Publications by authors named "Hatzimanolis A"

Background: There is a paucity of evidence on the association between genetic propensity for hippocampal atrophy with cognitive outcomes. Therefore, we examined the relationship of the polygenic risk score for hippocampal atrophy (PRShp) with the incidence of amnestic mild cognitive impairment (aMCI) and Alzheimer's disease (AD) as well as the rates of cognitive decline.

Methods: Participants were drawn from the population-based HELIAD cohort.

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Importance: Aging is accompanied by immune dysregulation, which has been implicated in Alzheimer's disease (AD) pathogenesis. Individuals who are genetically predisposed to elevated levels of proinflammatory mediators might be at increased risk for AD.

Objective: To investigate whether genetic propensity for higher circulating levels of interleukin 6 (IL-6) is associated with AD risk.

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Article Synopsis
  • Mild Behavioral Impairment (MBI) in older adults without dementia is associated with a higher risk of cognitive decline but lacks comprehensive understanding of its underlying causes.
  • Research indicates MBI is linked to structural and functional changes in the brain, genetic risk factors for Alzheimer's disease, and various types of brain pathology involving amyloid and tau proteins.
  • Potential mechanisms connecting MBI to these pathologies include disruptions in hormones, neurotrophic factors, neuroinflammation, and neurotransmitter balance, which could inform targeted treatment approaches and future research.
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The tryptophan-metabolizing kynurenine pathway (KP) can be activated by enhanced inflammatory responses and has been implicated in the pathophysiology of schizophrenia. However, there is little evidence for KP dysregulation in the early course of psychotic illness. We aimed to investigate the potential immune-mediated hyperactivity of KP in individuals with first-episode psychosis (FEP) and the relationship with symptom severity and treatment response outcomes.

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The possible relationship between Subjective Cognitive Decline (SCD) and dementia needs further investigation. In the present study, we explored the association between specific biomarkers of Alzheimer's Disease (AD), amyloid-beta 42 (Aβ) and Tau with the odds of SCD using data from two ongoing studies. In total, 849 cognitively normal (CN) individuals were included in our analyses.

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Our study aimed to explore whether physical condition might affect the association between genetic predisposition for Alzheimer's Disease (AD) and AD incidence. The sample of participants consisted of 561 community-dwelling adults over 64 years old, without baseline dementia (508 cognitively normal and 53 with mild cognitive impairment), deriving from the HELIAD, an ongoing longitudinal study with follow-up evaluations every 3 years. Physical condition was assessed at baseline through walking time (WT), while a Polygenic Risk Score for late onset AD (PRS-AD) was used to estimate genetic predisposition.

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The clinical features and pathophysiology of neuropsychiatric symptoms (NPSs) in dementia have been extensively studied. However, the genetic architecture and underlying neurobiological mechanisms of NPSs at preclinical stages of cognitive decline and Alzheimer's disease (AD) remain largely unknown. Mild behavioral impairment (MBI) represents an at-risk state for incident cognitive impairment and is defined by the emergence of persistent NPSs among non-demented individuals in later life.

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Article Synopsis
  • - The study explored how genetic predisposition for white matter hyperintensities (WMHs) relates to developing amnestic mild cognitive impairment (aMCI) or Alzheimer's disease (AD) in 537 individuals without these conditions at the start.
  • - Results showed that a higher genetic risk score for WMHs increased the likelihood of developing aMCI/AD by 47.2%, especially in older adults, who had a 3.4-fold higher risk.
  • - The findings suggest that cognitive reserve (measured by education) affects this relationship, with lower cognitive reserve linked to a greater risk of aMCI/AD associated with genetic predisposition for WMHs.
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Neuropsychiatric symptoms (NPS), including depression, anxiety, apathy, visual hallucinations, and impulse control disorders, are very common during the course of Parkinson's disease (PD), occurring even at the prodromal and premotor stages. Mild behavioral impairment (MBI) represents a recently described neurobehavioral syndrome, characterized by the emergence of persistent and impactful NPS in later life, reflecting arisk of dementia. Accumulating evidence suggests that MBI is highly prevalent in non-demented patients with PD, also being associated with an advanced disease stage, more severe motor deficits, as well as global and multiple-domain cognitive impairment.

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  • Some people with schizophrenia and first-episode psychosis have low levels of vitamin D, but it's unclear if this is due to their illness or their lifestyle choices.
  • This study looked at how a genetic score related to vitamin D levels impacts the symptoms in people with first-episode psychosis.
  • The results showed that lower vitamin D may lead to less motivation and social interaction, suggesting that getting outside and being social could help improve symptoms for these individuals.
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Multiple recent studies have indicated that adverse psycho-traumatic experiences are particularly significant, if not the most significant, among the environmental factors that participate in the aetiology of schizophrenic spectrum disorders. The prevalence of bullying in the adolescent population has increased dramatically compared to earlier reports. This may be related to the recent development of communication technology and the use of social media, which have expanded the means by which bullying can be practiced.

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Introduction: Clinical insight constitutes a useful marker of the progress and outcome of the First Episode of Psychosis (FEP), and lack of insight has been associated with more severe psychopathology, treatment non-adherence, and rehospitalization/relapse. In this study, we aimed to further investigate the possible role of insight as a predictor of relapse, its relation to diagnosis, and other parameters of positive psychotic symptomatology (delusions, hallucinations, and suspiciousness).

Methods: The Athens FEP study employed a prospective, longitudinal cohort design in which consecutive newly diagnosed patients with psychosis were interviewed and asked to voluntarily participate after completing informed consent.

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Article Synopsis
  • - The study aimed to explore how genetic risk factors influence the link between following the Mediterranean diet and the incidence of Alzheimer's Disease (AD) among older adults participating in the HELIAD longitudinal study, which followed 537 individuals over three years.
  • - Researchers used a Polygenic Index for late-onset AD to categorize participants and found that both genetic risk and adherence to the Mediterranean diet were significant factors affecting AD risk, with 28 participants developing AD by the end of the study.
  • - Results indicated that older adults with a low genetic risk (low PGI-AD) who had poor adherence to the Mediterranean diet faced a much higher risk of developing AD compared to those with better adherence, highlighting the importance of considering genetic factors in dietary interventions
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  • Researchers developed a polygenic risk score (PRSAβ42) to assess the likelihood of Alzheimer’s disease (AD) and amnestic mild cognitive impairment (aMCI), while also exploring how cognitive reserve (CR), measured by years of education, affects this risk.
  • In a study involving 618 cognitively normal individuals over an average of nearly 3 years, they used COX models to analyze the relationship between PRSAβ42, CR, and the incidence of AD/aMCI.
  • Findings indicated that higher PRSAβ42 correlated with increased risk of AD/aMCI, while greater CR was associated with reduced risk, highlighting a significant interaction where high CR offered substantial protection against AD/aMCI particularly among
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  • Numerous studies highlight the significance of the IL-6 pathway in the development of frailty, yet the direct causal relationship remains unclear.
  • This research utilized genetic variants linked to decreased IL-6 signaling as proxies to study their impact on frailty in 11,171 participants from the HELIAD study.
  • Findings suggest that lower IL-6 signaling genetically corresponds to a reduced risk of frailty, indicating a potential causal role of IL-6 in the condition.
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Although research has generally shown a negative association between depression and adherence to the Mediterranean diet (MeDi), the literature related to older adults is controversial, perhaps partially due to the fact that cognitive status has not been considered. The aim of the current work was to investigate the association between MeDi and incident depression in a representative cohort of people, taking into account their cognitive status in multiple ways. The sample was drawn from the HELIAD study, a longitudinal study including a follow-up of 3 years after the baseline assessment.

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The polygenic nature of schizophrenia (SCZ) implicates many variants in disease development. Rare variants of high penetrance have been shown to contribute to the disease prevalence. Whole-exome sequencing of a large three-generation family with SCZ and bipolar disorder identified a single segregating novel, rare, non-synonymous variant in the gene CASKIN1.

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  • - The study investigated how vascular risk factors and genetic risk for Alzheimer's disease affect cognitive function in people aged 65 and older in Greece, aiming to find preventive strategies for dementia.
  • - Researchers created a vascular burden score (VBS) and a polygenic risk score (PRS) to assess the influence of these factors on cognitive performance and dementia odds, analyzing data from 1,172 older adults.
  • - Results indicated that both the VBS and PRS were linked to poorer cognitive performance and increased dementia risk, with no interaction between the two, suggesting they independently contribute to cognitive decline.
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Background/aim: Alcohol use disorder (AUD) is a chronic, multifactorial psychiatric condition with an enormous impact on public health and social cost. Genetic studies suggest a heritability, and genome-wide association studies (GWAS) have revealed genetic polymorphisms influencing AUD development. Our study aimed to investigate known variants located in ADH1B, DRD2, FAAH, SLC39A8, GCKR, and PDYN genes (rs1229984, rs7121986, rs324420, rs13107325, rs1260326, rs2281285 respectively) in an AUD Greek cohort in order to shed more light on the genetic predisposition to AUD.

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Background: It is unclear whether the main antihypertensive medication classes (diuretics, calcium channel blockers, beta-blockers, angiotensin converting enzyme inhibitors, and angiotensin receptor blockers (ARBs)) are associated with different risks of cognitive decline. Published evidence is conflicting and stems mainly from observational studies.

Objective: To investigate the differential effects of antihypertensives on the risks of developing dementia and cognitive decline, with a specific focus on the vascular component of the mechanisms underlying these interactions.

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Up-regulation of the complement component 4A (C4A) in the brain has been associated with excessive synaptic pruning and increased schizophrenia (SZ) susceptibility. Over-expression of C4A has been observed in SZ postmortem brain tissue, and the gene encoding for a protein inhibitor of C4A activity, CUB and Sushi multiple domains 1 (CSMD1) gene, has been implicated in SZ risk and cognitive ability. Herein, we examined C4A and CSMD1 mRNA expression in peripheral blood from antipsychotic-naive individuals with first-episode psychosis (FEP; n = 73) and mentally healthy volunteers (n = 48).

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Background: Frailty is a complex geriatric syndrome arising from a combination of genetic and environmental factors and is associated with adverse health outcomes and mortality. A recent study reported an association between variants of the 9p21-23 locus, associated with a number of age-related disorders, including Alzheimer's disease (AD), and frailty. Frailty has been associated with increased risk of developing AD and it has been proposed that frailty burden may modify AD clinical presentation.

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Sleep problems have been associated with cognition, both cross-sectionally and longitudinally. Specific genes have been also associated with both sleep regulation and cognition. In a large group of older non-demented adults, we aimed to (a) validate the association between Sleep Polygenic Risk Score (Sleep PRS) and self-reported sleep duration, and (b) examine the association between Sleep PRS and cognitive changes in a three-year follow-up.

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Article Synopsis
  • A study examined how the polygenic risk score (PRS) for Parkinson's disease (PD) relates to the early signs of the disease in older adults.
  • Researchers analyzed data from 1,120 community-dwelling individuals over 65 years old to see if higher PRS correlated with a greater likelihood of having prodromal PD—a stage before full PD symptoms appear.
  • Findings revealed that increased PRS was associated with a higher risk of prodromal PD and specifically linked to cognitive deficits, making this the first population-based research on this topic.
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It is suggested that Jumping To Conclusions (JTC) reasoning bias might contribute to the distortion of external reality. However, the association between psychotic manifestations and JTC is obscure, especially if general intelligence is considered as a mediator. The aim of this study is to investigate the relation between severity, early clinical improvement and remission of symptoms in First Episode Psychosis (FEP) with JTC as an explanatory factor.

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