Longitudinal Accumulation of Cerebral Microhemorrhages in Dominantly Inherited Alzheimer Disease.
Journal
Neurology
ISSN: 1526-632X
Titre abrégé: Neurology
Pays: United States
ID NLM: 0401060
Informations de publication
Date de publication:
23 03 2021
23 03 2021
Historique:
received:
23
03
2020
accepted:
10
12
2020
pubmed:
27
1
2021
medline:
23
4
2021
entrez:
26
1
2021
Statut:
ppublish
Résumé
To investigate the inherent clinical risks associated with the presence of cerebral microhemorrhages (CMHs) or cerebral microbleeds and characterize individuals at high risk for developing hemorrhagic amyloid-related imaging abnormality (ARIA-H), we longitudinally evaluated families with dominantly inherited Alzheimer disease (DIAD). Mutation carriers (n = 310) and noncarriers (n = 201) underwent neuroimaging, including gradient echo MRI sequences to detect CMHs, and neuropsychological and clinical assessments. Cross-sectional and longitudinal analyses evaluated relationships between CMHs and neuroimaging and clinical markers of disease. Three percent of noncarriers and 8% of carriers developed CMHs primarily located in lobar areas. Carriers with CMHs were older, had higher diastolic blood pressure and Hachinski ischemic scores, and more clinical, cognitive, and motor impairments than those without CMHs. Our study highlights factors associated with the development of CMHs in individuals with DIAD. CMHs are a part of the underlying disease process in DIAD and are significantly associated with dementia. This highlights that in participants in treatment trials exposed to drugs, which carry the risk of ARIA-H as a complication, it may be challenging to separate natural incidence of CMHs from drug-related CMHs.
Identifiants
pubmed: 33495373
pii: WNL.0000000000011542
doi: 10.1212/WNL.0000000000011542
pmc: PMC8032370
doi:
Types de publication
Journal Article
Observational Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1632-e1645Subventions
Organisme : NIA NIH HHS
ID : U01 AG032438
Pays : United States
Organisme : NIA NIH HHS
ID : K01 AG053474
Pays : United States
Organisme : NIA NIH HHS
ID : UF1 AG032438
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG052550
Pays : United States
Organisme : NIA NIH HHS
ID : U19 AG032438
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG042791
Pays : United States
Organisme : NIBIB NIH HHS
ID : R01 EB009352
Pays : United States
Organisme : NINDS NIH HHS
ID : P30 NS098577
Pays : United States
Organisme : NIA NIH HHS
ID : P01 AG012435
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG066530
Pays : United States
Informations de copyright
Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.
Références
Neurology. 2010 Jun 15;74(24):1954-60
pubmed: 20548041
Lancet Neurol. 2012 Mar;11(3):241-9
pubmed: 22305802
Neuropathology. 2015 Aug;35(4):390-400
pubmed: 25964057
AJNR Am J Neuroradiol. 2016 Feb;37(2):215-22
pubmed: 26635284
JAMA Neurol. 2014 Aug;71(8):961-70
pubmed: 24886908
AJNR Am J Neuroradiol. 2015 Apr;36(4):661-6
pubmed: 25523590
Neurology. 2019 Jan 15;92(3):e253-e262
pubmed: 30568001
J Neurol. 2007 Apr;254(4):508-12
pubmed: 17401517
Neurobiol Aging. 2016 Nov;47:201-209
pubmed: 27614114
Neuropsychology. 2014 Jan;28(1):19-29
pubmed: 24219606
J Neuropathol Exp Neurol. 2016 Mar;75(3):284-90
pubmed: 26888304
Circ Res. 2019 Mar 29;124(7):1025-1044
pubmed: 30920929
Alzheimers Dement (Amst). 2018 Sep 27;10:669-677
pubmed: 30417072
Neurology. 2004 Jan 13;62(1):72-6
pubmed: 14718700
Stroke. 2017 Dec;48(12):3210-3214
pubmed: 29070715
Cerebrovasc Dis. 2016;41(3-4):156-62
pubmed: 26751369
Ann Neurol. 2016 Jun;79(6):929-39
pubmed: 27016429
Neuroimage. 2012 Feb 15;59(4):3774-83
pubmed: 22119648
Stat Med. 2018 Sep 20;37(21):3047-3055
pubmed: 29761523
Lancet Neurol. 2016 Dec;15(13):1326-1335
pubmed: 27777022
Alzheimers Dement. 2013 Oct;9(5 Suppl):S116-23
pubmed: 23375568
J Clin Psychiatry. 1986 Aug;47(8):437-8
pubmed: 3733680
Am J Alzheimers Dis Other Demen. 2018 Sep;33(6):362-372
pubmed: 29734821
Neurology. 2014 Jul 15;83(3):253-60
pubmed: 24928124
Ann Neurol. 1997 May;41(5):695-8
pubmed: 9153536
Neurogenetics. 2005 May;6(2):85-9
pubmed: 15776278
Stroke. 2009 Sep;40(9):3022-7
pubmed: 19556530
Stroke. 2011 Mar;42(3):656-61
pubmed: 21307170
JAMA Neurol. 2016 Aug 1;73(8):934-43
pubmed: 27271785
Exp Gerontol. 2012 Nov;47(11):843-52
pubmed: 22750456
Brain. 2012 Jan;135(Pt 1):e201; author reply e202
pubmed: 21685457
Am J Pathol. 2001 Jun;158(6):2165-75
pubmed: 11395394
N Engl J Med. 2012 Aug 30;367(9):795-804
pubmed: 22784036
Hum Mol Genet. 1995 Dec;4(12):2373-7
pubmed: 8634712
Alzheimers Dement. 2017 Jan;13(1):8-19
pubmed: 27583651
Proc Natl Acad Sci U S A. 2013 Nov 19;110(47):E4502-9
pubmed: 24194552
J Neurol Neurosurg Psychiatry. 2016 Jan;87(1):106-12
pubmed: 25669746
Acta Neuropathol. 2018 Oct;136(4):569-587
pubmed: 29770843
Neurology. 2006 Dec 26;67(12):2192-8
pubmed: 17190943
AJNR Am J Neuroradiol. 2009 Feb;30(2):338-43
pubmed: 19001544
Neurology. 2014 Apr 8;82(14):1266-73
pubmed: 24623839
Clin Investig (Lond). 2012 Oct 1;2(10):975-984
pubmed: 23139856
Neurology. 1993 Nov;43(11):2412-4
pubmed: 8232972
PLoS One. 2018 May 9;13(5):e0195838
pubmed: 29742105
Lancet Neurol. 2018 Mar;17(3):241-250
pubmed: 29397305
Alzheimers Dement. 2011 Jul;7(4):367-85
pubmed: 21784348
J Geriatr Psychiatry Neurol. 2010 Dec;23(4):213-27
pubmed: 21045163