sPDGFRβ and neuroinflammation are associated with AD biomarkers and differ by race: The ASCEND Study

Brittany Butts, Hanfeng Huang, William T Hu, Patrick Gavin Kehoe, James Scott Miners, Danielle D Verble, Henrik Zetterberg, Liping Zhao, Lynn Marie Trotti, Karima Benameur, Laura M Scorr, Whitney Wharton*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

4 Citations (Scopus)

Abstract

INTRODUCTION:
There remains an urgent need to identify preclinical pathophysiological mechanisms of Alzheimer's disease (AD) development in high-risk, racially diverse populations. We explored the relationship between cerebrospinal fluid (CSF) markers of vascular injury and neuroinflammation with AD biomarkers in middle-aged Black/African American (B/AA) and non-Hispanic White (NHW) participants.

METHODS:
Adults (45-65 years) with a parental history of AD were enrolled (n = 82). CSF and blood biomarkers were collected at baseline and year 2.

RESULTS:
CSF total tau (t-tau), phosphorylated tau (p-tau), and amyloid beta (Aβ)40 were elevated at year 2 compared to baseline. CSF soluble platelet-derived growth factor receptor β (sPDGFRβ) levels, a marker of pericyte injury, correlated positively with t-tau, p-tau, Aβ40 markers of vascular injury, and cytokines at baseline and year 2. CSF sPDGFRβ and tau were significantly lower in B/AA than NHW.

DISCUSSION:
Vascular dysfunction and neuroinflammation may precede cognitive decline and disease pathology in the very early preclinical stages of AD, and there are race-related differences in these relationships.

HIGHLIGHTS:
Cerebrospinal fluid (CSF) Alzheimer's disease (AD) biomarkers changed over 2 years in high-risk middle-aged adults. Markers of vascular dysfunction were associated with the CSF biomarkers amyloid beta and tau. AD biomarkers were lower in Black compared to non-Hispanic White individuals. Markers of vascular dysfunction were lower among Black individuals.

Original languageEnglish
Pages (from-to)1175-1189
Number of pages15
JournalAlzheimer's and Dementia
Volume20
Issue number2
Early online date6 Nov 2023
DOIs
Publication statusPublished - 1 Feb 2024

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.

Keywords

  • Middle Aged
  • Humans
  • Alzheimer Disease/pathology
  • Amyloid beta-Peptides/cerebrospinal fluid
  • Neuroinflammatory Diseases
  • Vascular System Injuries
  • tau Proteins/cerebrospinal fluid
  • Cognitive Dysfunction/cerebrospinal fluid
  • Biomarkers/cerebrospinal fluid
  • Peptide Fragments/cerebrospinal fluid

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