Journal of Alzheimer's Disease
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Home > Staging Alzheimer's Disease Risk by Sequencing Brain Function and Structure, Cerebrospinal Fluid, and Cognition Biomarkers.

TitleStaging Alzheimer's Disease Risk by Sequencing Brain Function and Structure, Cerebrospinal Fluid, and Cognition Biomarkers.
Publication TypeJournal Article
Year of Publication2016
AuthorsChen, G, Shu, H, Chen, G, B Ward, D, Antuono, PG, Zhang, Z, Li, S-J
Corporate AuthorsAlzheimer’s Disease Neuroimaging Initiative
JournalJ Alzheimers Dis
Volume54
Issue3
Pagination983-993
Date Published2016 Oct 04
ISSN1875-8908
Abstract

This study aims to develop a composite biomarker that can accurately measure the sequential biological stages of Alzheimer's disease (AD) on an individual level. We selected 144 subjects from the Alzheimer's Disease Neuroimaging Initiative 2 datasets. Ten biomarkers, from brain function and structure, cerebrospinal fluid, and cognitive performance, were integrated using the event-based probabilistic model to estimate their optimal temporal sequence (Soptimal). We identified the numerical order of the Soptimal as the characterizing Alzheimer's disease risk events (CARE) index to measure disease stage. The results show that, in the Soptimal, hippocampal and posterior cingulate cortex network biomarkers occur first, followed by aberrant cerebrospinal fluid amyloid-β and p-tau levels, then cognitive deficit, and finally regional gray matter loss and fusiform network abnormality. The CARE index significantly correlates with disease severity and exhibits high reliability. Our findings demonstrate that use of the CARE index would advance AD stage measurement across the whole AD continuum and facilitate personalized treatment of AD.

DOI10.3233/JAD-160537
Alternate JournalJ. Alzheimers Dis.
PubMed ID27567874
PubMed Central IDPMC5055443
Grant ListR01 AG020279 / AG / NIA NIH HHS / United States
R44 AG035405 / AG / NIA NIH HHS / United States
U01 AG024904 / AG / NIA NIH HHS / United States
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Source URL: https://www.j-alz.com/content/staging-alzheimers-disease-risk-sequencing-brain-function-and-structure-cerebrospinal-fluid?page=0