Amyloid beta and tau are associated with the dual effect of neuroinflammation on neurodegeneration.
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Povala Guilherme, Bellaver Bruna, Bastiani Marco Antônio De, Ferrari-Souza João Pedro, Aguzzoli Cristiano S, Leffa Douglas T, Ferreira Pamela C L, Lussier Firoza Z, Rocha Andreia, Zalzale Hussein, Soares Carolina, Bauer-Negrini Guilherme, Therriault Joseph, Rahmouni Nesrine, Stevenson Jenna, Servaes Stijn, Tissot Cécile, Zatt Bruno, Karikari Thomas K, Ikonomovic Milos D, Villemagne Victor L, Gauthier Serge, Zimmer Eduardo R, Tudorascu Dana L, Benedet Andrea L, Rosa-Neto Pedro, Pascoal Tharick A
Аннотация
METHODS: We evaluated 145 individuals with positron emission tomography (PET) for amyloid beta (Aβ), tau, and translocator protein (TSPO), a proxy of neuroinflammation, to test the hypothesis that Aβ and tau are associated with the dual effect of neuroinflammation on neurodegeneration across the AD continuum.
RESULTS: The detrimental effects of neuroinflammation on gray matter density occurred in two waves. The first neuroinflammation-related detrimental wave was associated with brain Aβ deposition, while the second was with widespread tau tangle pathology. Furthermore, the concomitant presence of neuroinflammation, Aβ, and tau was associated with faster cognitive decline over 2 years.
CONCLUSIONS: Our results support a model in which Aβ- and tau-associated neuroinflammation are related to two waves of deleterious effects on AD-related neurodegeneration.
HIGHLIGHTS: Two waves of detrimental neuroinflammation effects on brain density associated with Aβ or tau. Aβ associated with deleterious effect of neuroinflammation on brain density in early AD. Tau associated with deleterious effect of neuroinflammation on brain density in late AD. Interactions of Aβ, tau, and neuroinflammation are associated with cognitive decline.