Sex‐dependent alterations in hippocampal connectivity are linked to cerebrovascular and amyloid pathologies in normal aging

INTRODUCTION Compared to males, females have an accelerated trajectory of cognitive decline in Alzheimer's disease (AD). The neurobiological factors underlying the more rapid cognitive decline in AD in females remain unclear. This study explored how sex‐dependent alterations in hippocampal conn...

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Veröffentlicht in:Alzheimer's & dementia 2024-02, Vol.20 (2), p.914-924
Hauptverfasser: Schweitzer, Noah, Li, Jinghang, Thurston, Rebecca C., Lopresti, Brian, Klunk, William E., Snitz, Beth, Tudorascu, Dana, Cohen, Ann, Kamboh, M. Ilyas, Halligan‐Eddy, Edythe, Iordanova, Bistra, Villemagne, Victor L., Aizenstein, Howard, Wu, Minjie
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container_end_page 924
container_issue 2
container_start_page 914
container_title Alzheimer's & dementia
container_volume 20
creator Schweitzer, Noah
Li, Jinghang
Thurston, Rebecca C.
Lopresti, Brian
Klunk, William E.
Snitz, Beth
Tudorascu, Dana
Cohen, Ann
Kamboh, M. Ilyas
Halligan‐Eddy, Edythe
Iordanova, Bistra
Villemagne, Victor L.
Aizenstein, Howard
Wu, Minjie
description INTRODUCTION Compared to males, females have an accelerated trajectory of cognitive decline in Alzheimer's disease (AD). The neurobiological factors underlying the more rapid cognitive decline in AD in females remain unclear. This study explored how sex‐dependent alterations in hippocampal connectivity over 2 years are associated with cerebrovascular and amyloid pathologies in normal aging. METHODS Thirty‐three females and 21 males 65 to 93 years of age with no cognitive impairment performed a face‐name associative memory functional magnetic resonance imaging (fMRI) task with a 2‐year follow‐up. We acquired baseline carbon 11‐labeled Pittsburgh compound B ([11C]PiB) positron emission tomography (PET) and T2‐weighted fluid‐attenuated inversion recovery (T2‐FLAIR) MRI to quantify amyloid β (Aβ) burden and white matter hyperintensity (WMH) volume, respectively. RESULTS Males had increased hippocampal‐prefrontal connectivity over 2 years, associated with greater Aβ burden. Females had increased bilateral hippocampal functional connectivity, associated with greater WMH volume. DISCUSSION These findings suggest sex‐dependent compensatory mechanisms in the memory network in the presence of cerebrovascular and AD pathologies and may explain the accelerated trajectory of cognitive decline in females.
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Ilyas ; Halligan‐Eddy, Edythe ; Iordanova, Bistra ; Villemagne, Victor L. ; Aizenstein, Howard ; Wu, Minjie</creator><creatorcontrib>Schweitzer, Noah ; Li, Jinghang ; Thurston, Rebecca C. ; Lopresti, Brian ; Klunk, William E. ; Snitz, Beth ; Tudorascu, Dana ; Cohen, Ann ; Kamboh, M. Ilyas ; Halligan‐Eddy, Edythe ; Iordanova, Bistra ; Villemagne, Victor L. ; Aizenstein, Howard ; Wu, Minjie</creatorcontrib><description>INTRODUCTION Compared to males, females have an accelerated trajectory of cognitive decline in Alzheimer's disease (AD). The neurobiological factors underlying the more rapid cognitive decline in AD in females remain unclear. This study explored how sex‐dependent alterations in hippocampal connectivity over 2 years are associated with cerebrovascular and amyloid pathologies in normal aging. METHODS Thirty‐three females and 21 males 65 to 93 years of age with no cognitive impairment performed a face‐name associative memory functional magnetic resonance imaging (fMRI) task with a 2‐year follow‐up. We acquired baseline carbon 11‐labeled Pittsburgh compound B ([11C]PiB) positron emission tomography (PET) and T2‐weighted fluid‐attenuated inversion recovery (T2‐FLAIR) MRI to quantify amyloid β (Aβ) burden and white matter hyperintensity (WMH) volume, respectively. RESULTS Males had increased hippocampal‐prefrontal connectivity over 2 years, associated with greater Aβ burden. Females had increased bilateral hippocampal functional connectivity, associated with greater WMH volume. DISCUSSION These findings suggest sex‐dependent compensatory mechanisms in the memory network in the presence of cerebrovascular and AD pathologies and may explain the accelerated trajectory of cognitive decline in females.</description><identifier>ISSN: 1552-5260</identifier><identifier>ISSN: 1552-5279</identifier><identifier>EISSN: 1552-5279</identifier><identifier>DOI: 10.1002/alz.13503</identifier><identifier>PMID: 37817668</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>Aging ; Alzheimer Disease - pathology ; Alzheimer's disease ; Amyloid ; amyloid beta ; Amyloid beta-Peptides - metabolism ; Associative memory ; Biomarkers ; Brain - pathology ; cerebral small vessel disease ; Cognition &amp; reasoning ; Cognitive Dysfunction - pathology ; Cognitive impairment ; Female ; Females ; Functional connectivity ; Functional magnetic resonance imaging ; Gender differences ; hippocampal functional connectivity ; Hippocampus - pathology ; Humans ; Magnetic Resonance Imaging ; Male ; Males ; neural compensation ; Positron emission tomography ; sex ; Tomography ; white matter hyperintensity</subject><ispartof>Alzheimer's &amp; dementia, 2024-02, Vol.20 (2), p.914-924</ispartof><rights>2023 The Authors. published by Wiley Periodicals LLC on behalf of Alzheimer's Association.</rights><rights>2023 The Authors. Alzheimer's &amp; Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.</rights><rights>2024. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4043-7fbf82a1a24ff1ab992432387301180b19d90e0eca3a6a53f8b247f25184b6a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10916980/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10916980/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1417,11561,12845,27923,27924,30998,45573,45574,46051,46475,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37817668$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schweitzer, Noah</creatorcontrib><creatorcontrib>Li, Jinghang</creatorcontrib><creatorcontrib>Thurston, Rebecca C.</creatorcontrib><creatorcontrib>Lopresti, Brian</creatorcontrib><creatorcontrib>Klunk, William E.</creatorcontrib><creatorcontrib>Snitz, Beth</creatorcontrib><creatorcontrib>Tudorascu, Dana</creatorcontrib><creatorcontrib>Cohen, Ann</creatorcontrib><creatorcontrib>Kamboh, M. Ilyas</creatorcontrib><creatorcontrib>Halligan‐Eddy, Edythe</creatorcontrib><creatorcontrib>Iordanova, Bistra</creatorcontrib><creatorcontrib>Villemagne, Victor L.</creatorcontrib><creatorcontrib>Aizenstein, Howard</creatorcontrib><creatorcontrib>Wu, Minjie</creatorcontrib><title>Sex‐dependent alterations in hippocampal connectivity are linked to cerebrovascular and amyloid pathologies in normal aging</title><title>Alzheimer's &amp; dementia</title><addtitle>Alzheimers Dement</addtitle><description>INTRODUCTION Compared to males, females have an accelerated trajectory of cognitive decline in Alzheimer's disease (AD). The neurobiological factors underlying the more rapid cognitive decline in AD in females remain unclear. This study explored how sex‐dependent alterations in hippocampal connectivity over 2 years are associated with cerebrovascular and amyloid pathologies in normal aging. METHODS Thirty‐three females and 21 males 65 to 93 years of age with no cognitive impairment performed a face‐name associative memory functional magnetic resonance imaging (fMRI) task with a 2‐year follow‐up. We acquired baseline carbon 11‐labeled Pittsburgh compound B ([11C]PiB) positron emission tomography (PET) and T2‐weighted fluid‐attenuated inversion recovery (T2‐FLAIR) MRI to quantify amyloid β (Aβ) burden and white matter hyperintensity (WMH) volume, respectively. RESULTS Males had increased hippocampal‐prefrontal connectivity over 2 years, associated with greater Aβ burden. Females had increased bilateral hippocampal functional connectivity, associated with greater WMH volume. DISCUSSION These findings suggest sex‐dependent compensatory mechanisms in the memory network in the presence of cerebrovascular and AD pathologies and may explain the accelerated trajectory of cognitive decline in females.</description><subject>Aging</subject><subject>Alzheimer Disease - pathology</subject><subject>Alzheimer's disease</subject><subject>Amyloid</subject><subject>amyloid beta</subject><subject>Amyloid beta-Peptides - metabolism</subject><subject>Associative memory</subject><subject>Biomarkers</subject><subject>Brain - pathology</subject><subject>cerebral small vessel disease</subject><subject>Cognition &amp; reasoning</subject><subject>Cognitive Dysfunction - pathology</subject><subject>Cognitive impairment</subject><subject>Female</subject><subject>Females</subject><subject>Functional connectivity</subject><subject>Functional magnetic resonance imaging</subject><subject>Gender differences</subject><subject>hippocampal functional connectivity</subject><subject>Hippocampus - pathology</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Males</subject><subject>neural compensation</subject><subject>Positron emission tomography</subject><subject>sex</subject><subject>Tomography</subject><subject>white matter hyperintensity</subject><issn>1552-5260</issn><issn>1552-5279</issn><issn>1552-5279</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kc9qFEEQhwdRTIwefAFp8BIPm_Sf6Zmek4SgRljwEL14aWp6anY79nSP3TOrKwg-gs_ok6TNJosKnqqgPj5-xa8onjJ6wijlp-C-nTAhqbhXHDIp-ULyurm_3yt6UDxK6YrSkiomHxYHolasrip1WHy_xK-_fvzscETfoZ8IuAkjTDb4RKwnazuOwcAwgiMmeI9mshs7bQlEJM76T9iRKRCDEdsYNpDM7CAS8B2BYeuC7cgI0zq4sLJ4Y_QhDlkGK-tXj4sHPbiET27nUfHh9av35xeL5bs3b8_PlgtT0lIs6r7tFQcGvOx7Bm3T8FJwoWpBGVO0ZU3XUKRoQEAFUvSq5WXdc8lU2VYgxFHxcucd53bAzuRHIzg9RjtA3OoAVv998XatV2GjGW1Y1SiaDce3hhg-z5gmPdhk0DnwGOakuaqlkqKidUaf_4NehTn6_J8WVDWqytllpl7sKBNDShH7fRpG9e9WdW5V37Sa2Wd_xt-TdzVm4HQHfLEOt_836bPlx53yGhcrr7I</recordid><startdate>202402</startdate><enddate>202402</enddate><creator>Schweitzer, Noah</creator><creator>Li, Jinghang</creator><creator>Thurston, Rebecca C.</creator><creator>Lopresti, Brian</creator><creator>Klunk, William E.</creator><creator>Snitz, Beth</creator><creator>Tudorascu, Dana</creator><creator>Cohen, Ann</creator><creator>Kamboh, M. Ilyas</creator><creator>Halligan‐Eddy, Edythe</creator><creator>Iordanova, Bistra</creator><creator>Villemagne, Victor L.</creator><creator>Aizenstein, Howard</creator><creator>Wu, Minjie</creator><general>John Wiley &amp; Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><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>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202402</creationdate><title>Sex‐dependent alterations in hippocampal connectivity are linked to cerebrovascular and amyloid pathologies in normal aging</title><author>Schweitzer, Noah ; Li, Jinghang ; Thurston, Rebecca C. ; Lopresti, Brian ; Klunk, William E. ; Snitz, Beth ; Tudorascu, Dana ; Cohen, Ann ; Kamboh, M. 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Ilyas</au><au>Halligan‐Eddy, Edythe</au><au>Iordanova, Bistra</au><au>Villemagne, Victor L.</au><au>Aizenstein, Howard</au><au>Wu, Minjie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sex‐dependent alterations in hippocampal connectivity are linked to cerebrovascular and amyloid pathologies in normal aging</atitle><jtitle>Alzheimer's &amp; dementia</jtitle><addtitle>Alzheimers Dement</addtitle><date>2024-02</date><risdate>2024</risdate><volume>20</volume><issue>2</issue><spage>914</spage><epage>924</epage><pages>914-924</pages><issn>1552-5260</issn><issn>1552-5279</issn><eissn>1552-5279</eissn><abstract>INTRODUCTION Compared to males, females have an accelerated trajectory of cognitive decline in Alzheimer's disease (AD). The neurobiological factors underlying the more rapid cognitive decline in AD in females remain unclear. This study explored how sex‐dependent alterations in hippocampal connectivity over 2 years are associated with cerebrovascular and amyloid pathologies in normal aging. METHODS Thirty‐three females and 21 males 65 to 93 years of age with no cognitive impairment performed a face‐name associative memory functional magnetic resonance imaging (fMRI) task with a 2‐year follow‐up. We acquired baseline carbon 11‐labeled Pittsburgh compound B ([11C]PiB) positron emission tomography (PET) and T2‐weighted fluid‐attenuated inversion recovery (T2‐FLAIR) MRI to quantify amyloid β (Aβ) burden and white matter hyperintensity (WMH) volume, respectively. RESULTS Males had increased hippocampal‐prefrontal connectivity over 2 years, associated with greater Aβ burden. Females had increased bilateral hippocampal functional connectivity, associated with greater WMH volume. DISCUSSION These findings suggest sex‐dependent compensatory mechanisms in the memory network in the presence of cerebrovascular and AD pathologies and may explain the accelerated trajectory of cognitive decline in females.</abstract><cop>United States</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>37817668</pmid><doi>10.1002/alz.13503</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Aging
Alzheimer Disease - pathology
Alzheimer's disease
Amyloid
amyloid beta
Amyloid beta-Peptides - metabolism
Associative memory
Biomarkers
Brain - pathology
cerebral small vessel disease
Cognition & reasoning
Cognitive Dysfunction - pathology
Cognitive impairment
Female
Females
Functional connectivity
Functional magnetic resonance imaging
Gender differences
hippocampal functional connectivity
Hippocampus - pathology
Humans
Magnetic Resonance Imaging
Male
Males
neural compensation
Positron emission tomography
sex
Tomography
white matter hyperintensity
title Sex‐dependent alterations in hippocampal connectivity are linked to cerebrovascular and amyloid pathologies in normal aging
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