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Kang M, Ang TFA, Devine SA, Sherva R, Mukherjee S, Trittschuh EH, Gibbons LE, Scollard P, Lee M, Choi SE, Klinedinst B, Nakano C, Dumitrescu LC, Durant A, Hohman TJ, Cuccaro ML, Saykin AJ, Kukull WA, Bennett DA, Wang LS, Mayeux RP, Haines JL, Pericak-Vance MA, Schellenberg GD, Crane PK, Au R, Lunetta KL, Mez JB, Farrer LA. A genome-wide search for pleiotropy in more than 100,000 harmonized longitudinal cognitive domain scores. Mol Neurodegener 2023; 18:40. [PMID: 37349795 PMCID: PMC10286470 DOI: 10.1186/s13024-023-00633-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 06/06/2023] [Indexed: 06/24/2023] Open
Abstract
BACKGROUND More than 75 common variant loci account for only a portion of the heritability for Alzheimer's disease (AD). A more complete understanding of the genetic basis of AD can be deduced by exploring associations with AD-related endophenotypes. METHODS We conducted genome-wide scans for cognitive domain performance using harmonized and co-calibrated scores derived by confirmatory factor analyses for executive function, language, and memory. We analyzed 103,796 longitudinal observations from 23,066 members of community-based (FHS, ACT, and ROSMAP) and clinic-based (ADRCs and ADNI) cohorts using generalized linear mixed models including terms for SNP, age, SNP × age interaction, sex, education, and five ancestry principal components. Significance was determined based on a joint test of the SNP's main effect and interaction with age. Results across datasets were combined using inverse-variance meta-analysis. Genome-wide tests of pleiotropy for each domain pair as the outcome were performed using PLACO software. RESULTS Individual domain and pleiotropy analyses revealed genome-wide significant (GWS) associations with five established loci for AD and AD-related disorders (BIN1, CR1, GRN, MS4A6A, and APOE) and eight novel loci. ULK2 was associated with executive function in the community-based cohorts (rs157405, P = 2.19 × 10-9). GWS associations for language were identified with CDK14 in the clinic-based cohorts (rs705353, P = 1.73 × 10-8) and LINC02712 in the total sample (rs145012974, P = 3.66 × 10-8). GRN (rs5848, P = 4.21 × 10-8) and PURG (rs117523305, P = 1.73 × 10-8) were associated with memory in the total and community-based cohorts, respectively. GWS pleiotropy was observed for language and memory with LOC107984373 (rs73005629, P = 3.12 × 10-8) in the clinic-based cohorts, and with NCALD (rs56162098, P = 1.23 × 10-9) and PTPRD (rs145989094, P = 8.34 × 10-9) in the community-based cohorts. GWS pleiotropy was also found for executive function and memory with OSGIN1 (rs12447050, P = 4.09 × 10-8) and PTPRD (rs145989094, P = 3.85 × 10-8) in the community-based cohorts. Functional studies have previously linked AD to ULK2, NCALD, and PTPRD. CONCLUSION Our results provide some insight into biological pathways underlying processes leading to domain-specific cognitive impairment and AD, as well as a conduit toward a syndrome-specific precision medicine approach to AD. Increasing the number of participants with harmonized cognitive domain scores will enhance the discovery of additional genetic factors of cognitive decline leading to AD and related dementias.
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Affiliation(s)
- Moonil Kang
- Department of Medicine (Biomedical Genetics), Boston University Chobanian & Avedisian School of Medicine, 72 East Concord Street E200, Boston, MA 02118 USA
| | - Ting Fang Alvin Ang
- Department of Anatomy and Neurobiology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Framingham Heart Study, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Slone Epidemiology Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
| | - Sherral A. Devine
- Department of Anatomy and Neurobiology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Framingham Heart Study, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
| | - Richard Sherva
- Department of Medicine (Biomedical Genetics), Boston University Chobanian & Avedisian School of Medicine, 72 East Concord Street E200, Boston, MA 02118 USA
| | - Shubhabrata Mukherjee
- Department of Medicine, University of Washington School of Medicine, Seattle, WA USA
| | - Emily H. Trittschuh
- Geriatric Research, Education, and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, WA USA
- Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA USA
| | - Laura E. Gibbons
- Department of Medicine, University of Washington School of Medicine, Seattle, WA USA
| | - Phoebe Scollard
- Department of Medicine, University of Washington School of Medicine, Seattle, WA USA
| | - Michael Lee
- Department of Medicine, University of Washington School of Medicine, Seattle, WA USA
| | - Seo-Eun Choi
- Department of Medicine, University of Washington School of Medicine, Seattle, WA USA
| | - Brandon Klinedinst
- Department of Medicine, University of Washington School of Medicine, Seattle, WA USA
| | - Connie Nakano
- Department of Medicine, University of Washington School of Medicine, Seattle, WA USA
| | - Logan C. Dumitrescu
- Vanderbilt Memory & Alzheimer’s Center, Vanderbilt University Medical Center, Nashville, TN USA
- Vanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN USA
| | - Alaina Durant
- Vanderbilt Memory & Alzheimer’s Center, Vanderbilt University Medical Center, Nashville, TN USA
- Vanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN USA
| | - Timothy J. Hohman
- Vanderbilt Memory & Alzheimer’s Center, Vanderbilt University Medical Center, Nashville, TN USA
- Vanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN USA
| | - Michael L. Cuccaro
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, Miami, FL USA
| | - Andrew J. Saykin
- Indiana Alzheimer’s Disease Research Center, Indiana University School of Medicine, Indianapolis, IN USA
- Department of Radiology and Imaging Services, Indiana University School of Medicine, Indianapolis, IN USA
- Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN USA
| | - Walter A. Kukull
- Department of Epidemiology, University of Washington, Seattle, WA USA
| | - David A. Bennett
- Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, IL USA
| | - Li-San Wang
- Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA USA
| | - Richard P. Mayeux
- Department of Neurology, Columbia University School of Medicine, New York, NY USA
| | - Jonathan L. Haines
- Cleveland Institute for Computational Biology, Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH USA
| | | | - Gerard D. Schellenberg
- Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA USA
| | - Paul K. Crane
- Department of Medicine, University of Washington School of Medicine, Seattle, WA USA
| | - Rhoda Au
- Department of Anatomy and Neurobiology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Framingham Heart Study, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Slone Epidemiology Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Boston University Alzheimer’s Disease Research Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Department of Epidemiology, Boston University School of Public Health, Boston, MA USA
| | - Kathryn L. Lunetta
- Framingham Heart Study, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Department of Biostatistics, Boston University School of Public Health, Boston, MA USA
| | - Jesse B. Mez
- Framingham Heart Study, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Boston University Alzheimer’s Disease Research Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Department of Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
| | - Lindsay A. Farrer
- Department of Medicine (Biomedical Genetics), Boston University Chobanian & Avedisian School of Medicine, 72 East Concord Street E200, Boston, MA 02118 USA
- Framingham Heart Study, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Boston University Alzheimer’s Disease Research Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Department of Epidemiology, Boston University School of Public Health, Boston, MA USA
- Department of Biostatistics, Boston University School of Public Health, Boston, MA USA
- Department of Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
- Department of Ophthalmology, Boston University Chobanian & Avedisian School of Medicine, Boston, MA USA
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Crane PK, Choi SE, Lee M, Scollard P, Sanders RE, Klinedinst B, Nakano C, Trittschuh EH, Mez J, Saykin AJ, Gibbons LE, Wang C, Mungas D, Zhu R, Foldi NS, Lamar M, Jutten R, Sikkes SA, Grandoit E, Rabin LA, Jones RN, Tommet D. Measurement precision across cognitive domains in the Alzheimer's Disease Neuroimaging Initiative (ADNI) data set. Neuropsychology 2023; 37:373-382. [PMID: 37276134 PMCID: PMC10247161 DOI: 10.1037/neu0000901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023] Open
Abstract
OBJECTIVE To demonstrate measurement precision of cognitive domains in the Alzheimer's Disease Neuroimaging Initiative (ADNI) data set. METHOD Participants with normal cognition (NC), mild cognitive impairment (MCI), and Alzheimer's disease (AD) were included from all ADNI waves. We used data from each person's last study visit to calibrate scores for memory, executive function, language, and visuospatial functioning. We extracted item information functions for each domain and used these to calculate standard errors of measurement. We derived scores for each domain for each diagnostic group and plotted standard errors of measurement for the observed range of scores. RESULTS Across all waves, there were 961 people with NC, 825 people with MCI, and 694 people with AD at their most recent study visit (data pulled February 25, 2019). Across ADNI's battery there were 34 memory items, 18 executive function items, 20 language items, and seven visuospatial items. Scores for each domain were highest on average for people with NC, intermediate for people with MCI, and lowest for people with AD, with most scores across all groups in the range of -1 to +1. Standard error of measurement in the range from -1 to +1 was highest for memory, intermediate for language and executive functioning, and lowest for visuospatial. CONCLUSION Modern psychometric approaches provide tools to help understand measurement precision of the scales used in studies. In ADNI, there are important differences in measurement precision across cognitive domains. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
- Paul K. Crane
- Department of Medicine, University of Washington, Seattle, WA, USA
| | - Seo-Eun Choi
- Department of Medicine, University of Washington, Seattle, WA, USA
| | - Michael Lee
- Department of Medicine, University of Washington, Seattle, WA, USA
| | - Phoebe Scollard
- Department of Medicine, University of Washington, Seattle, WA, USA
| | | | | | - Connie Nakano
- Department of Medicine, University of Washington, Seattle, WA, USA
| | - Emily H. Trittschuh
- Department of Psychiatry and Behavioral Sciences, University of Washington, and VA Puget Sound Health Care System, Geriatrics Research, Education, and Clinical Core (GRECC), both in Seattle, WA, USA
| | - Jesse Mez
- Department of Neurology, Boston University, Boston, MA, USA
| | | | - Laura E. Gibbons
- Department of Medicine, University of Washington, Seattle, WA, USA
| | - Chun Wang
- College of Education, University of Washington, Seattle, WA, USA
| | - Dan Mungas
- Department of Neurology, University of California at Davis, Sacramento, CA, USA
| | - Ruoyi Zhu
- College of Education, University of Washington, Seattle, WA, USA
| | - Nancy S. Foldi
- Department of Psychology, Queens College and The Graduate Center, City University of New York & Department of Radiology, Brain Health Imaging Institute, Weill Cornell Medicine, New York, NY
| | - Melissa Lamar
- Rush University Alzheimer’s Center and the Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA
| | - Roos Jutten
- Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
| | - Sietske A.M. Sikkes
- Alzheimer Center Amsterdam, Neurology, Vrije Universiteit Amsterdam, Amsterdam UMC Location, VUmc & Amsterdam Neuroscience, Neurodegeneration & Department of Clinical, Neuro, and Developmental Psychology, Vrije Universitiet Amsterdam, Amsterdam, NL
| | - Evan Grandoit
- Department of Psychology, Northwestern University, Chicago, IL, USA
| | - Laura A. Rabin
- Department of Psychology, Brooklyn College and the Graduate Center, City University of New York, Brooklyn, NY, USA
| | | | - Doug Tommet
- Department of Psychiatry, Brown University, Providence, RI, USA
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Li T, Pappas C, Klinedinst B, Pollpeter A, Larsen B, Hoth N, Anton F, Wang Q, Willette AA. Associations Between Insulin-Like Growth Factor-1 and Resting-State Functional Connectivity in Cognitively Unimpaired Midlife Adults. J Alzheimers Dis 2023; 94:S309-S318. [PMID: 36710671 PMCID: PMC10473072 DOI: 10.3233/jad-220608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/19/2022] [Indexed: 01/25/2023]
Abstract
BACKGROUND Insulin-like growth factor (IGF)-1 plays an important role in Alzheimer's disease (AD) pathogenesis and increases disease risk. However, prior research examining IGF-1 levels and brain neural network activity is mixed. OBJECTIVE The present study investigated the relationship between IGF-1 levels and 21 neural networks, as measured by functional magnetic resonance imaging (fMRI) in 13,235 UK Biobank participants. METHODS Linear mixed models were used to regress IGF-1 against the intrinsic functional connectivity (i.e., degree of network activity) for each neural network. Interactions between IGF-1 and AD risk factors such as Apolipoprotein E4 (APOE4) genotype, sex, AD family history, and age were also tested. RESULTS Higher IGF-1 was associated with more network activity in the right Executive Function neural network. IGF-1 interactions with APOE4 or sex implicated motor, primary/extrastriate visual, and executive function related neural networks. Neural network activity trends with increasing IGF-1 were different in different age groups. Higher IGF-1 levels relate to much more network activity in the Sensorimotor Network and Cerebellum Network in early-life participants (40-52 years old), compared with mid-life (52-59 years old) and late-life (59-70 years old) participants. CONCLUSION These findings suggest that sex and APOE4 genotype may modify the relationship between IGF-1 and brain network activities related to visual, motor, and cognitive processing. Additionally, IGF-1 may have an age-dependent effect on neural network connectivity.
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Affiliation(s)
- Tianqi Li
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
- Genetics and Genomics Interdepartmental Graduate Program, Iowa State University, Ames, IA, USA
| | - Colleen Pappas
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
| | - Brandon Klinedinst
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
- Neuroscience Interdepartmental Graduate Program Interdepartmental Graduate Program, Iowa State University, Ames, IA, USA
| | - Amy Pollpeter
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
- Bioinformatics and Computational Biology Interdepartmental Graduate Program, Iowa State University, Ames, IA, USA
| | - Brittany Larsen
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
- Neuroscience Interdepartmental Graduate Program Interdepartmental Graduate Program, Iowa State University, Ames, IA, USA
| | - Nathan Hoth
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
| | - Faith Anton
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
| | - Qian Wang
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
| | - Auriel A. Willette
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
- Genetics and Genomics Interdepartmental Graduate Program, Iowa State University, Ames, IA, USA
- Neuroscience Interdepartmental Graduate Program Interdepartmental Graduate Program, Iowa State University, Ames, IA, USA
- Bioinformatics and Computational Biology Interdepartmental Graduate Program, Iowa State University, Ames, IA, USA
- Department of Neurology, University of Iowa, Iowa City, IA, USA
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Willette AA, Pappas C, Hoth N, Wang Q, Klinedinst B, Willette SA, Larsen B, Pollpeter A, Li T, Le S, Collazo-Martinez AD, Mochel JP, Allenspach K, Dantzer R. Inflammation, negative affect, and amyloid burden in Alzheimer's disease: Insights from the kynurenine pathway. Brain Behav Immun 2021; 95:216-225. [PMID: 33775832 PMCID: PMC8187283 DOI: 10.1016/j.bbi.2021.03.019] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 03/17/2021] [Accepted: 03/22/2021] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Depressive symptoms in Alzheimer's disease (AD) predict worse cognitive and functional outcomes. Both AD and major depression inflammatory processes are characterized by shunted tryptophan metabolism away from serotonin (5-HT) and toward the neuroinflammatory kynurenine (Kyn) pathway. The present study assessed associations between Kyn and behavioral, neuroanatomical, neuropathological, and physiological outcomes common to both AD and negative affect across the AD continuum. METHODS In 58 cognitively normal, 396 mild cognitive impairment, and 112 AD participants from the Alzheimer's Disease Neuroimaging Initiative-1 (ADNI1) cohort, serum markers of 5-HT, tryptophan, and Kyn were measured and their relationships investigated with immunologic markers, affect and functional outcomes, CSF markers of beta-amyloid (Aβ) and tau, and regional gray matter. RESULTS A higher Kyn/Tryptophan ratio was linked to many inflammatory markers, as well as lower functional independence and memory scores. A higher Kyn/5-HT ratio showed similar associations, but also strong relationships with negative affect and neuropsychiatric disturbance, executive dysfunction, and global cognitive decline. Further, gray matter atrophy was seen in hippocampus, anterior cingulate, and prefrontal cortices, as well as greater amyloid and total tau deposition. Finally, using moderated-mediation, several pro-inflammatory factors partially mediated Kyn/5-HT and negative affect scores in participants with subclinical Aβ (i.e., Aβ-), whereas such associations were fully mediated by Complement 3 in Aβ+ participants. CONCLUSION These findings suggest that inflammatory signaling cascades may occur during AD, which is associated with increased Kyn metabolism that influences the pathogenesis of negative affect. Aβ and the complement system may be critical contributing factors in this process.
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Affiliation(s)
- Auriel A. Willette
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA,Neuroscience Graduate Program, Iowa State University, Ames, IA,Department of Psychology, Iowa State University, Ames, IA,Department of Neurology, University of Iowa, Iowa City, IA,Bioinformatics and Computational Biology Graduate Program, Iowa State University, Ames, IA,Department of Biomedical Sciences, Iowa State University, Ames, IA, USA,Address Correspondence to: Auriel A. Willette, Ph.D., M.S., 1109 HNSB, 706 Morrill Rd., Ames, IA 50011, Phone: (515) 294-3110,
| | - Colleen Pappas
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA
| | - Nathan Hoth
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA
| | - Qian Wang
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA
| | | | - Sara A. Willette
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA
| | - Brittany Larsen
- Neuroscience Graduate Program, Iowa State University, Ames, IA
| | - Amy Pollpeter
- Bioinformatics and Computational Biology Graduate Program, Iowa State University, Ames, IA
| | - Tianqi Li
- Bioinformatics and Computational Biology Graduate Program, Iowa State University, Ames, IA
| | - Scott Le
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA
| | | | | | - Karin Allenspach
- Department of Veterinary Clinical Sciences, Iowa State University, Ames, IA, USA
| | - Robert Dantzer
- Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston,TX
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Larsen B, Klinedinst B, Le S, Pappas C, Meier N, Lim YL, Wolf T, Willette A. Pick Your Poison Carefully: How Alcohol Consumption and Serum Biomarkers Influence Body Fat – A UK Biobank Study. Innov Aging 2020. [PMCID: PMC7743144 DOI: 10.1093/geroni/igaa057.3280] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Aging is characterized by physiological alterations in body composition, such as increased visceral adiposity accumulation and bone loss. Alcohol consumption is thought to partially drive these associations, but findings have been mixed. To clarify inconsistent findings, different types of alcohol--beer, liquor, and wine--may show different association patterns with body composition. Our longitudinal U.K. Biobank study leveraged 1,874 White British participants (aged 40-79 years; 58.9% male). Participants self-reported demographic, alcohol and dietary consumption patterns, and lifestyle factors using a touchscreen questionnaire. Anthropometrics and serum for proteomics were collected and body composition was obtained via dual-energy X-ray absorptiometry (DEXA). Structural equation modeling was used to probe direct and indirect associations between adiposity and bone, alcohol types, and cardiometabolic biomarkers. Over a mean duration of four years, greater consumption of beer and liquor were significantly associated with more visceral adiposity (β=.069, p<.001 and β=.014, p<.001, respectively); these associations were driven by dyslipidemia and insulin resistance. In contrast, greater red wine consumption predicted less adipose mass (β=-.023, p<.001), and this association was mediated by reduced inflammation and higher high-density lipoproteins (HDL) cholesterol. White wine consumption did not influence visceral adiposity but did predict greater bone mineral density (BMD) (β=.051, p=.003). Taken together, these data suggest that beer and liquor may drive the “empty calorie” hypothesis related to adipogenesis, while red wine may be protective due to anti-inflammatory and eulipidemic effects. Furthermore, white wine may benefit bone mineral density in older adults.
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Affiliation(s)
| | | | - Scott Le
- Iowa State University, Ames, Iowa, United States
| | | | - Nathan Meier
- Concordia University Irvine, Irvine, California, United States
| | - Ye-Lim Lim
- Virginia Polytechnic Institute, Blacksburg, Virginia, United States
| | - Tovah Wolf
- Western Carolina University, Cullowhee, North Carolina, United States
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6
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McLimans KE, Clark BE, Plagman A, Pappas C, Klinedinst B, Anatharam V, Kanthasamy A, Willette AA. Is Cerebrospinal Fluid Superoxide Dismutase 1 a Biomarker of Tau But Not Amyloid-Induced Neurodegeneration in Alzheimer's Disease? Antioxid Redox Signal 2019; 31:572-578. [PMID: 31088292 PMCID: PMC6657291 DOI: 10.1089/ars.2019.7762] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Copper/zinc superoxide dismutase 1 (SOD1) scavenges free radicals that may otherwise damage brain parenchyma. Impaired SOD1 activity drives Alzheimer's disease (AD) neuropathology in animal models and postmortem AD brains. Yet, it is unknown how cerebrospinal fluid (CSF) SOD1 is related in vivo to AD-relevant cognitive, neuroimaging, and CSF neurotoxic factors, and what potential mechanisms underlie these associations. We found that higher CSF SOD1 correlated with better global cognition scores, yet less gray matter (GM) and glucose metabolism in AD-sensitive parietal and frontal regions. Higher CSF SOD1 was also associated with more CSF total tau and phosphorylated tau-181, but not beta-amyloid 1-42. Through mediation analyses, higher total tau largely mitigated higher CSF SOD1 and better global cognition associations, and it fully accounted for less predicted regional GM but not glucose metabolism. Among participants who developed AD over 2 years or had AD at baseline, higher CSF SOD1 was initially related to more regional GM. This association became nonsignificant with full mediation via higher CSF total tau, through which higher CSF SOD1 predicted more total tau and in turn less GM. Our observations lead to the hypothesis that SOD1 antioxidation reflects tau but not amyloid accumulation, which may lead to pro-oxidant-based neurodegeneration and cognitive dysfunction. Antioxid. Redox Signal. 31, 572-578.
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Affiliation(s)
- Kelsey E McLimans
- 1Department of Food Science and Human Nutrition, Iowa State University, Ames, Iowa
| | - Bridget E Clark
- 1Department of Food Science and Human Nutrition, Iowa State University, Ames, Iowa
| | - Alexandra Plagman
- 1Department of Food Science and Human Nutrition, Iowa State University, Ames, Iowa
| | - Colleen Pappas
- 1Department of Food Science and Human Nutrition, Iowa State University, Ames, Iowa
| | - Brandon Klinedinst
- 1Department of Food Science and Human Nutrition, Iowa State University, Ames, Iowa.,4Department of Psychology, Iowa State University, Ames, Iowa
| | | | | | - Auriel A Willette
- 1Department of Food Science and Human Nutrition, Iowa State University, Ames, Iowa.,2Neuroscience Graduate Program, Iowa State University, Ames, Iowa.,3Department of Biomedical Sciences, Iowa State University, Ames, Iowa.,4Department of Psychology, Iowa State University, Ames, Iowa.,5Department of Neurology, University of Iowa, Iowa City, Iowa
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7
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Plagman A, Hoscheidt S, McLimans KE, Klinedinst B, Pappas C, Anantharam V, Kanthasamy A, Willette AA. Cholecystokinin and Alzheimer's disease: a biomarker of metabolic function, neural integrity, and cognitive performance. Neurobiol Aging 2019; 76:201-207. [PMID: 30739077 DOI: 10.1016/j.neurobiolaging.2019.01.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Revised: 12/11/2018] [Accepted: 01/02/2019] [Indexed: 10/27/2022]
Abstract
Cholecystokinin (CCK) is a satiety hormone that is highly expressed in brain regions like the hippocampus. CCK is integral for maintaining or enhancing memory and thus may be a useful marker of cognitive and neural integrity in participants with normal cognition, mild cognitive impairment, and Alzheimer's disease (AD). Cerebrospinal fluid (CSF) CCK levels were examined in 287 subjects from the Alzheimer's Disease Neuroimaging Initiative. Linear or voxelwise regression was used to examine associations between CCK, regional gray matter, CSF AD biomarkers, and cognitive outcomes. Briefly, higher CCK was related to a decreased likelihood of having mild cognitive impairment or AD, better global and memory scores, and more gray matter volume primarily spanning posterior cingulate cortex, parahippocampal gyrus, and medial prefrontal cortex. CSF CCK was also strongly related to higher CSF total tau (R2 = 0.342) and p-tau-181 (R2 = 0.256) but not Aβ1-42. Tau levels partially mediated CCK and cognition associations. In conclusion, CCK levels may reflect compensatory protection as AD pathology progresses.
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Affiliation(s)
- Alexandra Plagman
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
| | - Siobhan Hoscheidt
- Department of Internal Medicine-Gerontology and Geriatic Medicine, Wake Forest School of Medicine, Salem, NC, USA
| | - Kelsey E McLimans
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
| | | | - Colleen Pappas
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA
| | | | | | - Auriel A Willette
- Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, USA; Neuroscience Graduate Program, Iowa State University, Ames, IA, USA; Department of Biomedical Sciences, Iowa State University, Ames, IA, USA; Department of Psychology, Iowa State University, Ames, IA, USA; Department of Neurology, University of Iowa, Iowa City, IA, USA.
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