Publications by authors named "Breteler M"

Background: Emerging findings indicate that the hypothalamus, the body's principal homeostatic centre, plays a crucial role in modulating cognition, but comprehensive population-based studies are lacking.

Methods: We used cross-sectional data from the Rhineland Study (N = 5812, 55.2 ± 13.

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Reports linking proton pump inhibitors (PPIs) with cognition and dementia show conflicting results, with limited evidence on underlying biological mechanisms. However, existing studies did not investigate brain microstructure, which could provide valuable insights into early structural changes indicative of cognitive decline. Analyses were based on cross-sectional baseline data from the Rhineland Study (n = 7,465; mean age 55.

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Neuroimaging has an essential role in studies of brain health and of cerebrovascular and neurodegenerative diseases, requiring the availability of versatile magnetic resonance imaging (MRI) acquisition and processing protocols. We designed and developed a multipurpose high-resolution MRI protocol for large-scale and long-term population neuroimaging studies that includes structural, diffusion-weighted and functional MRI modalities. This modular protocol takes almost 1 h of scan time and is, apart from a concluding abdominal scan, entirely dedicated to the brain.

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The hypothalamus plays a crucial role in the regulation of a broad range of physiological, behavioral, and cognitive functions. However, despite its importance, only a few small-scale neuroimaging studies have investigated its substructures, likely due to the lack of fully automated segmentation tools to address scalability and reproducibility issues of manual segmentation. While the only previous attempt to automatically sub-segment the hypothalamus with a neural network showed promise for 1.

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  • This study investigates the link between an epigenetic risk score (ERS) related to alcohol consumption and blood pressure traits, finding significant associations between higher ERS and increased blood pressure levels among participants.
  • In the analysis of 3,898 individuals from the Framingham Heart Study, each unit increase in the ERS correlated with a rise in systolic blood pressure (SBP) by almost 2 mm Hg and diastolic blood pressure (DBP) by about 0.68 mm Hg.
  • The research suggests that the ERS could serve as a useful tool for assessing cardiovascular risks linked to alcohol consumption, especially in cases where self-reported data may be unreliable.
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  • Neurofilament light chain (NfL) levels serve as a key biomarker for neuro-axonal damage in neurodegenerative disorders, and understanding the genetics behind these levels can reveal important molecular mechanisms.
  • A meta-analysis of genome-wide association studies identified significant genetic loci associated with blood NfL levels in both European and African American populations, highlighting two key regions.
  • The study also indicated that a higher polygenic risk score for NfL correlates with increased levels of other neurodegenerative biomarkers and suggests lower kidney function may lead to elevated NfL levels in the blood.
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Introduction: Blood-derived microRNAs (miRNAs) are potential candidates for detecting and preventing subclinical cognitive dysfunction. However, replication of previous findings and identification of novel miRNAs associated with cognitive domains, including their relation to brain structure and the pathways they regulate, are still lacking.

Methods: We examined blood-derived miRNAs and miRNA co-expression clusters in relation to cognitive domains, structural magnetic resonance imaging measures, target gene expression, and genetic variants in 2869 participants of a population-based cohort.

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Purpose: Specific genetic factors might serve as markers for risk stratification of AMD progression, but their association with key features of AMD has not been fully elucidated. Thus, we investigated the association between overall and pathway-specific genetic risk scores (GRS) and lead loci () with AMD stages and features of high-risk nonlate AMD, including reticular pseudodrusen (RPD) and large drusen area (LDA).

Methods: We performed a cross-sectional analysis of data from the Rhineland Study, a population-based study in Bonn, Germany.

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  • Olfactory dysfunction is an early indicator of neurodegenerative diseases and is linked to higher mortality in older adults, but its genetic causes are not well understood.
  • A genome-wide association study (GWMA) involving over 22,000 participants of European ancestry and additional individuals of African ancestry identified a significant genetic locus associated with olfactory dysfunction.
  • The study found that variations in genes related to olfactory receptors also correlate with various health conditions, including kidney function and cardiovascular disease, suggesting that smell loss may have broader health implications.
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Background: As key regulators of gene expression, microRNAs affect many cardiovascular mechanisms and have been associated with several cardiovascular diseases. In this study, we aimed to investigate the relation of whole blood microRNAs with several quantitative measurements of vascular function, and explore their biological role through an integrative microRNA-gene expression analysis.

Methods: Peripheral whole blood microRNA expression was assessed through RNA-Seq in 2606 participants (45.

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Purpose: To explore the high signal-to-noise ratio (SNR) efficiency of interleaved multishot 3D-EPI with standard image reconstruction for fast and robust high-resolution whole-brain quantitative susceptibility (QSM) and mapping at 7 and 3T.

Methods: Single- and multi-TE segmented 3D-EPI is combined with conventional CAIPIRINHA undersampling for up to 72-fold effective gradient echo (GRE) imaging acceleration. Across multiple averages, scan parameters are varied (e.

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  • Cerebral small vessel disease (cSVD) is a significant contributor to stroke and dementia, predominantly indicated by white matter hyperintensities (WMH) seen in MRI scans of older adults.
  • Recent research has linked genetic risk factors for WMH to the microstructure of white matter in young adults, which suggests that early changes in the brain's structure may be relevant to cSVD.
  • A study involving genome-wide association testing identified 21 genetic loci related to neurite density and orientation in young adults, showcasing potential early markers for understanding cSVD's progression and underlying mechanisms.
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  • Scientists studied how drinking alcohol affects our DNA and blood pressure.
  • They found that for each drink a person consumes daily, blood pressure increases a bit and they are more likely to develop high blood pressure.
  • However, over time, drinking habits didn't seem to change blood pressure levels, showing that tracking alcohol effects can help understand health.
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  • Scientists studied how drinking alcohol affects our health by looking at changes in our DNA caused by alcohol, called DNA methylation.
  • They created a special score to measure the effects of alcohol on people's health using data from nearly 4,000 people.
  • They found that higher alcohol consumption was linked to increased blood pressure, but it didn't change over time or cause long-term issues with high blood pressure.
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Background: Virtual hospital-at-home care might be an alternative to standard hospital care for patients with infectious diseases. In this study, we explore the potential for virtual hospital-at-home care and a potential design for this population.

Methods: This was a retrospective cohort study of internal medicine patients suspected of infectious diseases, admitted between 1 January and 31 December 2019.

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Background: Vital signs measurements on the ward are performed intermittently. This could lead to failure to rapidly detect patients with deteriorating vital signs and worsens long-term outcome. The aim of this study was to test the hypothesis that continuous wireless monitoring of vital signs on the postsurgical ward improves patient outcome.

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Identifying circulating proteins associated with cognitive function may point to biomarkers and molecular process of cognitive impairment. Few studies have investigated the association between circulating proteins and cognitive function. We identify 246 protein measures quantified by the SomaScan assay as associated with cognitive function (p < 4.

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Shorter leukocyte telomere length (LTL) is associated with cardiovascular dysfunction. Whether this association differs between measured and genetically predicted LTL is still unclear. Moreover, the molecular processes underlying the association remain largely unknown.

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Background: Levothyroxine is a very commonly prescribed drug, and treatment with it is often insufficient or excessive. Nonetheless, there have been only a few reports on the determinants of inadequate levothyroxine treatment.

Methods: Data from 2938 participants in the population-based Rhineland Study were analyzed.

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Lipid signaling is involved in longevity regulation, but which specific lipid molecular species affect human biological aging remains largely unknown. We investigated the relation between complex lipids and DNA methylation-based metrics of biological aging among 4181 participants (mean age 55.1 years (range 30.

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Background: Continuous monitoring of vital signs is introduced at general hospital wards to detect patient deterioration. Interpretation and response currently rely on experience and expert opinion. This study aims to determine whether consensus exist among hospital professionals regarding the interpretation of vital signs of COVID-19 patients.

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Head motion during MR acquisition reduces image quality and has been shown to bias neuromorphometric analysis. The quantification of head motion, therefore, has both neuroscientific as well as clinical applications, for example, to control for motion in statistical analyses of brain morphology, or as a variable of interest in neurological studies. The accuracy of markerless optical head tracking, however, is largely unexplored.

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Epigenetic ageing, i.e., age-associated changes in DNA methylation patterns, is a sensitive marker of biological ageing, a major determinant of morbidity and functional decline.

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Visual impairment and retinal neurodegeneration are intrinsically connected and both have been associated with cognitive impairment and brain atrophy, but the underlying mechanisms remain unclear. To investigate whether transneuronal degeneration is implicated, we systematically assessed the relation between visual function and retinal, visual pathway, hippocampal and brain degeneration. We analyzed baseline data from 3316 eligible Rhineland Study participants with visual acuity (VA), optical coherence tomography (OCT), and magnetic resonance imaging (MRI) data available.

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