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In Vitro Modeling of Down Syndrome Neurogenesis Using Human-Induced Pluripotent Stem Cells
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Cognitive decline and dementia in Down syndrome
Rosalyn Hithersay1, Sarah Hamburg, Bernice Knight
1Division of Psychiatry, University College London, London, United Kingdom.
Current Opinion in Psychiatry
|December 24, 2016
Summary
Individuals with Down syndrome have a high risk of dementia. Research is advancing assessments and biomarkers to aid clinical trials for preventing or delaying Alzheimer's disease in this population.
Area of Science:
- Neurology
- Genetics
- Gerontology
Background:
- Down syndrome individuals possess three copies of the amyloid precursor protein gene, leading to amyloid-beta plaque deposition.
- Alzheimer's disease is nearly universal in older adults with Down syndrome, highlighting the need for preventative strategies.
Purpose of the Study:
- To review the current understanding of Alzheimer's disease in Down syndrome.
- To explore the potential for clinical trials in this population.
- To address challenges in cognitive assessment due to intellectual disability.
Main Methods:
- Review of recent research on cognitive decline and dementia in Down syndrome.
- Examination of advancements in neuropsychological assessment validation.
- Analysis of biomarker research, including neuroimaging (amyloid PET).
Main Results:
- Over 80% of older adults with Down syndrome may experience dementia by age 65.
- Research is improving assessment tools and understanding comorbidities like epilepsy and stroke.
- Progress has been made in developing biomarkers, such as amyloid PET imaging.
Conclusions:
- Clinical trials targeting the presymptomatic phase of Alzheimer's disease are crucial for individuals with Down syndrome.
- This population serves as a valuable model for Alzheimer's disease research.
- Further research is needed to refine outcome measures and understand biomarker progression.
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