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Comparing amyloid-β plaque burden with antemortem PiB PET in autosomal dominant and late-onset Alzheimer disease.

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机构: [1]Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, MO, USA [2]Department of Pathology and Immunology, Washington University in St. Louis, St. Louis, MO, USA [3]Department of Pathology, University of Manitoba, Shared Health, Winnipeg, MB, Canada [4]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China [5]Department of Neurology, Washington University in St. Louis, St. Louis, MO, USA [6]Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, St. Louis, MO, USA [7]Department of Psychiatry, Washington University in St. Louis, St. Louis, MO, USA [8]Department of Genetics and Genomic Sciences, Ichan School of Medicine at Mount Sinai, New York, NY, USA [9]Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN, USA [10]Department of Neurology, Keck School of Medicine of USC, Los Angeles, CA, USA [11]Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA [12]The Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, VIC, Australia [13]Department of Anatomic Pathology, Alfred Hospital, Melbourne, VIC, Australia [14]UCL Queen Square Institute of Neurology, University College London, London, UK [15]Queen Square Brain Bank for Neurological Disorders, University College London, London, UK [16]Banner Alzheimer’s Institute, Banner Health, Phoenix, AZ, USA [17]Arizona Alzheimer’s Consortium, Banner Health, Phoenix, AZ, USA [18]Department of Radiology, University of Michigan, Ann Arbor, MI, USA [19]Department of Radiology, Mayo Clinic, Rochester, MN, USA [20]Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA [21]College of Medicine and Health, University of Exeter, Exeter, UK
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关键词: Alzheimer disease Amyloid-β plaques PiB PET Stereology

摘要:
Pittsburgh compound B (PiB) radiotracer for positron emission tomography (PET) imaging can bind to different types of amyloid-β plaques and blood vessels (cerebral amyloid angiopathy). However, the relative contributions of different plaque subtypes (diffuse versus cored/compact) to in vivo PiB PET signal on a region-by-region basis are incompletely understood. Of particular interest is whether the same staging schemes for summarizing amyloid-β burden are appropriate for both late-onset and autosomal dominant forms of Alzheimer disease (LOAD and ADAD). Here, we compared antemortem PiB PET with follow-up postmortem estimation of amyloid-β burden using stereologic methods to estimate the relative area fraction of diffuse and cored/compact amyloid-β plaques across 16 brain regions in 15 individuals with ADAD and 14 individuals with LOAD. In ADAD, we found that PiB PET correlated with diffuse plaques in the frontal, parietal, temporal, and striatal regions commonly used to summarize amyloid-β burden in PiB PET, and correlated with both diffuse and cored/compact plaques in the occipital lobe and parahippocampal gyrus. In LOAD, we found that PiB PET correlated with both diffuse and cored/compact plaques in the anterior cingulate, frontal lobe (middle frontal gyrus), and parietal lobe, and showed additional correlations with diffuse plaque in the amygdala and occipital lobe, and with cored/compact plaque in the temporal lobe. Thus, commonly used PiB PET summary regions predominantly reflect diffuse plaque burden in ADAD and a mixture of diffuse and cored/compact plaque burden in LOAD. In direct comparisons of ADAD and LOAD, postmortem stereology identified much greater mean amyloid-β plaque burdens in ADAD versus LOAD across almost all brain regions studied. However, standard PiB PET did not recapitulate these stereologic findings, likely due to non-trivial amyloid-β plaque burdens in ADAD within the cerebellum and brainstem-commonly used reference regions in PiB PET. Our findings suggest that PiB PET summary regions correlate with amyloid-β plaque burden in both ADAD and LOAD; however, they might not be reliable in direct comparisons of regional amyloid-β plaque burden between the two forms of AD.© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 临床神经病学 1 区 神经科学 1 区 病理学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 临床神经病学 1 区 神经科学 1 区 病理学
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出版当年[2019]版:
Q1 NEUROSCIENCES Q1 CLINICAL NEUROLOGY Q1 PATHOLOGY
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Q1 NEUROSCIENCES Q1 CLINICAL NEUROLOGY Q1 PATHOLOGY

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第一作者机构: [1]Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, MO, USA
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