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Age-related increase of monoamine oxidase B in amyloid-negative cognitively unimpaired elderly subjects
Keita Sakurai1, Takashi Nihashi1, Yasuyuki Kimura2
1Department of Radiology, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu, Aichi, 474-8511, Japan.
Objective:
Monoamine oxidase B (MAO-B) is highly abundant in reactive astrocytes and upregulated in neuroinflammatory processes. However, the age-related change of MAO-B in amyloid-negative cognitively unimpaired elderly subjects has not yet been sufficiently evaluated on positron emission tomography (PET). 18F-THK5351 is a radiotracer with high affinity to MAO-B, which may potentially serve as an imaging biomarker for detecting neuroinflammation. The purpose of this study was to investigate the age-related topographic change of 18F-THK5351 PET in amyloid-negative cognitively unimpaired elderly subjects.
Methods:
The age-related change of 18F-THK5351 retention was evaluated on the visual analysis, voxel and region of interest (ROI)-based analyses using Statistical Parametric Mapping and PETSurfer tool of FreeSurfer in 31 amyloid-negative cognitively unimpaired elderly subjects.
Results:
On visual inspection, elderly groups showed the spread of 18F-THK5351 accumulation from the medial to inferolateral temporal and basal frontal lobes, and cingulate gyrus. Additionally, voxel- and ROI-based analysis demonstrated the correlation between 18F-THK5351 accumulation and participants' age, especially in the inferior temporal lobes.
Conclusions:
This study demonstrated age-dependent increase of 18F-THK5351 retention in amyloid-negative cognitively unimpaired subjects, which suggests an increase in MAO-B positive reactive astrocytes with aging.
Insights
Positron emission tomography (PET) imaging with 18F-THK5351 reveals increased monoamine oxidase B (MAO-B) in the aging brain. This suggests more reactive astrocytes in cognitively normal elderly individuals as they age.
Area of Science:
- Neuroimaging
- Neuroscience
- Gerontology
Background:
- Monoamine oxidase B (MAO-B) is prevalent in reactive astrocytes and elevated during neuroinflammation.
- Age-related changes in MAO-B within amyloid-negative, cognitively unimpaired elderly individuals require further PET evaluation.
- 18F-THK5351 PET shows high affinity for MAO-B, potentially serving as a neuroinflammation biomarker.
Purpose of the Study:
- To investigate age-related topographic changes of 18F-THK5351 PET retention in amyloid-negative, cognitively unimpaired elderly subjects.
- To assess the utility of 18F-THK5351 as a PET imaging biomarker for age-related neuroinflammation.
Main Methods:
- Utilized positron emission tomography (PET) with the radiotracer 18F-THK5351.
- Evaluated age-related changes in tracer retention through visual, voxel-based, and region of interest (ROI)-based analyses.
- Employed Statistical Parametric Mapping and PETSurfer tools on data from 31 amyloid-negative, cognitively unimpaired elderly participants.
Main Results:
- Visual inspection revealed 18F-THK5351 accumulation spreading from medial to inferolateral temporal and basal frontal lobes, and cingulate gyrus in elderly groups.
- Voxel- and ROI-based analyses confirmed a correlation between 18F-THK5351 accumulation and participant age, particularly in the inferior temporal lobes.
Conclusions:
- Demonstrated an age-dependent increase in 18F-THK5351 retention in amyloid-negative, cognitively unimpaired subjects.
- Suggests an aging-associated increase in MAO-B-positive reactive astrocytes.
- Highlights the potential of 18F-THK5351 PET for imaging age-related neuroinflammation.
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