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 language | English |
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Pages (from-to) | 1175-1189 |
Number of pages | 15 |
Journal | Alzheimer's and Dementia |
Volume | 20 |
Issue number | 2 |
Early online date | 6 Nov 2023 |
DOIs | |
Publication status | Published - 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