between pTau and Aß42/40 is true for SCD and MCI, but not for HC. Conclusion SEM can be used to separate brain regions into NA‐high and NA‐low areas. Higher risk status Aß42/40 is linked to lower brain volume in high NA density areas, suggesting a particular vulnerability of brain areas likely more affected by NA decline in AD.
Type of Medium:
Online Resource
ISSN:
1552-5260
,
1552-5279
Language:
English
Publisher:
Wiley
Publication Date:
2023
detail.hit.zdb_id:
2201940-6
