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Home > Pupillary Responses as a Biomarker of Early Risk for Alzheimer's Disease.

TitlePupillary Responses as a Biomarker of Early Risk for Alzheimer's Disease.
Publication TypeJournal Article
Year of Publication2017
AuthorsGranholm, EL, Panizzon, MS, Elman, JA, Jak, AJ, Hauger, RL, Bondi, MW, Lyons, MJ, Franz, CE, Kremen, WS
JournalJ Alzheimers Dis
Volume56
Issue4
Pagination1419-1428
Date Published2017
ISSN1875-8908
Abstract

Task-evoked pupillary responses may be a psychophysiological biomarker of early risk for mild cognitive impairment (MCI) and Alzheimer's disease (AD). Pupil dilation during cognitive tasks reflects cognitive effort until compensatory capacity is surpassed and performance declines are manifest, and reflects activation in the locus coeruleus, where degenerative changes have been found in the earliest stages of AD. We recorded pupillary responses during digit span recall in 918 participants ages 56-66. Despite normal performance, amnestic single-domain MCI (S-MCI) participants showed greater pupil dilation than non-amnestic S-MCI and cognitively normal (CN) participants at lower cognitive loads. Multi-domain MCI (M-MCI) participants failed to modulate effort across cognitive loads and showed poorer performance. Pupillary responses differentiated MCI and CN groups. Amnestic S-MCI participants required compensatory effort to maintain performance, consistent with increased risk for decline. Greater effort in CN individuals might indicate risk for MCI. Results are consistent with dysfunction in locus coeruleus-linked brain systems. This brief task shows promise as a biomarker for early MCI and AD risk prediction.

DOI10.3233/JAD-161078
Alternate JournalJ. Alzheimers Dis.
PubMed ID28157098
Grant ListP50 AG005131 / AG / NIA NIH HHS / United States
R01 AG022381 / AG / NIA NIH HHS / United States
R01 AG050595 / AG / NIA NIH HHS / United States
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Source URL: https://www.j-alz.com/content/pupillary-responses-biomarker-%C2%A0early-risk-alzheimers-disease