灰色物质与衰老相关的星病:与大脑病理和认知衰退的关联
Sonal Agrawal1,2, Lei Yu1,3, Sue E Leurgans1,3
1Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL 60612, USA.
Brain : a journal of neurology
|July 24, 2024
概括
在上额叶皮层的灰色物质与衰老相关的星质病 (ARTAG) 与老年人中阿尔茨海默氏症痴呆症和认知衰退有关. 这一发现澄清了ARTAG在与年龄相关的认知障碍中的作用.
科学领域:
- 神经病理学神经病理学
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
背景情况:
- 灰色物质与衰老相关的星病 (ARTAG) 在老年大脑中很普遍,但其临床关联尚不清楚.
- 了解ARTAG与阿尔茨海默氏症和认知衰退的联系对于衰老研究至关重要.
研究的目的:
- 调查灰质ARTAG病理与阿尔茨海默病 (AD) 和其他与年龄有关的蛋白质病变的关联.
- 确定灰色物质ARTAG与阿尔茨海默氏症痴呆症和认知衰退等临床表型之间的关系.
主要方法:
- 从纵向社区研究中检查了442名死者 (平均年龄为90岁).
- 评估灰色物质ARTAG严重程度使用AT8免疫组织化学在上额叶皮质,前尖和杏仁体.
- 评估了阿尔茨海默氏症,其他神经病理,阿尔茨海默氏症痴呆症诊断和全球和特定领域的认知表现.
主要成果:
- 灰质ARTAG病理存在于73%的参与者中,最常见的是杏仁体 (68%).
- ARTAG与病理性阿尔茨海默病和TAR DNA结合蛋白43脑病变有关,但与血管病变无关.
- 在上额叶皮质中增加ARTAG严重程度,而不是杏仁体或前尖,与阿尔茨海默氏症痴呆的更高几率和全球认知,情节性记忆和语义记忆的更快认知衰退相关.
结论:
- 灰质ARTAG,特别是在上额叶皮层,显著促进阿尔茨海默氏症痴呆和与年龄相关的认知衰退.
- 这些发现强调了老化大脑中特定ARTAG位置的临床相关性.
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