TY - JOUR ID - discovery10131324 KW - Alzheimer's disease KW - Dementia KW - Haplotypes KW - Molecular imaging IS - 1 A1 - Neitzel, J A1 - Franzmeier, N A1 - Rubinski, A A1 - Dichgans, M A1 - Brendel, M A1 - Alzheimer?s Disease Neuroimaging Initiative (ADNI), . A1 - Malik, R A1 - Ewers, M VL - 12 UR - https://doi.org/10.1038/s41467-021-23755-z AV - public JF - Nature Communications N2 - Klotho-VS heterozygosity (KL-VShet) is associated with reduced risk of Alzheimer's disease (AD). However, whether KL-VShet is associated with lower levels of pathologic tau, i.e., the key AD pathology driving neurodegeneration and cognitive decline, is unknown. Here, we assessed the interaction between KL-VShet and levels of beta-amyloid, a key driver of tau pathology, on the levels of PET-assessed neurofibrillary tau in 551 controls and patients across the AD continuum. KL-VShet showed lower cross-sectional and longitudinal increase in tau-PET per unit increase in amyloid-PET when compared to that of non-carriers. This association of KL-VShet on tau-PET was stronger in Klotho mRNA-expressing brain regions mapped onto a gene expression atlas. KL-VShet was related to better memory functions in amyloid-positive participants and this association was mediated by lower tau-PET. Amyloid-PET levels did not differ between KL-VShet carriers versus non-carriers. Together, our findings provide evidence to suggest a protective role of KL-VShet against amyloid-related tau pathology and tau-related memory impairments in elderly humans at risk of AD dementia. TI - KL-VS heterozygosity is associated with lower amyloid-dependent tau accumulation and memory impairment in Alzheimer's disease Y1 - 2021/// N1 - © 2021 Springer Nature Limited. This article is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/). ER -