Perivascular spaces, plasma GFAP, and speeded executive function in neurodegenerative diseases.

cerebrovascular diseases executive function neurodegenerative diseases perivascular spaces plasma glial fibrillary acidic protein white matter hyperintensities

Journal

Alzheimer's & dementia : the journal of the Alzheimer's Association
ISSN: 1552-5279
Titre abrégé: Alzheimers Dement
Pays: United States
ID NLM: 101231978

Informations de publication

Date de publication:
04 Jul 2024
Historique:
revised: 29 05 2024
received: 14 03 2024
accepted: 29 05 2024
medline: 4 7 2024
pubmed: 4 7 2024
entrez: 4 7 2024
Statut: aheadofprint

Résumé

We investigated the effect of perivascular spaces (PVS) volume on speeded executive function (sEF), as mediated by white matter hyperintensities (WMH) volume and plasma glial fibrillary acidic protein (GFAP) in neurodegenerative diseases. A mediation analysis was performed to assess the relationship between neuroimaging markers and plasma biomarkers on sEF in 333 participants clinically diagnosed with Alzheimer's disease/mild cognitive impairment, frontotemporal dementia, or cerebrovascular disease from the Ontario Neurodegenerative Disease Research Initiative. PVS was significantly associated with sEF (c = -0.125 ± 0.054, 95% bootstrap confidence interval [CI] [-0.2309, -0.0189], p = 0.021). This effect was mediated by both GFAP and WMH. In this unique clinical cohort of neurodegenerative diseases, we demonstrated that the effect of PVS on sEF was mediated by the presence of elevated plasma GFAP and white matter disease. These findings highlight the potential utility of imaging and plasma biomarkers in the current landscape of therapeutics targeting dementia. Perivascular spaces (PVS) and white matter hyperintensities (WMH) are imaging markers of small vessel disease. Plasma glial fibrillary protein acidic protein (GFAP) is a biomarker of astroglial injury. PVS, WMH, and GFAP are relevant in executive dysfunction from neurodegeneration. PVS's effect on executive function was mediated by GFAP and white matter disease.

Identifiants

pubmed: 38961774
doi: 10.1002/alz.14081
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Alzheimer Society of London
Organisme : Middlesex Doctoral Graduate Research Scholarship
Organisme : Dr. Sandra Black Centre for Brain Resilience and Recovery
Organisme : Linda C. Campbell Foundation
Organisme : Weston UK Brain Institute,
Organisme : Foundation Leducq Transatlantic Network of Excellence for their support of PVS-related studies
Organisme : Swedish Research Council
ID : #2023-00356
Organisme : Swedish Research Council
ID : #2022-01018
Organisme : Swedish Research Council
ID : #2019-02397
Organisme : European Union's Horizon Europe research and innovation programme
ID : 101053962
Organisme : Swedish State Support for Clinical Research
ID : #ALFGBG-71320
Organisme : Alzheimer Drug Discovery Foundation (ADDF)
ID : #201809-2016862
Organisme : AD Strategic Fund
Organisme : Alzheimer's Association
ID : #ADSF-21-831376-C
Pays : United States
Organisme : Alzheimer's Association
ID : #ADSF-21-831381-C
Pays : United States
Organisme : Alzheimer's Association
ID : #ADSF-21-831377-C
Pays : United States
Organisme : Bluefield Project, Cure Alzheimer's Fund
Organisme : Olav Thon Foundation
Organisme : Erling-Persson Family Foundation
Organisme : Stiftelsen för Gamla Tjänarinnor, Hjärnfonden, Sweden
ID : #FO2022-0270
Organisme : European Union's Horizon 2020 research and innovation programme
Organisme : European Union Joint Programme-Neurodegenerative Disease Research
ID : JPND2021-00694
Organisme : National Institute for Health and Care Research University College London Hospitals Biomedical Research Centre
Organisme : UK Dementia Research Institute at UCL
ID : UKDRI-1003
Organisme : Brain and Behavior Foundation
Organisme : National Institute on Ageing
Organisme : BrightFocus Foundation
Organisme : Canadian Institute of Health Research
Organisme : Canadian Consortium on Neurodegeneration in Aging
Organisme : Centre for Ageing and Brain Health Innovation
Organisme : Centre for Addiction and Mental Health

Informations de copyright

© 2024 The Author(s). Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.

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Auteurs

Daniela Andriuta (D)

Department of Neurology, Amiens University Medical Center, Amiens, France.
Laboratoire de Neurosciences Fonctionnelles et Pathologies (UR UPJV 4559), Jules Verne University of Picardy, Amiens, France.
Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Julie Ottoy (J)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Myuri Ruthirakuhan (M)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Ginelle Feliciano (G)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Allison A Dilliott (AA)

Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, Montréal, Quebec, Canada.

Robert A Hegele (RA)

Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, Toronto, Ontario, Canada.

Fuqiang Gao (F)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Paula M McLaughlin (PM)

Nova Scotia Health, Halifax, Nova Scotia, Canada.

Jennifer S Rabin (JS)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Harquail Centre for Neuromodulation, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.
Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Madeline Wood Alexander (M)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.

Christopher J M Scott (CJM)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Vanessa Yhap (V)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Courtney Berezuk (C)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Miracle Ozzoude (M)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Walter Swardfager (W)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

Julia Zebarth (J)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.

M Carmela Tartaglia (MC)

Division of Neurology, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Ekaterina Rogaeva (E)

Tanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, Ontario, Canada.

David F Tang-Wai (DF)

Division of Neurology, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Leanne Casaubon (L)

Division of Neurology, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Sanjeev Kumar (S)

Department of Psychiatry, Adult Neurodevelopment and Geriatric Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

Dar Dowlatshahi (D)

University of Ottawa Brain and Mind Research Institute and Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

Jennifer Mandzia (J)

Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, Toronto, Ontario, Canada.

Demetrios Sahlas (D)

Division of Neurology, Department of Medicine, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.

Gustavo Saposnik (G)

Li Ka Shing Knowledge Institute, and Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.

Corinne E Fischer (CE)

Li Ka Shing Knowledge Institute, and Division of Neurology, Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Keenan Research Centre for Biomedical Science, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.

Michael Borrie (M)

Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, Toronto, Ontario, Canada.

Ayman Hassan (A)

Division of Neurology, Department of Medicine, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Thunder Bay Regional Health Research Institute, Thunder Bay, Ontario, Canada.

Malcolm A Binns (MA)

Rotman Research Institute, Baycrest Health Sciences, Toronto, Ontario, Canada.
Division of Biostatistics, Dalla Lana School of Public Health, Toronto, Ontario, Canada.

Morris Freedman (M)

Rotman Research Institute, Baycrest Health Sciences, Toronto, Ontario, Canada.

Howard Chertkow (H)

Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Rotman Research Institute, Baycrest Health Sciences, Toronto, Ontario, Canada.

Elizabeth Finger (E)

Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, Toronto, Ontario, Canada.

Andrew Frank (A)

University of Ottawa Brain and Mind Research Institute and Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Bruyère Research Institute, Ottawa, Ontario, Canada.

Robert Bartha (R)

Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, Toronto, Ontario, Canada.

Sean Symons (S)

Department of Medical Imaging, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Henrik Zetterberg (H)

Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Clinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Mölndal, Sweden.
Department of Neurodegenerative Disease, UCL Institute of Neurology, Queen Square, UK Dementia Research Institute at UCL, London, UK.

Richard H Swartz (RH)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Department of Medicine, Neurology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Mario Masellis (M)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Department of Medicine, Neurology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Sandra E Black (SE)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Department of Medicine, Neurology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Joel Ramirez (J)

Dr. Sandra Black Centre for Brain Resilience and Recovery, LC Campbell Cognitive Neurology, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Graduate Department of Psychological Clinical Science, University of Toronto Scarborough, Toronto, Ontario, Canada.

Classifications MeSH