Publications by authors named "Dahyun Yi"

Background: Verbal episodic memory tests in the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) neuropsychological battery require literacy. While modified administrations are provided for illiterate individuals, there are no norms for evaluating the performance of illiterate subjects.

Objective: Assessing the performance of illiterate individuals has limitations, since existing norms were developed on data from literate populations.

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Introduction: We investigated the moderating effects of midlife and late-life cognitive activity (CA) on the relationship between tau pathology and both cognition and cognitive decline.

Methods: Eighty-nine non-demented older adults from a Korean cohort underwent comprehensive evaluations, including CA assessments and tau neuroimaging at baseline, and Mini-Mental State Examination (MMSE) at baseline and the 2-year follow-up.

Results: Greater midlife CA was associated with higher MMSE scores in a given amount of tau pathology, whereas higher levels of midlife CA were associated with faster tau-related decline in MMSE scores, particularly in individuals with mild cognitive impairment.

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BackgroundLittle information is yet available for the association between daily water intake, a modifiable lifestyle factor, and Alzheimer's disease (AD) pathology and cerebrovascular injury in the living human brain.ObjectiveOur aim was to explore the correlation between daily fluid intake and in vivo AD pathologies (i.e.

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Objective: We investigated whether the use of antihypertensive medication (AHM) is associated with in vivo Alzheimer's Disease (AD) pathologies in older adults with hypertension and examined if the effect differs by drug-class and blood-brain barrier (BBB) permeability of the drug.

Methods: This cross-sectional study recruited participants from the Korean Brain Aging Study for the Early Diagnosis and Prevention of Alzheimer's Disease. Participants comprised both cognitively normal and impaired older adults diagnosed with hypertension (n = 408).

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Selenium (Se), a vital trace element, plays a neuroprotective role by mitigating oxidative stress through selenoproteins and regulating metal balance. The apolipoprotein E ε4 allele (APOE4), a significant genetic risk factor for Alzheimer's disease (AD), has been linked to reduced Se levels and weakened antioxidant capacity. This research explores the association between serum Se concentrations and cognitive performance, with an emphasis on how APOE4 status influences this relationship.

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Introduction: The molecular mechanisms underlying early-onset Alzheimer's disease (EOAD) and late-onset Alzheimer's disease (LOAD) remain incompletely understood, particularly in Asian populations.

Methods: RNA-sequencing was carried out on blood samples from 248 participants in the Seoul National University Bundang Hospital cohort to perform differential gene expression (DGE) and weighted gene co-expression network analysis. Findings were replicated in an independent Korean cohort (N = 275).

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Importance: Depressive symptoms are associated with cognitive decline in older individuals. Uncertainty about underlying mechanisms hampers diagnostic and therapeutic efforts. This large-scale study aimed to elucidate the association between depressive symptoms and amyloid pathology.

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Importance: The neuropathological links underlying the association between changes in liver function and AD have not yet been clearly elucidated.

Objective: We aimed to examine the relationship between liver function markers and longitudinal changes in Alzheimer's disease (AD) core pathologies.

Design: Data from the Korean Brain Aging Study for the Early Diagnosis and Prediction of Alzheimer's Disease, a longitudinal cohort study initiated in 2014, were utilized.

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Background: Whether telomere length (TL), an indicator of biological ageing, reflects Alzheimer's disease (AD)-related neuropathological change remains unclear. We investigated the relationships between TL, in vivo AD pathologies, including cerebral beta-amyloid and tau deposition, and cognitive outcomes in older adults.

Methods: A total of 458 older adults were included, encompassing both cognitively normal (CN) individuals and those cognitively impaired (CI), with the CI group consisting of individuals with mild cognitive impairment or AD dementia.

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Article Synopsis
  • The study explored the correlation between tau accumulation in the locus coeruleus (LC) and its relationship with tau levels in various cortical regions based on Braak stages, particularly focusing on the influence of amyloid beta (Aβ) deposition.
  • A total of 170 participants underwent advanced imaging techniques, including tau and amyloid PET scans, revealing a significant relationship between LC tau burden and global tau accumulation, especially in individuals with Aβ positivity.
  • While LC tau did not directly affect memory, it was linked to delayed memory through various pathways, highlighting LC tau as a potential indicator for cognitive decline in Alzheimer's disease.
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  • Advances in the development of amyloid β-specific human Tregs (Aβ-hTreg) show promise for treating Alzheimer's disease (AD), despite challenges with Treg selection and expansion.
  • A successful ex vivo expansion method was established, leading to a phase 1 clinical trial with six Alzheimer's patients that evaluated the safety and initial efficacy of Aβ-hTreg.
  • Results indicated improved cognitive function and safety of the treatment in mice, while no significant toxicity was observed in patients, suggesting a potential pathway for future AD clinical trials.
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Introduction: The influence of genetic variation on tau protein aggregation, a key factor in Alzheimer's disease (AD), remains not fully understood. We aimed to identify novel genes associated with brain tau deposition using pathway-based candidate gene association analysis in a Korean cohort.

Methods: We analyzed data for 146 older adults from the well-established Korean AD continuum cohort (Korean Brain Aging Study for the Early Diagnosis and Prediction of Alzheimer's Disease; KBASE).

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Article Synopsis
  • The study addresses the lack of ethnic diversity in Alzheimer's research, focusing on Asian populations, particularly Koreans, to enhance understanding of the disease.
  • RNA sequencing was conducted on blood samples to analyze gene expression and its relation to amyloid beta (Aβ) deposition, leading to the identification of 265 dysregulated genes associated with Aβ.
  • Findings suggest that certain genes linked to Aβ deposition are enriched in natural killer cell-mediated immunity, highlighting potential new avenues for diagnostics and therapies in Alzheimer's disease.
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  • Limited research has examined how cardiovascular risk and amyloid levels influence cognitive decline in East Asians, specifically in a study involving 526 participants from the Korean Brain Aging Study.
  • Results showed that cognitively normal individuals without amyloid (Aβ-) but with high cardiovascular risk scores had significantly lower cognitive performance than their low-risk counterparts.
  • Ultimately, while managing vascular risk is important for early cognitive preservation in Aβ- individuals, amyloid pathology was found to be the main factor driving cognitive decline in both cognitively normal and mild cognitive impairment groups, regardless of vascular risk status.
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Objective: Previous studies have reported that vitamin D deficiency increased the risk of Alzheimer's disease (AD) dementia in older adults. However, little is known about how vitamin D is involved in the pathophysiology of AD. Thus, this study aimed to examine the association and interaction of serum vitamin D levels with AD pathologies including cerebral beta-amyloid (Aβ) deposition and neurodegeneration in nondemented older adults.

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Objective: We intended to investigate the relationships between visual sensory impairment (VSI) or auditory sensory impairment (ASI) and brain pathological changes associated with cognitive decline in older adults.

Methods: We primarily tried to examine whether each sensory impairment is related to Alzheimer's disease (AD) pathology, specifically beta-amyloid (Aβ) deposition, through both cross-sectional and longitudinal approaches in cognitively unimpaired older adults. Self-report questionnaires on vision and hearing status were administered at the baseline.

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Article Synopsis
  • - The aging process of the brain is affected by lifestyle, environmental, genetic factors, and age-related diseases, with advanced imaging and AI techniques helping to reveal the complexities of neuroanatomical changes.
  • - A study involving nearly 50,000 participants identified five major patterns of brain atrophy, which are quantified using R-indices to analyze their connections to various biomedical, lifestyle, and genetic factors.
  • - These R-indices not only predict disease progression and mortality but also offer a new, nuanced framework for understanding brain aging, which may enhance personalized diagnostics and improve clinical trial strategies.
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Background: This study investigated the correlation between protein intake and Alzheimer's disease (AD)-related cognitive decline, particularly in episodic memory, among older adults without dementia. Furthermore, we assessed the moderating effect of apolipoprotein ε4 (APOE4) on this association and analyzed its influence on other cognitive functions beyond memory.

Methods: The study involved 196 participants who underwent assessments for protein intake, cognitive performance, APOE4 genotyping, and nutritional biomarkers.

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Background: Clinical trial findings on cholinesterase inhibitors (ChEIs) for mild cognitive impairment (MCI) are inconclusive, offering limited support for their MCI treatment. Given that nearly half of amnestic MCI cases lack cerebral amyloid-β (Aβ) deposition, a hallmark of Alzheimer's disease; this Aβ heterogeneity may explain inconsistent results.

Objective: This study aimed to assess whether Aβ deposition moderates ChEI effects on amnestic MCI cognition.

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Background: Altered thyroid hormone levels have been associated with increased risk of Alzheimer's disease (AD) dementia and related cognitive decline. However, the neuropathological substrates underlying the link between thyroid hormones and AD dementia are not yet fully understood. We first investigated the association between serum thyroid hormone levels and in vivo AD pathologies including both beta-amyloid (Aβ) and tau deposition measured by positron emission tomography (PET).

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Background: This study focuses on how elements of depression correlate with mild cognitive impairment (MCI) in older adults and the diagnostic efficacy of combining these components with the Mini-Mental State Examination (MMSE). The study also investigated the connection between individual depression components and overall cognitive function, as measured by the total score (TS) of the consortium to establish a registry for Alzheimer's disease (AD) assessment battery.

Methods: The study included 196 nondemented adults aged 65 to 90 years at a university hospital and community.

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Article Synopsis
  • Low plasma leptin levels are linked to a higher risk of Alzheimer disease and cognitive decline, but the exact mechanisms remain unclear.
  • A longitudinal study analyzed data from 208 cognitively unimpaired older adults to explore the relationship between plasma leptin and brain pathologies related to Alzheimer's, focusing on amyloid-beta and tau deposition.
  • Results showed that lower leptin levels were significantly associated with greater brain amyloid-beta deposition, while no significant link was found between leptin levels and tau deposition in the study cohort.
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Background: Growing evidence suggests that not only cerebrovascular disease but also Alzheimer's disease (AD) pathological process itself cause cerebral white matter degeneration, resulting in white matter hyperintensities (WMHs). Some preclinical evidence also indicates that white matter degeneration may precede or affect the development of AD pathology. This study aimed to clarify the direction of influence between in vivo AD pathologies, particularly beta-amyloid (Aβ) and tau deposition, and WMHs through longitudinal approach.

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Brain aging is a complex process influenced by various lifestyle, environmental, and genetic factors, as well as by age-related and often co-existing pathologies. MRI and, more recently, AI methods have been instrumental in understanding the neuroanatomical changes that occur during aging in large and diverse populations. However, the multiplicity and mutual overlap of both pathologic processes and affected brain regions make it difficult to precisely characterize the underlying neurodegenerative profile of an individual from an MRI scan.

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Article Synopsis
  • The study investigates white matter microstructural changes in the hippocampal cingulum bundle among Korean older adults with varying cognitive conditions, including Alzheimer's disease (AD), mild cognitive impairment (MCI), and those who are cognitively normal (CN).
  • Results revealed that both AD and MCI participants exhibited greater measures of radial diffusivity (RD), mean diffusivity (MD), and axial diffusivity (AxD), along with reduced fractional anisotropy (FA) compared to CN individuals.
  • The findings indicate a correlation between poorer white matter integrity in the cingulum bundle and worse cognitive performance and higher amyloid burden, aligning with previous research focused on predominantly European populations.
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Synopsis of recent research by authors named "Dahyun Yi"

  • Dahyun Yi's recent research primarily investigates the relationship between various biomarkers and pathological changes associated with Alzheimer's disease (AD), focusing on factors such as vitamin D levels, sensory impairments, and thyroid hormone levels in older adults.
  • The studies employ advanced methodologies including cross-sectional and longitudinal analyses, magnetic resonance imaging, and artificial intelligence to discern complex interconnections between cognitive decline, lifestyle choices, and neurological changes.
  • Findings from this research underscore the significance of several factors, such as serum vitamin D, sensory impairments, and plasma leptin, in influencing neurodegeneration and cognitive function, providing valuable insights for early diagnosis and potential interventions in the aging population.

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