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.

Abstract

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.