Publications by authors named "Tzourio C"

Background: Clonal hematopoiesis of indeterminate potential (CHIP) was initially linked to a twofold increase in atherothrombotic events. However, recent investigations have revealed a more nuanced picture, suggesting that CHIP may confer only a modest rise in myocardial infarction (MI) risk. This observed lower risk might be influenced by yet unidentified factors that modulate the pathological effects of CHIP.

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Background: Hypertension is the most common chronic disease and a major modifiable risk factor for cardio-cerebrovascular and renal diseases. This study estimated the national burden of hypertension, defined as systolic blood pressure ≥140 mm Hg, on morbidity and mortality in 2021 in France.

Methods: For all diseases causally associated with hypertension (cardiovascular diseases, chronic kidney diseases, and dementia), the number and proportion of cases attributable to hypertension in adults aged ≥35 years were estimated using population attributable fractions.

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Background: Few studies have estimated the frequency of e-cigarette use by smoking status among French young adults, and how those who smoke tobacco start and continue to use e-cigarettes. Our aim was to describe e-cigarette use among students who smoked tobacco.

Methods: A multi-stage, mixed methods study was conducted at the University of Bordeaux between September 2018 and March 2020.

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  • - White matter hyperintensities indicate damage in the brain's white matter, which can lead to brain shrinkage and is linked to dementia; a study of over 51,000 people found that larger volumes of these hyperintensities correspond to thinner brain cortex.
  • - Researchers identified 20 significant genetic loci related to white matter hyperintensities that affect genes involved in brain cell types known to support vascular health and neuronal function; some of these genes play roles in processes like axonal structure and transport within the brain.
  • - The genetic traits tied to white matter issues were linked to cardiovascular health, neurodegeneration markers, and poorer cognitive performance, with a polygenic risk score effectively predicting dementia risk in a separate large
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Background: Adverse childhood experiences (ACEs) have been associated with volume alterations of stress-related brain structures among aging and clinical populations, however, existing studies have predominantly assessed only one type of ACE, with small sample sizes, and it is less clear if these associations exist among a general population of young adults.

Objective: The aims were to describe structural hippocampal volumetric differences by ACEs exposure and investigate the association between ACEs exposure and left and right hippocampal volume in a student sample of young adults.

Methods: 959 young adult students (18-24 years old) completed an online questionnaire on ACEs, mental health conditions, and sociodemographic characteristics.

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  • Cerebral small vessel disease (cSVD) is a major contributor to stroke and dementia, and currently lacks specific treatments, prompting a study using Mendelian randomization to identify protein associations.
  • The research combined cerebrospinal fluid (CSF) and plasma data with genetic studies to identify 49 proteins linked to cSVD, highlighting 16 that appeared in both fluids and showing connections to immune response and extracellular matrix pathways.
  • Notably, many identified proteins were associated with stroke and dementia, with some already having known drug targets, paving the way for potential new biomarkers and therapies for cSVD.
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  • Blood pressure variability (BPV) affects brain health and can lead to issues like depression, cognitive impairment, and dementia, but the exact mechanisms are not well understood.
  • A review of studies revealed inconsistent data on the link between BPV and depression or anxiety due to differing methods and measurements used in research.
  • Overall findings suggest that while BPV may relate to brain health, the connection to brain structures important for cognition is likely independent of depression and has only a modest link to anxiety.
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Background: The ε4 allele of the apolipoprotein E gene (APOE4) plays a role in neurodegeneration and in cardiovascular disease, but findings on its association with mortality are inconsistent. We aimed to examine the association between APOE4 and mortality, and the role of dementia in this association.

Methods: In this pooled analysis, data on White participants aged 45-90 years who underwent APOE genotyping were drawn from two population-based cohorts: the Whitehall II study (UK), which began in 1985 and is ongoing, and the Three-City study (France), initiated in 1999 and ended in 2012.

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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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Objective: To assess the association between sleep irregularity, anxiety, and depression while controlling for other sleep dimensions and using a longitudinal design.

Methods: Longitudinal cohort study which started in April 2020 during the first French lockdown in the general population. Follow-up questionnaires were completed in June 2020, a period without lockdown measures.

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  • Vascular disease is linked to dementia risk, and the study aims to clarify how specific markers like white matter hyperintensity (WMH), clinical stroke, and blood pressure (BP) contribute to this risk.
  • The research utilized a two-sample mendelian randomization approach and population-based studies, examining genetic influences on WMH, stroke, and BP in relation to Alzheimer's disease (AD) and all-cause dementia.
  • Findings suggest that a higher WMH burden is causally associated with an increased risk of AD, while certain blood pressure traits might offer a protective effect against dementia.
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  • A study involving 5170 older adults aimed to determine if genetic factors influence how lifestyle choices affect the risk of developing dementia.* -
  • Researchers used the Lifestyle for BRAin health risk score (LIBRA) to assess modifiable lifestyle factors, finding that higher scores correlated with increased dementia incidence, regardless of genetic predisposition.* -
  • The results suggest that lifestyle interventions could be beneficial in preventing dementia, regardless of an individual's genetic risk factors like the APOE ε4 allele.*
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This research explores different methodologies to modulate the effects of drowsiness on functional connectivity (FC) during resting-state functional magnetic resonance imaging (RS-fMRI). The study utilized a cohort of students (MRi-Share) and classified individuals into drowsy, alert, and mixed/undetermined states based on observed respiratory oscillations. We analyzed the FC group difference between drowsy and alert individuals after five different processing methods: the reference method, two based on physiological and a global signal regression of the BOLD time series signal, and two based on Gaussian standardizations of the FC distribution.

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Background: The closure of bars and lockdowns related to the Covid-19 pandemic changed alcohol use levels in France during the spring of 2020. We wondered whether this sudden cessation of social interactions impacted students more than non-students and what factors specific to students would explain the increase in alcohol misuse. The aims of this study were to compare self-reported changes in alcohol misuse (alcohol intake and binge-drinking frequency) during the first Covid-19 lockdown from March 17 to May 10, 2020, between French students and non-students and describe factors associated with this alcohol misuse in each subgroup.

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Background: Little is known about e-cigarette use in French students. Our aims were to estimate the prevalence of e-cigarette experimentation and current e-cigarette use; describe the reasons for using e-cigarettes; explore the vaping experience and identify the profiles of e-cigarette users.

Methods: We used a sequential, explanatory mixed methods design in a sample of French college students.

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Article Synopsis
  • - The study analyzed over 8,400 adults over 40 to see how the sizes of brain arteries correlate with dementia and stroke risk using MRI scans.
  • - Findings showed that larger overall and carotid artery diameters significantly increase the risk of dementia (up to 1.74 times) and stroke (up to 2.11 times for basilar arteries).
  • - The results suggest that measuring brain artery sizes through MRI could be a valuable tool for predicting dementia and stroke risk across different populations.
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Background: While studies have demonstrated the negative impact of adverse childhood experiences (ACEs) on lifelong health, less is known about the relationship between ACEs and illegal drug use. Thus, the objective of the study was to examine the relationship between ACEs and illegal drug use among college students.

Methods: French college students between 18 and 30 years enrolled in a university cohort study were eligible for inclusion.

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Instrumental variable methods, which handle unmeasured confounding by targeting the part of the exposure explained by an exogenous variable not subject to confounding, have gained much interest in observational studies. We consider the very frequent setting of estimating the unconfounded effect of an exposure measured at baseline on the subsequent trajectory of an outcome repeatedly measured over time. We didactically explain how to apply the instrumental variable method in such setting by adapting the two-stage classical methodology with (1) the prediction of the exposure according to the instrumental variable, (2) its inclusion into a mixed model to quantify the exposure association with the subsequent outcome trajectory, and (3) the computation of the estimated total variance.

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  • White matter hyperintensities (WMHs) indicate small vessel disease in the brain and are linked to higher risks of stroke, dementia, and death, affecting individuals of all ages, including young and neurologically healthy adults.* -
  • The SHIVA-WMH tool is a new deep-learning software developed for automatic detection and segmentation of WMH, specifically optimized to identify both small and larger WMHs effectively across diverse populations.* -
  • In testing against three different datasets, SHIVA-WMH outperformed existing segmentation tools, achieving better accuracy scores, and is available for researchers to further explore WMH severity and progression.*
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To examine the relationship between adverse childhood experiences (ACEs) and Attention-deficit Hyperactivity Disorder (ADHD) among college students. We investigated the association between ACEs and ADHD symptoms among French college students enrolled in the i-Share cohort using multivariate logistic regression models. The sample comprised of 1062 participants with a mean age of 20.

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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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Many studies suggest a relationship between excessive daytime sleepiness (EDS) and dementia incidence, but the underlying mechanisms remain uncertain. The study aimed to investigate the role of cardiovascular burden in the relationship between EDS and dementia incidence over a 12-year follow-up in community-dwelling older adults. We performed analyses on 6171 subjects (aged ≥65 years) free of dementia and vascular disease at baseline.

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