Junxiao Yu1, Aikaterini Kotrotsou1, Arnold M. Evia1, Julie A. Schneider2, Sue E. Leurgans2, David A. Bennett2, and Konstantinos Arfanakis1
1Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL, United States, 2Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, United States
Synopsis
Transactive response DNA-binding protein 43 (TDP43)
pathology was the primary protein abnormality in amyotrophic lateral
sclerosis (ALS) and frontotemporal lobar degeneration (FTLD). Recent
findings showed that TDP43 pathology is common in old age and
strongly associated with cognition, cognitive decline and increased
risk of dementia beyond the contributions of other age-related neuropathologies.
TDP43 pathology in aging is mainly found in the medial temporal lobes with the
being one of the first regions to be affected. The purpose of this project was
to study associations of TDP43 in aging with amygdalar volume for the first
time in a large community cohort.Purpose
Transactive
response DNA-binding protein 43 (TDP43) pathology was identified in 2006 as the
primary protein abnormality in the rare diseases amyotrophic lateral
sclerosis (ALS) and frontotemporal lobar degeneration (FTLD). [1]
However, according to recent findings, TDP43 pathology is common
in old age, with approximately 50% of older persons showing evidence
of the pathology at autopsy. [2] It has been demonstrated that TDP43 pathology
in aging is strongly and independently associated with
cognition, cognitive decline and increased risk of dementia above and
beyond the contributions of other age-related neuropathologies. [2] TDP43
pathology in aging is mainly found in the medial temporal lobes with the being
one of the first regions to be affected. [3] Therefore, the purpose of this
project was to study associations of TDP43 in aging with amygdalar volume for
the first time in a well-characterized large community cohort.
Method
Cerebral hemispheres were obtained from 202 deceased
participants of the Rush Memory and Aging Project [4] and the Religious Orders
Study [5], two longitudinal, epidemiologic clinical-pathologic cohort studies
of aging. Demographic, clinical and neuropathologic information is included in
the Table. All participants showed
no evidence of FTLD. Hemispheres were imaged while immersed in 4% formaldehyde
solution, using a 2D fast spin-echo sequence with multiple echo-times on a 3T
clinical MRI scanner [6]. A multi-atlas approach was used to segment the
amygdala from the ex-vivo brain MRI data, as described in a previous work [6]. Each volume measurement was normalized by the height of
the participant. Following ex-vivo MRI, hemispheres underwent
neuropathologic assessment by a board-certified neuropathologist blinded to all
clinical and imaging findings. TDP-43 pathology was rated on 4 levels capturing the staging of the
pathology: no inclusions; inclusions in amygdala only; inclusions in amygdala
as well as entorhinal cortex or hippocampus CA1; and inclusions in amygdala,
entorhinal cortex or hippocampus CA1, and neocortex [7]. Linear regression was
used to investigate the link between amygdalar volume and TDP43 pathology, while
controlling for AD pathology, Lewy bodies, hippocampal sclerosis, age at death,
sex, education, postmortem interval to fixation and postmortem interval to
imaging. Statistical significance was set at p<0.05.
Results
A significant negative correlation was detected
between amygdalar volume and TDP43. Figure 1 shows an example of an ex-vivo MRI
image.
Discussion and Conclusion
To our knowledge, this is the first study on morphometry and
TDP43 in aging that utilizes a large community cohort [8]. Consequently, the present
study provides information most representative of the relation between TDP43
pathology and amygdalar volume in the general population. The findings of this
work offer support to literature on the effects of TDP43 pathology. This is an
ongoing investigation with a growing number of participants.
Acknowledgements
No acknowledgement found.References
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