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AD-associated CSF biomolecular changes are attenuated in KL-VS heterozygotes

Driscoll, Ira; Ma, Yue; Lose, Sarah R; Gallagher, Catherine L; Johnson, Sterling C; Asthana, Sanjay; Hermann, Bruce P; ... Okonkwo, Ozioma C; + view all (2022) AD-associated CSF biomolecular changes are attenuated in KL-VS heterozygotes. Alzheimers Dementia , 14 (1) , Article e12383. 10.1002/dad2.12383. Green open access

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Abstract

INTRODUCTION: Dementia as an inevitable aging consequence has been challenged and underscores the need for investigations of the factors that confer resilience. We examine whether the functionally advantageous KL-VS variant of the putative aging suppressor KLOTHO gene attenuates age-related cognitive decline and deleterious biomolecular changes. METHODS: Trajectories of change in memory and executive function (N = 360; 2-12 visits) and cerebrospinal fluid (CSF) Alzheimer's disease (AD) biomarkers-amyloid beta (Aβ)42, total tau (t-tau), phosphorylated tau (p-tau) (N = 112; 2-4 samplings)-were compared between KL-VS non-carriers and heterozygotes in middle-aged and older adults from the Wisconsin Registry for Alzheimer's Prevention and the Wisconsin Alzheimer's Disease Research Center studies. RESULTS: Memory and executive function declined (p's ≤ 0.001) and CSF t-tau, p-tau, t-tau/Aβ42, and p-tau/Aβ42 levels increased (all p's ≤ 0.004) with age. The rate of p-tau accumulation was attenuated for KL-VS heterozygotes (p = 0.03). DISCUSSION: KL-VS heterozygosity may confer resilience to AD-associated biomolecular changes.

Type: Article
Title: AD-associated CSF biomolecular changes are attenuated in KL-VS heterozygotes
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/dad2.12383
Publisher version: https://doi.org/10.1002/dad2.12383
Language: English
Additional information: © 2022 The Authors. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, LLC on behalf of Alzheimer's Association. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Keywords: Alzheimer's disease, CSF, biomarkers, executive function, memory, tau
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neurodegenerative Diseases
URI: https://discovery.ucl.ac.uk/id/eprint/10162411
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