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Related Concept Videos

Alzheimer Disease l: Introduction01:29

Alzheimer Disease l: Introduction

Alzheimer disease is a chronic, progressive, and irreversible neurodegenerative disorder and the most common cause of dementia in older adults. It leads to gradual neuronal loss, causing cognitive decline, behavioral changes, and loss of functional independence.Risk Factors and EtiologyThe disease is multifactorial. Age is the strongest risk factor, with prevalence doubling every 5 years after age 65. Genetic factors include mutations in genes such as APP, PSEN1, and PSEN2, which are associated...
Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...
Alzheimer Disease ll: Pathophysiology01:23

Alzheimer Disease ll: Pathophysiology

Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and microglia. Abnormal...
Human Genetics01:28

Human Genetics

Human genetics provides a profound framework for understanding the interplay between genetic predispositions and human psychology. At the heart of this discipline lies the study of how genes influence physical traits, behaviors, and susceptibility to diseases. Each person carries a unique genetic code that subtly or significantly shapes their psychological and behavioral landscape.
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Dementia l: Introduction01:22

Dementia l: Introduction

Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...
Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

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Generalized Psychophysiological Interaction (PPI) Analysis of Memory Related Connectivity in Individuals at Genetic Risk for Alzheimer's Disease
09:38

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Published on: November 14, 2017

Predicting Alzheimer's risk: why and how?

Deborah E Barnes1, Sei J Lee

  • 1Department of Psychiatry, University of California at San Francisco, San Francisco, CA, USA. deborah.barnes@ucsf.edu.

Alzheimer'S Research & Therapy
|December 1, 2011
PubMed
Summary

Predicting Alzheimer's disease (AD) risk requires models that account for mortality and the full preclinical period. Current strategies lack accuracy by not differentiating AD progression from other causes of death.

Area of Science:

  • Neurology
  • Gerontology
  • Biostatistics

Background:

  • Alzheimer's disease (AD) pathology begins 10-20 years before symptom onset, driving interest in early risk prediction.
  • Current AD risk prediction strategies use biomarkers, neuroimaging, and risk factors but have moderate accuracy.
  • Existing models fail to incorporate mortality, hindering differentiation between AD development and death from other causes.

Discussion:

  • Accurate AD risk prediction is crucial for targeted preventive treatments, maximizing benefits and minimizing harms.
  • A key limitation of current strategies is the lack of simultaneous modeling of AD risk and mortality.
  • The full preclinical period (10-20 years) and a comprehensive range of predictive variables remain underexplored.

Key Insights:

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  • Developing AD risk prediction models that explicitly account for mortality is essential.
  • Integrating diverse data sources (biomarkers, imaging, risk factors) over the entire preclinical phase is necessary.
  • Sophisticated modeling techniques, like hidden Markov models, can combine multi-cohort data for improved prediction.
  • Outlook:

    • Future AD risk prediction algorithms must simultaneously model AD and mortality risks across the preclinical spectrum.
    • Consideration of potential harms and benefits is critical when identifying and treating high-risk individuals.
    • Advancements in predictive modeling are needed to refine prognostic accuracy for Alzheimer's disease.