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Three-Dimensional β-Amyloid Burden Correlation Between the Eye and Brain in Alzheimer's Disease Mice Using
Hye Joo Son1, Seonok Kim2, Seog-Young Kim3,4
1Department of Nuclear Medicine, Dankook University Medical Center, Dankook University College of Medicine, Cheonan, Chungnam, Republic of Korea.
Investigative Ophthalmology & Visual Science
|March 18, 2025
Summary
Peripheral beta-amyloid (Aβ) deposition in the eye correlates strongly with brain Aβ burden in Alzheimer
Area of Science:
- Neuroscience
- Ophthalmology
- Biomedical Imaging
Background:
- Peripheral beta-amyloid (Aβ) deposition is increasingly recognized for its role in Alzheimer's disease (AD).
- The eye is a potential site for early AD detection, but previous 2D studies lacked correlation with 3D brain pathology.
- Establishing a link between ocular and cerebral Aβ requires advanced imaging techniques that preserve tissue integrity.
Purpose of the Study:
- To assess the correlation between three-dimensional (3D) Aβ burden in the eyeball and brain using a combined PET/MR and LSFM platform.
- To investigate the potential of ocular Aβ as an early indicator of AD pathology.
- To explore the systemic nature of Aβ accumulation in AD.
Main Methods:
- Utilized a combined brain amyloid positron emission tomography/magnetic resonance (PET/MR) and light-sheet fluorescence microscopy (LSFM) platform.
- Collected and processed 13 mouse eyeballs and 17 mouse brains from 5xFAD AD models and controls.
- Quantified 3D Aβ plaque-like surface volumes and analyzed microglial and astrocyte markers.
Main Results:
- Significantly greater 3D plaque-like surface volumes were observed in AD eyeballs compared to controls (P = 0.001).
- AD brains showed higher [18F]Flutemetamol uptake and significantly greater 3D plaque-like surface volumes than controls (P < 0.001).
- A strong positive correlation (r = 0.810, P = 0.001) was found between 3D Aβ burden in the brain and eyeball.
Conclusions:
- The study demonstrates a strong correlation between 3D Aβ burden in the eyeball and brain.
- Ocular Aβ accumulation is a significant indicator of cerebral Aβ pathology.
- Peripheral Aβ in the eye may serve as an independent predictor of brain Aβ burden in Alzheimer's disease.

