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Plasma A? and PET PiB binding are inversely related in mild cognitive impairment.


ABSTRACT:

Objective

To evaluate the relations between PET Pittsburgh compound B (PiB-PET) binding (amyloid imaging) and plasma A? in patients with mild cognitive impairment (MCI) and similarly aged controls.

Methods

In 20 patients with MCI and 19 cognitively intact controls (case-control study), PiB binding potential (BP(nd)) was assessed in 4 regions, and total brain excluding cerebellum, referenced to cerebellar binding. The mean of plasma A? levels measured in duplicate was analyzed.

Results

Plasma A?42/A?40 ratio was decreased in MCI compared to controls (mean 0.15 SD 0.04 vs mean 0.19 SD 0.07, p = 0.03) but A?40 (p = 0.3) and A?42 (p = 0.06) levels did not differ between the 2 groups. PiB BP(nd) was increased in MCI compared to controls in the cingulate (p = 0.02), parietal (p = 0.02), and total brain (p = 0.03), but not in prefrontal cortex (p = 0.08) or parahippocampal gyrus (p = 0.07). Linear regression analyses adjusting for age, sex, and cognitive test scores showed that low A?42/A?40 ratio was associated with high cingulate, parietal, and total brain PiB binding (0.01< p ? 0.05). These associations between PiB binding and the A?42/A?40 ratio were strongest in PiB-positive subjects and within the MCI group.

Conclusions

Though cross-sectional, the findings support the "sink" hypothesis that increased brain A? is accompanied by lower peripheral levels of A?, particularly the A?42/A?40 ratio in patients with MCI. The association between PiB binding and the plasma A?42/A?40 ratio suggests possible use of plasma A? combined with PiB binding as a risk biomarker with potential clinical application.

SUBMITTER: Devanand DP 

PROVIDER: S-EPMC3140071 | biostudies-literature | 2011 Jul

REPOSITORIES: biostudies-literature

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Publications

Plasma Aβ and PET PiB binding are inversely related in mild cognitive impairment.

Devanand D P DP   Schupf N N   Stern Y Y   Parsey R R   Pelton G H GH   Mehta P P   Mayeux R R  

Neurology 20110629 2


<h4>Objective</h4>To evaluate the relations between PET Pittsburgh compound B (PiB-PET) binding (amyloid imaging) and plasma Aβ in patients with mild cognitive impairment (MCI) and similarly aged controls.<h4>Methods</h4>In 20 patients with MCI and 19 cognitively intact controls (case-control study), PiB binding potential (BP(nd)) was assessed in 4 regions, and total brain excluding cerebellum, referenced to cerebellar binding. The mean of plasma Aβ levels measured in duplicate was analyzed.<h4>  ...[more]

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