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ABSTRACT: Background
The present study investigated the relationships between thyroid hormone serum levels or thyroid-stimulating hormone (TSH) and two Alzheimer's disease (AD)-specific biomarkers, cerebral amyloid beta (A?) burden and glucose metabolism, in AD-signature brain regions in cognitively normal (CN) middle-aged and older individuals.Methods
This study assessed 148 CN individuals who received comprehensive clinical and neuropsychological assessments that included 11C-Pittsburgh Compound B (PiB)-positron emission tomography (PET) scans, 18F-deoxyglucose (FDG)-PET scans, and the quantification of serum triiodothyronine (T3), free T3, free thyroxine (fT4), and TSH levels.Results
All participants were clinically euthyroid. Independent negative associations were found between serum fT4 levels and global cerebral A? deposition after controlling for the effects of age, gender, and the apolipoprotein E ?4 (APOE?4) genotype. Although serum TSH levels were not associated with global cerebral A? deposition, they had a significant negative association with glucose metabolism in the precuneus/posterior cingulate cortex after controlling for age, gender, and the APOE?4 genotype. No other thyroid hormones exhibited relationships with either brain A? burden or glucose metabolism.Conclusions
Even in a clinical euthyroid state, low serum fT4 and high serum TSH levels appear to be differentially associated with AD-specific brain changes.
SUBMITTER: Choi HJ
PROVIDER: S-EPMC5561599 | biostudies-literature | 2017 Aug
REPOSITORIES: biostudies-literature
Choi Hyo Jung HJ Byun Min Soo MS Yi Dahyun D Sohn Bo Kyung BK Lee Jun Ho JH Lee Jun-Young JY Kim Yu Kyung YK Lee Dong Young DY
Alzheimer's research & therapy 20170817 1
<h4>Background</h4>The present study investigated the relationships between thyroid hormone serum levels or thyroid-stimulating hormone (TSH) and two Alzheimer's disease (AD)-specific biomarkers, cerebral amyloid beta (Aβ) burden and glucose metabolism, in AD-signature brain regions in cognitively normal (CN) middle-aged and older individuals.<h4>Methods</h4>This study assessed 148 CN individuals who received comprehensive clinical and neuropsychological assessments that included <sup>11</sup>C- ...[more]