Neuroinflammation and β amyloid deposition in Alzheimer's disease: in vivo quantification with molecular imaging

C Hommet1, K Mondon, V Camus

  • 1Memory Clinic (CMRR), Tours University Hospita, Tours, France.

Abstract

Insights

Positron emission tomography (PET) imaging shows neuroinflammation in Alzheimer's disease (AD) is not directly correlated with amyloid plaque levels. This highlights the potential of PET for tracking disease progression and treatment efficacy.

Area of Science:

  • Neuroscience
  • Medical Imaging
  • Biomarkers

Background:

  • Neuroinflammation is critical in Alzheimer's disease (AD) pathogenesis.
  • The link between neuroinflammation and beta-amyloid (Aβ) deposition in AD is not fully understood.
  • Translocator protein (TSPO) PET ligands offer in vivo visualization of neuroinflammation.

Purpose of the Study:

  • To review the literature on PET imaging of neuroinflammation in AD.
  • To investigate the relationship between in vivo neuroinflammation and amyloid load in AD.

Main Methods:

  • Literature review of PET imaging studies in AD subjects (2001-2012).
  • Studies focused on in vivo neuroinflammation and amyloid load.
  • Radioligands included TSPO-targeting and monoamine oxidase B (MAO-B) ligands.

Main Results:

  • Six studies were included in the review.
  • Amyloid load was assessed using [(11)C]PIB.
  • No significant correlation was found between individual levels of amyloid deposition and microglial activation.

Conclusions:

  • In vivo molecular imaging of neuroinflammation in AD is feasible.
  • Understanding neuroinflammation's kinetics and relationship to AD hallmarks is crucial.
  • PET imaging can aid in developing therapeutics and quantifying treatment efficacy.