Publications by authors named "Goran Papenberg"

Background: Normal brain aging is associated with dopamine decline, which has been linked to age-related cognitive decline. Factors underlying individual differences in dopamine integrity at older ages remain, however, unclear. Here we aimed at investigating: (i) whether inflammation is associated with levels and 5-year changes of in vivo dopamine D2-receptor (DRD2) availability, (ii) if DRD2-inflammation associations differ between men and women, and (iii) whether inflammation and cerebral small-vessel disease (white-matter lesions) serve as two independent predictors of DRD2 availability.

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  • Recent studies showed only weak connections between age, dopamine receptor availability, and cognitive decline, suggesting more research is needed.
  • Longitudinal data over five years found that older adults who experienced declines in D2/3 dopamine receptors had worse working memory performance over time.
  • Specifically, the decline in dopamine receptor availability was significant in key brain regions linked to working memory, supporting the idea that dopamine changes contribute to cognitive aging.
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  • A study was conducted to investigate the X-chromosome's role in Alzheimer's Disease (AD), which had been overlooked in previous genome-wide association studies.
  • The research included 115,841 AD cases and 613,671 controls, considering different X-chromosome inactivation (XCI) states in females.
  • While no strong genetic risk factors for AD were found on the X-chromosome, seven significant loci were identified, suggesting areas for future research.
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Iron is necessary for many neurobiological mechanisms, but its overaccumulation can be harmful. Factors triggering age-related brain iron accumulation remain largely unknown and longitudinal data are insufficient. We examined associations between brain iron load and accumulation and, blood markers of iron metabolism, cardiovascular health, lifestyle factors (smoking, alcohol use, physical activity, diet), and ApoE status using longitudinal data from the IronAge study (n = 208, age = 20-79, mean follow-up time = 2.

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Objective: Diabetes is a well-known risk factor for dementia. We investigated the association between (pre)diabetes and older brain age and whether this can be attenuated by modifiable lifestyle behaviors.

Research Design And Methods: The study included 31,229 dementia-free adults from the UK Biobank between the ages of 40 and 70 years.

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  • Cognitive reserve (CR) influences the risk of depression and its progression to dementia or death, with a study examining over 436,000 participants to explore these relationships.
  • Those with high CR showed a significantly lower risk of developing depression, subsequent dementia, and mortality compared to those with low CR.
  • The results suggest that increasing CR can extend the time individuals remain depression-free, emphasizing its importance in mental health prevention strategies.
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  • Losses in dopamine functioning may negatively impact cognitive decline with age, particularly affecting episodic memory formation in the hippocampus.
  • Research indicates that older individuals with certain advantageous genetic variations (BDNF and KIBRA polymorphisms) show better episodic memory performance linked to higher dopamine D2 receptor availability.
  • In a longitudinal study, those with fewer beneficial genotypes experienced more memory decline over five years, while individuals with beneficial genotypes maintained memory but showed potential decline when dopamine receptor availability decreased.
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Dopamine decline is suggested to underlie aging-related cognitive decline, but longitudinal examinations of this link are currently missing. We analyzed 5-year longitudinal data for a sample of healthy, older adults (baseline: n = 181, age: 64-68 years; 5-year follow-up: n = 129) who underwent positron emission tomography with C-raclopride to assess dopamine D2-like receptor (DRD2) availability, magnetic resonance imaging to evaluate structural brain measures, and cognitive tests. Health, lifestyle, and genetic data were also collected.

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Age-related alterations in D1-like dopamine receptor (D1DR) have distinct implications for human cognition and behavior during development and aging, but the timing of these periods remains undefined. Enabled by a large sample of in vivo assessments (n = 180, age 20 to 80 years of age, 50% female), we discover that age-related D1DR differences pivot at approximately 40 years of age in several brain regions. Focusing on the most age-sensitive dopamine-rich region, we observe opposing pre- and post-forties interrelations among caudate D1DR, cortico-striatal functional connectivity, and memory.

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  • Scientists studied over 176,000 people to see how certain genes might protect against Parkinson's disease (PD) and Alzheimer's disease (AD).
  • They found that specific types of a gene called HLA could help reduce the risk of these diseases and lower harmful proteins in the brain.
  • This suggests that our immune system might help protect us from PD and AD, which could lead to new treatments in the future.
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Brain iron overload and decreased integrity of the dopaminergic system have been independently reported as brain substrates of cognitive decline in aging. Dopamine (DA), and iron are co-localized in high concentrations in the striatum and prefrontal cortex (PFC), but follow opposing age-related trajectories across the lifespan. DA contributes to cellular iron homeostasis and the activation of D1-like DA receptors (D1DR) alleviates oxidative stress-induced inflammatory responses, suggesting a mutual interaction between these two fundamental components.

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  • An estimated 40% of dementia cases might be preventable by altering 12 specific risk factors throughout a person's life, although there's insufficient evidence for many of them.
  • The study aims to identify causal relationships between modifiable risk factors for Alzheimer’s disease (AD) to encourage new treatment options and better prevention strategies.
  • Researchers analyzed data from over 39,000 AD patients and 401,000 controls, finding that higher genetically determined levels of HDL cholesterol and systolic blood pressure were linked to an increased risk of developing AD.
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Cognitive functions are well-preserved for some older individuals, but the underlying brain mechanisms remain disputed. Here, 5-year longitudinal 3-back in-scanner and offline data classified individuals in a healthy older sample (baseline age = 64-68 years) into having stable or declining working-memory (WM). Consistent with a vital role of the prefrontal cortex (PFC), WM stability or decline was related to maintained or reduced longitudinal PFC functional responses.

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Background And Objective: The life's simple 7 approach was proposed to define cardiovascular health (CVH) metrics. We sought to investigate the associations between behavioral, biological, and genetic markers for CVH and vascular brain aging in older adults.

Methods: This population-based cohort study included participants who had repeated brain MRI measures from 2001 to 2003 to 2007-2010 (i.

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Background And Objectives: Cross-sectional studies suggest marked dopamine (DA) decline in aging, but longitudinal evidence is lacking. The aim of this study was to estimate within-person decline rates for DA D2-like receptors (DRD2) in aging and examine factors that may contribute to individual differences in DRD2 decline rates.

Methods: We investigated 5-year within-person changes in DRD2 availability in a sample of older adults.

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  • The APOE ε2 and ε4 alleles are well-known genetic variants linked to Alzheimer’s Disease (AD), but the specific roles of apoE protein and rare genetic variants in AD risk are not fully understood.
  • The study aims to find connections between rare missense variants in the APOE gene and the risk of developing AD.
  • It involved analyzing a large sample of participants across multiple cohorts, including a significant number with and without AD, to assess the relationship between these variants and AD risk through established statistical methods.
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Ageing is associated with excessive free brain iron, which may induce oxidative stress and neuroinflammation, likely causing cognitive deficits. Lack of dopamine may be a factor behind the increase of iron with advancing age, as it has an important role in cellular iron homoeostasis. We investigated the effect of Val 158 Met (rs4680), a polymorphism crucial for dopamine degradation and proxy for endogenous dopamine, on iron accumulation and working memory in a longitudinal lifespan sample ( = 208, age 20-79 at baseline, mean follow-up time = 2.

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Characterization of the genetic landscape of Alzheimer's disease (AD) and related dementias (ADD) provides a unique opportunity for a better understanding of the associated pathophysiological processes. We performed a two-stage genome-wide association study totaling 111,326 clinically diagnosed/'proxy' AD cases and 677,663 controls. We found 75 risk loci, of which 42 were new at the time of analysis.

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Concomitant exploration of structural, functional, and neurochemical brain mechanisms underlying age-related cognitive decline is crucial in promoting healthy aging. Here, we present the DopamiNe, Age, connectoMe, and Cognition (DyNAMiC) project, a multimodal, prospective 5-year longitudinal study spanning the adult human lifespan. DyNAMiC examines age-related changes in the brain's structural and functional connectome in relation to changes in dopamine D1 receptor availability (D1DR), and their associations to cognitive decline.

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  • The study investigates how variations in dopamine (DA) genes relate to working memory (WM) performance in older adults, suggesting that dopamine integrity might explain individual differences.
  • Researchers analyzed single-nucleotide polymorphisms in dopamine-related genes among 1,313 participants aged 61-80, finding that a specific variation (rs40184) in the DA transporter gene linked to better WM performance.
  • The results were confirmed in a separate study, demonstrating that T-carriers of the rs40184 variant not only had better WM but also exhibited higher DA availability, indicating a role of dopamine function in cognitive aging.
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Within-person, moment-to-moment, variability in behavior increases with advancing adult age, potentially reflecting the influence of reduced structural and neurochemical brain integrity, especially that of the dopaminergic system. We examined the role of dopamine D2 receptor (D2DR) availability, grey-, and white-matter integrity, for between-person differences in cognitive variability in a large sample of healthy older adults (n = 181; 64-68 years) from the Cognition, Brain, and Aging (COBRA) study. Intra-individual variability (IIV) in cognition was measured as across-trial variability in participants' response times for tasks assessing perceptual speed and working memory, as well as for a control task of motor speed.

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Background: Brain iron overload is linked to brain deterioration, and cognitive and motor impairment in neurodegenerative disorders and normal aging. Mutations in the HFE gene are associated with iron dyshomeostasis and are risk factors for peripheral iron overload. However, links to brain iron load and cognition are less consistent and data are scarce.

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  • Normal brain aging involves various changes in brain structures and functions, with notable differences based on sex, particularly in dopamine D2-receptor availability and episodic memory performance.
  • In this study with 181 healthy older adults, women showed greater availability of dopamine D2 receptors and performed better in memory tasks, whereas lower receptor levels in men correlated with worse memory and higher white-matter lesions.
  • The findings highlight that sex differences impact relationships between dopamine receptor availability and cognitive functions, suggesting the need for further longitudinal research to understand these associations over time.
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Genetic discoveries of Alzheimer's disease are the drivers of our understanding, and together with polygenetic risk stratification can contribute towards planning of feasible and efficient preventive and curative clinical trials. We first perform a large genetic association study by merging all available case-control datasets and by-proxy study results (discovery n = 409,435 and validation size n = 58,190). Here, we add six variants associated with Alzheimer's disease risk (near APP, CHRNE, PRKD3/NDUFAF7, PLCG2 and two exonic variants in the SHARPIN gene).

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