Risk factors and global cognitive status related to brain arteriolosclerosis in elderly individuals

Risk factors and cognitive sequelae of brain arteriolosclerosis pathology are not fully understood. To address this, we used multimodal data from the National Alzheimer's Coordinating Center and Alzheimer's Disease Neuroimaging Initiative data sets. Previous studies showed evidence of dist...

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Veröffentlicht in:Journal of cerebral blood flow and metabolism 2017-01, Vol.37 (1), p.201-216
Hauptverfasser: Ighodaro, Eseosa T, Abner, Erin L, Fardo, David W, Lin, Ai-Ling, Katsumata, Yuriko, Schmitt, Frederick A, Kryscio, Richard J, Jicha, Gregory A, Neltner, Janna H, Monsell, Sarah E, Kukull, Walter A, Moser, Debra K, Appiah, Frank, Bachstetter, Adam D, Van Eldik, Linda J, Nelson, Peter T
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container_issue 1
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container_title Journal of cerebral blood flow and metabolism
container_volume 37
creator Ighodaro, Eseosa T
Abner, Erin L
Fardo, David W
Lin, Ai-Ling
Katsumata, Yuriko
Schmitt, Frederick A
Kryscio, Richard J
Jicha, Gregory A
Neltner, Janna H
Monsell, Sarah E
Kukull, Walter A
Moser, Debra K
Appiah, Frank
Bachstetter, Adam D
Van Eldik, Linda J
Nelson, Peter T
description Risk factors and cognitive sequelae of brain arteriolosclerosis pathology are not fully understood. To address this, we used multimodal data from the National Alzheimer's Coordinating Center and Alzheimer's Disease Neuroimaging Initiative data sets. Previous studies showed evidence of distinct neurodegenerative disease outcomes and clinical-pathological correlations in the “oldest-old” compared to younger cohorts. Therefore, using the National Alzheimer's Coordinating Center data set, we analyzed clinical and neuropathological data from two groups according to ages at death: 
doi_str_mv 10.1177/0271678X15621574
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To address this, we used multimodal data from the National Alzheimer's Coordinating Center and Alzheimer's Disease Neuroimaging Initiative data sets. Previous studies showed evidence of distinct neurodegenerative disease outcomes and clinical-pathological correlations in the “oldest-old” compared to younger cohorts. Therefore, using the National Alzheimer's Coordinating Center data set, we analyzed clinical and neuropathological data from two groups according to ages at death: &lt; 80 years (n = 1008) and ≥80 years (n = 1382). In both age groups, severe brain arteriolosclerosis was associated with worse performances on global cognition tests. Hypertension (but not diabetes) was a brain arteriolosclerosis risk factor in the younger group. In the ≥ 80 years age at death group, an ABCC9 gene variant (rs704180), previously associated with aging-related hippocampal sclerosis, was also associated with brain arteriolosclerosis. A post-hoc arterial spin labeling neuroimaging experiment indicated that ABCC9 genotype is associated with cerebral blood flow impairment; in a convenience sample from Alzheimer's Disease Neuroimaging Initiative (n = 15, homozygous individuals), non-risk genotype carriers showed higher global cerebral blood flow compared to risk genotype carriers. 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To address this, we used multimodal data from the National Alzheimer's Coordinating Center and Alzheimer's Disease Neuroimaging Initiative data sets. Previous studies showed evidence of distinct neurodegenerative disease outcomes and clinical-pathological correlations in the “oldest-old” compared to younger cohorts. Therefore, using the National Alzheimer's Coordinating Center data set, we analyzed clinical and neuropathological data from two groups according to ages at death: &lt; 80 years (n = 1008) and ≥80 years (n = 1382). In both age groups, severe brain arteriolosclerosis was associated with worse performances on global cognition tests. Hypertension (but not diabetes) was a brain arteriolosclerosis risk factor in the younger group. In the ≥ 80 years age at death group, an ABCC9 gene variant (rs704180), previously associated with aging-related hippocampal sclerosis, was also associated with brain arteriolosclerosis. A post-hoc arterial spin labeling neuroimaging experiment indicated that ABCC9 genotype is associated with cerebral blood flow impairment; in a convenience sample from Alzheimer's Disease Neuroimaging Initiative (n = 15, homozygous individuals), non-risk genotype carriers showed higher global cerebral blood flow compared to risk genotype carriers. 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A post-hoc arterial spin labeling neuroimaging experiment indicated that ABCC9 genotype is associated with cerebral blood flow impairment; in a convenience sample from Alzheimer's Disease Neuroimaging Initiative (n = 15, homozygous individuals), non-risk genotype carriers showed higher global cerebral blood flow compared to risk genotype carriers. We conclude that brain arteriolosclerosis is associated with altered cognitive status and a novel vascular genetic risk factor.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26738751</pmid><doi>10.1177/0271678X15621574</doi><tpages>16</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Aged, 80 and over
Aging - psychology
Arteriolosclerosis - etiology
Arteriolosclerosis - genetics
Arteriolosclerosis - psychology
Brain - pathology
Brain - physiopathology
Cerebrovascular Circulation - genetics
Cognition
Databases, Factual
Genetic Variation
Humans
Hypertension - complications
Original
Risk Factors
Sulfonylurea Receptors - genetics
title Risk factors and global cognitive status related to brain arteriolosclerosis in elderly individuals
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