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Related Concept Videos

Amyloid Fibrils03:03

Amyloid Fibrils

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Amyloid fibrils are aggregates of misfolded proteins.  Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils. 
Amyloid deposits were observed as early as 1639 in the liver and the spleen.   In 1854, Rudolph Virchow performed iodine staining,...
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Detecting Amyloid-β Accumulation via Immunofluorescent Staining in a Mouse Model of Alzheimer's Disease
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Predicting amyloid-beta pathology in the general population.

Phuong Thuy Nguyen Ho1, Joyce van Arendonk1,2, Rebecca M E Steketee1

  • 1Department of Radiology and Nuclear Medicine, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands.

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Predicting amyloid beta (Aβ) positivity in aging adults is crucial for early Alzheimer's disease detection. New models using accessible factors show promise for identifying at-risk individuals cost-efficiently.

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Area of Science:

  • Neurology
  • Biomarker Discovery
  • Gerontology

Background:

  • Accurate prediction models for amyloid beta (Aβ) positivity in the aging population are needed for early Alzheimer's disease (AD) risk identification.
  • Such models could serve as cost-effective tools for identifying individuals at risk.

Purpose of the Study:

  • To develop and validate models for predicting Aβ positivity using easily obtainable predictors.
  • To assess the generalizability of these models in a population-based sample.

Main Methods:

  • Developed Aβ prediction models in the Anti-Amyloid Treatment in Asymptomatic Alzheimer's (A4) Study (n=4,119).
  • Included predictors such as demographics, cognition, daily functioning, health, and lifestyle factors.
  • Validated models in the population-based Rotterdam Study (n=500).

Main Results:

  • The best model in the A4 Study (AUC=0.73) included age, APOE ε4, family history, cognition, walking, and sleep.
  • This model achieved higher accuracy in the Rotterdam Study (AUC=0.85).
  • The improvement over a model with only age and APOE ε4 was marginal.

Conclusions:

  • Developed Aβ prediction models using inexpensive, non-invasive measures.
  • Successfully applied models to a general population sample representative of older non-demented adults.
  • These models offer a viable approach for risk stratification in the general aging population.