Mood Changes in Cognitively Normal Older Adults are Linked to Alzheimer Disease Biomarker Levels

Objectives To evaluate whether cerebrospinal fluid (CSF) and PET Pittsburgh Compound B (PiB) biomarkers of underlying Alzheimer disease (AD) pathology (β-amyloid42 [Aβ42 ], tau, phosphorylated tau181 [ptau181 ], tau/Aβ42 , ptau181 /Aβ42 and mean cortical binding potential [MCBP] for PET-PiB) predict...

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Veröffentlicht in:The American journal of geriatric psychiatry 2016-11, Vol.24 (11), p.1095-1104
Hauptverfasser: Babulal, Ganesh M., O.T.D, Ghoshal, Nupur, M.D., Ph.D, Head, Denise, Ph.D, Vernon, Elizabeth K., B.A, Holtzman, David M., M.D, Benzinger, Tammie L.S., M.D., Ph.D, Fagan, Anne M., Ph.D, Morris, John C., M.D, Roe, Catherine M., Ph.D
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container_end_page 1104
container_issue 11
container_start_page 1095
container_title The American journal of geriatric psychiatry
container_volume 24
creator Babulal, Ganesh M., O.T.D
Ghoshal, Nupur, M.D., Ph.D
Head, Denise, Ph.D
Vernon, Elizabeth K., B.A
Holtzman, David M., M.D
Benzinger, Tammie L.S., M.D., Ph.D
Fagan, Anne M., Ph.D
Morris, John C., M.D
Roe, Catherine M., Ph.D
description Objectives To evaluate whether cerebrospinal fluid (CSF) and PET Pittsburgh Compound B (PiB) biomarkers of underlying Alzheimer disease (AD) pathology (β-amyloid42 [Aβ42 ], tau, phosphorylated tau181 [ptau181 ], tau/Aβ42 , ptau181 /Aβ42 and mean cortical binding potential [MCBP] for PET-PiB) predict changes in mood in cognitively normal older adults. Setting Knight Alzheimer's Disease Research Center (ADRC) at Washington University (WU). Participants Participants, 65 years of age or older, were enrolled from longitudinal studies at the WU Knight ADRC. Measurements CSF, PET-PiB biomarkers, Clinical Dementia Rating (CDR), Mini-Mental State Examination (MMSE), Profile of Mood States-Short Form (POMS-SF), the Geriatric Depression Scale (GDS), and Neuropsychiatric Inventory Questionnaire (NPI-Q). Results Data from 118 participants at baseline and 66 participants at one-year follow-up were analyzed. CSF and PET biomarkers were not associated cross-sectionally with any mood disturbances at baseline (p > 0.05). Changes in mood as indicated by the total mood disturbance score on the POMS-SF, selected POMS-SF subscales, GDS, and NPI-Q scores from baseline to one-year follow-up were associated with (p 
doi_str_mv 10.1016/j.jagp.2016.04.004
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Setting Knight Alzheimer's Disease Research Center (ADRC) at Washington University (WU). Participants Participants, 65 years of age or older, were enrolled from longitudinal studies at the WU Knight ADRC. Measurements CSF, PET-PiB biomarkers, Clinical Dementia Rating (CDR), Mini-Mental State Examination (MMSE), Profile of Mood States-Short Form (POMS-SF), the Geriatric Depression Scale (GDS), and Neuropsychiatric Inventory Questionnaire (NPI-Q). Results Data from 118 participants at baseline and 66 participants at one-year follow-up were analyzed. CSF and PET biomarkers were not associated cross-sectionally with any mood disturbances at baseline (p &gt; 0.05). Changes in mood as indicated by the total mood disturbance score on the POMS-SF, selected POMS-SF subscales, GDS, and NPI-Q scores from baseline to one-year follow-up were associated with (p &lt; 0.05) CSF and PET-PiB biomarkers. There was no statistically significant decline in cognitive functioning. Conclusions Generally, higher values of CSF and PET-PiB biomarkers are associated with more changes in mood in cognitively normal older adults. Further work is needed to understand the temporal development of mood changes over several years during the phase of preclinical AD. Evaluating mood as a noncognitive outcome may provide further insight into the development of preclinical AD in cognitively normal older adults.</description><identifier>ISSN: 1064-7481</identifier><identifier>EISSN: 1545-7214</identifier><identifier>DOI: 10.1016/j.jagp.2016.04.004</identifier><identifier>PMID: 27426238</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Aged ; Alzheimer disease ; Alzheimer Disease - diagnostic imaging ; Alzheimer Disease - metabolism ; Amyloid beta-Peptides - cerebrospinal fluid ; Aniline Compounds - metabolism ; biomarkers ; Biomarkers - metabolism ; Brain - diagnostic imaging ; Brain - metabolism ; depression ; Depression - diagnostic imaging ; Depression - metabolism ; Depressive Disorder - diagnostic imaging ; Depressive Disorder - metabolism ; Female ; Humans ; Internal Medicine ; Longitudinal Studies ; Magnetic Resonance Imaging ; Male ; mood ; Mood Disorders - diagnostic imaging ; Mood Disorders - metabolism ; older adults ; Peptide Fragments - cerebrospinal fluid ; Phosphoproteins - cerebrospinal fluid ; Positron-Emission Tomography ; tau Proteins - cerebrospinal fluid ; Thiazoles - metabolism</subject><ispartof>The American journal of geriatric psychiatry, 2016-11, Vol.24 (11), p.1095-1104</ispartof><rights>American Association for Geriatric Psychiatry</rights><rights>2016 American Association for Geriatric Psychiatry</rights><rights>Copyright © 2016 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-9c083ace7adf951f814c1b1d7f71260e152e9ca3df28ca3993046c378a73a4ff3</citedby><cites>FETCH-LOGICAL-c455t-9c083ace7adf951f814c1b1d7f71260e152e9ca3df28ca3993046c378a73a4ff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27426238$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Babulal, Ganesh M., O.T.D</creatorcontrib><creatorcontrib>Ghoshal, Nupur, M.D., Ph.D</creatorcontrib><creatorcontrib>Head, Denise, Ph.D</creatorcontrib><creatorcontrib>Vernon, Elizabeth K., B.A</creatorcontrib><creatorcontrib>Holtzman, David M., M.D</creatorcontrib><creatorcontrib>Benzinger, Tammie L.S., M.D., Ph.D</creatorcontrib><creatorcontrib>Fagan, Anne M., Ph.D</creatorcontrib><creatorcontrib>Morris, John C., M.D</creatorcontrib><creatorcontrib>Roe, Catherine M., Ph.D</creatorcontrib><title>Mood Changes in Cognitively Normal Older Adults are Linked to Alzheimer Disease Biomarker Levels</title><title>The American journal of geriatric psychiatry</title><addtitle>Am J Geriatr Psychiatry</addtitle><description>Objectives To evaluate whether cerebrospinal fluid (CSF) and PET Pittsburgh Compound B (PiB) biomarkers of underlying Alzheimer disease (AD) pathology (β-amyloid42 [Aβ42 ], tau, phosphorylated tau181 [ptau181 ], tau/Aβ42 , ptau181 /Aβ42 and mean cortical binding potential [MCBP] for PET-PiB) predict changes in mood in cognitively normal older adults. Setting Knight Alzheimer's Disease Research Center (ADRC) at Washington University (WU). Participants Participants, 65 years of age or older, were enrolled from longitudinal studies at the WU Knight ADRC. Measurements CSF, PET-PiB biomarkers, Clinical Dementia Rating (CDR), Mini-Mental State Examination (MMSE), Profile of Mood States-Short Form (POMS-SF), the Geriatric Depression Scale (GDS), and Neuropsychiatric Inventory Questionnaire (NPI-Q). Results Data from 118 participants at baseline and 66 participants at one-year follow-up were analyzed. CSF and PET biomarkers were not associated cross-sectionally with any mood disturbances at baseline (p &gt; 0.05). Changes in mood as indicated by the total mood disturbance score on the POMS-SF, selected POMS-SF subscales, GDS, and NPI-Q scores from baseline to one-year follow-up were associated with (p &lt; 0.05) CSF and PET-PiB biomarkers. There was no statistically significant decline in cognitive functioning. Conclusions Generally, higher values of CSF and PET-PiB biomarkers are associated with more changes in mood in cognitively normal older adults. Further work is needed to understand the temporal development of mood changes over several years during the phase of preclinical AD. Evaluating mood as a noncognitive outcome may provide further insight into the development of preclinical AD in cognitively normal older adults.</description><subject>Aged</subject><subject>Alzheimer disease</subject><subject>Alzheimer Disease - diagnostic imaging</subject><subject>Alzheimer Disease - metabolism</subject><subject>Amyloid beta-Peptides - cerebrospinal fluid</subject><subject>Aniline Compounds - metabolism</subject><subject>biomarkers</subject><subject>Biomarkers - metabolism</subject><subject>Brain - diagnostic imaging</subject><subject>Brain - metabolism</subject><subject>depression</subject><subject>Depression - diagnostic imaging</subject><subject>Depression - metabolism</subject><subject>Depressive Disorder - diagnostic imaging</subject><subject>Depressive Disorder - metabolism</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Longitudinal Studies</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>mood</subject><subject>Mood Disorders - diagnostic imaging</subject><subject>Mood Disorders - metabolism</subject><subject>older adults</subject><subject>Peptide Fragments - cerebrospinal fluid</subject><subject>Phosphoproteins - cerebrospinal fluid</subject><subject>Positron-Emission Tomography</subject><subject>tau Proteins - cerebrospinal fluid</subject><subject>Thiazoles - metabolism</subject><issn>1064-7481</issn><issn>1545-7214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxS1ERUvhC3BAPnJJ8L8kjoSQloWWSgs9AGfj2pOts068tZNKy6fH0bY9cOA0o5n3nuzfIPSGkpISWr_vy15v9yXLfUlESYh4hs5oJaqiYVQ8zz2pRdEISU_Ry5R6Qkjd1uIFOmWNYDXj8gz9_haCxetbPW4hYTfiddiObnL34A_4e4iD9vjaW4h4ZWc_Jawj4I0bd2DxFPDK_7kFN-T1Z5dAJ8CfXBh03OXJBnJIeoVOOu0TvH6o5-jXxZef66_F5vryar3aFEZU1VS0hkiuDTTadm1FO0mFoTfUNl1DWU2AVgxao7ntmMylbTkRteGN1A3Xouv4OXp3zN3HcDdDmtTgkgHv9QhhTopKVjeMSUmzlB2lJoaUInRqH11-9EFRohayqlcLWbWQVUSoTDab3j7kzzcD2CfLI8os-HAU5E_DvYOoknEwGrAugpmUDe7_-R__sRvvRme038EBUh_mOGZ-iqrEFFE_ltsup6U1J0Qyzv8CFJSeeg</recordid><startdate>20161101</startdate><enddate>20161101</enddate><creator>Babulal, Ganesh M., O.T.D</creator><creator>Ghoshal, Nupur, M.D., Ph.D</creator><creator>Head, Denise, Ph.D</creator><creator>Vernon, Elizabeth K., B.A</creator><creator>Holtzman, David M., M.D</creator><creator>Benzinger, Tammie L.S., M.D., Ph.D</creator><creator>Fagan, Anne M., Ph.D</creator><creator>Morris, John C., M.D</creator><creator>Roe, Catherine M., Ph.D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161101</creationdate><title>Mood Changes in Cognitively Normal Older Adults are Linked to Alzheimer Disease Biomarker Levels</title><author>Babulal, Ganesh M., O.T.D ; Ghoshal, Nupur, M.D., Ph.D ; Head, Denise, Ph.D ; Vernon, Elizabeth K., B.A ; Holtzman, David M., M.D ; Benzinger, Tammie L.S., M.D., Ph.D ; Fagan, Anne M., Ph.D ; Morris, John C., M.D ; Roe, Catherine M., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-9c083ace7adf951f814c1b1d7f71260e152e9ca3df28ca3993046c378a73a4ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Alzheimer disease</topic><topic>Alzheimer Disease - diagnostic imaging</topic><topic>Alzheimer Disease - metabolism</topic><topic>Amyloid beta-Peptides - cerebrospinal fluid</topic><topic>Aniline Compounds - metabolism</topic><topic>biomarkers</topic><topic>Biomarkers - metabolism</topic><topic>Brain - diagnostic imaging</topic><topic>Brain - metabolism</topic><topic>depression</topic><topic>Depression - diagnostic imaging</topic><topic>Depression - metabolism</topic><topic>Depressive Disorder - diagnostic imaging</topic><topic>Depressive Disorder - metabolism</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Longitudinal Studies</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>mood</topic><topic>Mood Disorders - diagnostic imaging</topic><topic>Mood Disorders - metabolism</topic><topic>older adults</topic><topic>Peptide Fragments - cerebrospinal fluid</topic><topic>Phosphoproteins - cerebrospinal fluid</topic><topic>Positron-Emission Tomography</topic><topic>tau Proteins - cerebrospinal fluid</topic><topic>Thiazoles - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Babulal, Ganesh M., O.T.D</creatorcontrib><creatorcontrib>Ghoshal, Nupur, M.D., Ph.D</creatorcontrib><creatorcontrib>Head, Denise, Ph.D</creatorcontrib><creatorcontrib>Vernon, Elizabeth K., B.A</creatorcontrib><creatorcontrib>Holtzman, David M., M.D</creatorcontrib><creatorcontrib>Benzinger, Tammie L.S., M.D., Ph.D</creatorcontrib><creatorcontrib>Fagan, Anne M., Ph.D</creatorcontrib><creatorcontrib>Morris, John C., M.D</creatorcontrib><creatorcontrib>Roe, Catherine M., Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Babulal, Ganesh M., O.T.D</au><au>Ghoshal, Nupur, M.D., Ph.D</au><au>Head, Denise, Ph.D</au><au>Vernon, Elizabeth K., B.A</au><au>Holtzman, David M., M.D</au><au>Benzinger, Tammie L.S., M.D., Ph.D</au><au>Fagan, Anne M., Ph.D</au><au>Morris, John C., M.D</au><au>Roe, Catherine M., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mood Changes in Cognitively Normal Older Adults are Linked to Alzheimer Disease Biomarker Levels</atitle><jtitle>The American journal of geriatric psychiatry</jtitle><addtitle>Am J Geriatr Psychiatry</addtitle><date>2016-11-01</date><risdate>2016</risdate><volume>24</volume><issue>11</issue><spage>1095</spage><epage>1104</epage><pages>1095-1104</pages><issn>1064-7481</issn><eissn>1545-7214</eissn><abstract>Objectives To evaluate whether cerebrospinal fluid (CSF) and PET Pittsburgh Compound B (PiB) biomarkers of underlying Alzheimer disease (AD) pathology (β-amyloid42 [Aβ42 ], tau, phosphorylated tau181 [ptau181 ], tau/Aβ42 , ptau181 /Aβ42 and mean cortical binding potential [MCBP] for PET-PiB) predict changes in mood in cognitively normal older adults. Setting Knight Alzheimer's Disease Research Center (ADRC) at Washington University (WU). Participants Participants, 65 years of age or older, were enrolled from longitudinal studies at the WU Knight ADRC. Measurements CSF, PET-PiB biomarkers, Clinical Dementia Rating (CDR), Mini-Mental State Examination (MMSE), Profile of Mood States-Short Form (POMS-SF), the Geriatric Depression Scale (GDS), and Neuropsychiatric Inventory Questionnaire (NPI-Q). Results Data from 118 participants at baseline and 66 participants at one-year follow-up were analyzed. CSF and PET biomarkers were not associated cross-sectionally with any mood disturbances at baseline (p &gt; 0.05). Changes in mood as indicated by the total mood disturbance score on the POMS-SF, selected POMS-SF subscales, GDS, and NPI-Q scores from baseline to one-year follow-up were associated with (p &lt; 0.05) CSF and PET-PiB biomarkers. There was no statistically significant decline in cognitive functioning. Conclusions Generally, higher values of CSF and PET-PiB biomarkers are associated with more changes in mood in cognitively normal older adults. Further work is needed to understand the temporal development of mood changes over several years during the phase of preclinical AD. Evaluating mood as a noncognitive outcome may provide further insight into the development of preclinical AD in cognitively normal older adults.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>27426238</pmid><doi>10.1016/j.jagp.2016.04.004</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Alzheimer disease
Alzheimer Disease - diagnostic imaging
Alzheimer Disease - metabolism
Amyloid beta-Peptides - cerebrospinal fluid
Aniline Compounds - metabolism
biomarkers
Biomarkers - metabolism
Brain - diagnostic imaging
Brain - metabolism
depression
Depression - diagnostic imaging
Depression - metabolism
Depressive Disorder - diagnostic imaging
Depressive Disorder - metabolism
Female
Humans
Internal Medicine
Longitudinal Studies
Magnetic Resonance Imaging
Male
mood
Mood Disorders - diagnostic imaging
Mood Disorders - metabolism
older adults
Peptide Fragments - cerebrospinal fluid
Phosphoproteins - cerebrospinal fluid
Positron-Emission Tomography
tau Proteins - cerebrospinal fluid
Thiazoles - metabolism
title Mood Changes in Cognitively Normal Older Adults are Linked to Alzheimer Disease Biomarker Levels
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