Seemiller, Joseph ORCID: 0000-0001-7742-8759, Bischof, Gerard N., Hoenig, Merle C., Tahmasian, Masoud ORCID: 0000-0003-3999-3807, van Eimeren, Thilo ORCID: 0000-0002-6951-2325 and Drzezga, Alexander ORCID: 0000-0001-6018-716X (2021). Indication of retrograde tau spreading along Braak stages and functional connectivity pathways. Eur. J. Nucl. Med. Mol. Imaging, 48 (7). S. 2272 - 2283. NEW YORK: SPRINGER. ISSN 1619-7089
Full text not available from this repository.Abstract
Purpose Tau pathology progression in Alzheimer's disease (AD) is explained through the network degeneration hypothesis and the neuropathological Braak stages; however, the compatibility of these models remains unclear. Methods We utilized [18F]AV-1451 tau-PET scans of 39 subjects with AD and 39 sex-matched amyloid-negative healthy controls (HC) in the ADNI (Alzheimer's Disease Neuroimaging Initiative) dataset. The peak cluster of tau-tracer uptake was identified in each Braak stage of neuropathological tau deposition and used to create a seed-based functional connectivity network (FCN) using 198 HC subjects, to identify healthy networks unaffected by neurodegeneration. Results Voxel-wise tau deposition was both significantly higher inside relative to outside FCNs and correlated significantly and positively with levels of healthy functional connectivity. Within many isolated Braak stages and regions, the correlation between tau and intrinsic functional connectivity was significantly stronger than it was across the whole brain. In this way, each peak cluster of tau was related to multiple Braak stages traditionally associated with both earlier and later stages of disease. Conclusion We show specificity of healthy FCN topography for AD-pathological tau as well as positive voxel-by-voxel correlations between pathological tau and healthy functional connectivity. We propose a model of up- and downstream functional tau progression, suggesting that tau pathology evolves along functional connectivity networks not only downstream (i.e., along the expected sequence of the established Braak stages) but also in part upstream or retrograde (i.e., against the expected sequence of the established Braak stages), with pathology in earlier Braak stages intensified by its functional relationship to later disease stages.
Item Type: | Journal Article | ||||||||||||||||||||||||||||
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URN: | urn:nbn:de:hbz:38-591649 | ||||||||||||||||||||||||||||
DOI: | 10.1007/s00259-020-05183-1 | ||||||||||||||||||||||||||||
Journal or Publication Title: | Eur. J. Nucl. Med. Mol. Imaging | ||||||||||||||||||||||||||||
Volume: | 48 | ||||||||||||||||||||||||||||
Number: | 7 | ||||||||||||||||||||||||||||
Page Range: | S. 2272 - 2283 | ||||||||||||||||||||||||||||
Date: | 2021 | ||||||||||||||||||||||||||||
Publisher: | SPRINGER | ||||||||||||||||||||||||||||
Place of Publication: | NEW YORK | ||||||||||||||||||||||||||||
ISSN: | 1619-7089 | ||||||||||||||||||||||||||||
Language: | English | ||||||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||||||
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URI: | http://kups.ub.uni-koeln.de/id/eprint/59164 |
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