Publications by authors named "Ya‐nan Ou"

Background: Evidence supporting cardiovascular diseases could increase the risk of dementia remains fragmented. A comprehensive study to illuminate the distinctive associations across different dementia types is still lacking. This study is sought to: 1) determine the clinical validity of Framingham General Cardiovascular Risk Score (FGCRS) for dementia assessment; 2) examine the associations between cardiovascular diseases and the risk of dementia.

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Background: Life‐course models are increasingly recognized in dementia prevention but have too often focused on mid to later life, thereby missing major opportunities for prevention much earlier. This study aimed to reveal the associations between early‐life factors and incident dementia risk, and the underlying brain imaging alterations.

Method: Eight early‐life factors (maternal smoking around birth, birth weight, part of a multiple birth, breastfed as a baby, adopted as a child, comparative height at age 10, comparative body size at age 10, and child maltreatment) in the UK BioBank (UKB) were investigated.

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Background: Plasma sphingolipids were discovered to identify memory impairment and Alzheimer’s disease (AD) risk. It has been reported to play a role in the pathological processes of neurodegeneration and neuroinflammation; however, its exact mechanism in AD has not yet been completely found.

Method: A total of 476 non‐demented participants from Alzheimer’s Disease Neuroimaging Initiative were included.

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Background: Evidence indicates that cognitive function is influenced by potential environmental factors. We aimed to determine the variables influencing cognitive function.

Methods: Our study included 164,463 non-demented adults (89,644 [54.

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Article Synopsis
  • Research indicates that air pollution may influence the development of synucleinopathies through unknown neurobiological mechanisms, leading to a study on urban older adults' cerebrospinal fluid (CSF) α-synuclein (α-syn) levels in relation to air pollution exposure.
  • The study involved 933 participants and used linear regression to analyze the relationship between air pollutants (ozone, nitrogen dioxide, and particulate matter) and CSF α-syn levels, while also considering factors like age, gender, and season.
  • Findings revealed a significant negative correlation between particulate matter and CSF α-syn levels, particularly in certain demographic subgroups, as well as a nonlinear relationship between ozone and α-syn levels, suggesting that higher
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Article Synopsis
  • The study investigates how variations in the BIN1 gene are linked to neuroinflammation and Alzheimer's disease (AD) pathology, focusing on two specific genetic polymorphisms: rs7561528 and rs744373.
  • Using data from the Alzheimer's Disease Neuroimaging Initiative (ADNI) and the Chinese Alzheimer's Biomarker and Lifestyle (CABLE) study, researchers found a significant relationship between BIN1 loci and levels of key Alzheimer's biomarkers in cerebrospinal fluid (CSF), particularly phosphorylated-tau (P-tau), total-tau (T-tau), and microglial activation marker sTREM2.
  • The findings suggest that the association between BIN1 loci and tau pathology is
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Background: Microglial activation has been suggested to be involved in the pathogenesis of depression and Alzheimer's disease (AD). Soluble triggering receptor expressed on myeloid cells 2 (sTREM2) is a marker of microglial activation. The purpose of this study was to investigate the interrelationships of cerebrospinal fluid (CSF) sTREM2, AD pathology, as well as minimal depressive symptoms (MDSs), and cognition.

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Background: We aimed to investigate the association between OA and treatment with dementia risk and structural brain abnormalities.

Methods: We recruited a total of 466,460 individuals from the UK Biobank to investigate the impact of OA on the incidence of dementia. Among the total population, there were 63,081 participants diagnosed with OA.

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Article Synopsis
  • Alzheimer's disease (AD) has complex genetics largely studied in European populations, but this study involved a GWAS with 6,878 Chinese and 63,926 European individuals to explore new genetic links to AD.
  • The research identified three new susceptibility loci (KIAA2013, SLC52A3, and TCN2) in Chinese participants and highlighted a unique variant (rs1815157) within EGFR.
  • The findings suggest that including diverse populations is key for understanding AD's genetic basis and show that high mean corpuscular hemoglobin concentration could offer some protection against the disease.
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Article Synopsis
  • - The study examined the genetic links of protein-coding variants to immune-mediated diseases (IMDs) by analyzing whole exome sequencing data from over 350,000 UK Biobank participants and discovered 162 unique genes across 35 IMDs, with 124 of those being previously unknown.
  • - Key genes, including FLG associated with atopic dermatitis and asthma, were found to influence both rare and common genetic variants, while 91 genes significantly affected health outcomes over time.
  • - The research also revealed five causal genes that correspond to approved drug targets and highlighted how mutations in certain genes might impact protein expression related to various IMDs, ultimately suggesting new avenues for targeted therapies.
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Background: The association between carotid plaque and cognitive decline has recently been reported. However, the current research evidence is insufficient, and the possible causes of cognitive changes are unknown.

Objective: This study aims to explore the relationships between carotid plaque and cognition functions, cerebrospinal fluid (CSF) Alzheimer's disease (AD) biomarkers in cognitively intact adults, and try to study the underlying mechanisms.

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Considerable uncertainty remains regarding the associations of multiple factors with brain health. We aimed to conduct an exposome-wide association study on neurodegenerative disease and neuropsychiatry disorders using data of participants from the UK Biobank. Multivariable Cox regression models with the least absolute shrinkage and selection operator technique as well as principal component analyses were used to evaluate the exposures in relation to common disorders of central nervous system (CNS).

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Physical frailty and genetic factors are both risk factors for increased dementia; nevertheless, the joint effect remains unclear. This study aimed to investigated the long-term relationship between physical frailty, genetic risk, and dementia incidence. A total of 274,194 participants from the UK Biobank were included.

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Article Synopsis
  • - The CAIDE risk score is a predictor of dementia risk, but its relationship with Alzheimer's disease pathology is not well-studied.
  • - A study involving 600 cognitively normal participants found that a higher CAIDE score correlates with increased tau-related AD biomarkers and lower cognitive performance on tests like the MMSE and MoCA.
  • - The findings suggest that tau pathology mediates the effect of the CAIDE score on cognitive performance, indicating that higher dementia risk may contribute to cognitive decline through neurodegeneration.
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Introduction: This study delineated the interrelationships between subclinical alterations in the left heart, cerebrospinal fluid (CSF), Alzheimer's disease (AD) biomarkers, and cognition.

Methods: Multiple linear regressions were conducted in 1244 cognitively normal participants (mean age = 65.5; 43% female) who underwent echocardiography (left atrial [LA] and left ventricular [LV] morphologic or functional parameters) and CSF AD biomarkers measurements.

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Article Synopsis
  • Patients with transient ischemic attack (TIA) or ischemic stroke face a heightened risk of cognitive decline, potentially linked to the interaction of ischemic cerebrovascular disease (ICVD) with biomarkers related to dementia.
  • In a study of 2,524 participants, higher levels of total-tau (t-tau) in cerebrospinal fluid were associated with poorer cognitive performance, with t-tau identified as a partial mediator in this relationship.
  • The findings suggest that targeting brain ischemia and reducing neuronal damage could be a valuable strategy in preventing cognitive decline in these patients.
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Though previous studies revealed the potential associations of elevated levels of plasma fibrinogen with dementia, there is still limited understanding regarding the influence of Alzheimer's disease (AD) biomarkers on these associations. We sought to investigate the interrelationships among fibrinogen, cerebrospinal fluid (CSF) AD biomarkers, and cognition in non-demented adults. We included 1996 non-demented adults from the Chinese Alzheimer's Biomarker and LifestylE (CABLE) study and 337 from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database.

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Background: It has been reported that the risk of Alzheimer's disease (AD) could be predicted by the Australian National University Alzheimer Disease Risk Index (ANU-ADRI) scores. However, among non-demented Chinese adults, the correlations of ANU-ADRI scores with cerebrospinal fluid (CSF) core biomarkers and cognition remain unclear.

Methods: Individuals from the Chinese Alzheimer's Biomarker and LifestyLE (CABLE) study were grouped into three groups (low/intermediate/high risk groups) based on their ANU-ADRI scores.

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Background: Cardiometabolic multimorbidity is associated with an increased risk of dementia, but the pathogenic mechanisms linking them remain largely undefined. We aimed to assess the associations of cardiometabolic multimorbidity with cerebrospinal fluid (CSF) biomarkers of Alzheimer's disease (AD) pathology to enhance our understanding of the underlying mechanisms linking cardiometabolic multimorbidity and AD.

Methods: This study included 1464 cognitively intact participants from the Chinese Alzheimer's Biomarker and LifestylE (CABLE) database.

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Background: Dementia is a major public health issue and a heavy economic burden. It is urgently necessary to understand the underlying biological processes and to identify biomarkers predicting risk of dementia in the preclinical stage for prevention and treatment.

Methods: By using the data of the 367,093 white British individuals from UK Biobank, we investigated the relationship between 56 laboratory measures and 5-year dementia incidence using logistic regression.

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Background: Antipsychotics (APs) are among the most widely prescribed medications, and have been shown to cause cognitive decline. But previous studies on their effects on dementia risk are controversial and scarce. We aimed to examine the relationships of APs exposure with the risk of dementia.

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Background: The APOE genotype has emerged as the major genetic factor for AD but differs among different alleles.

Objective: To investigate the discrepant effects of APOE genotype on AD cerebrospinal fluid (CSF) biomarkers.

Methods: A total of 989 non-demented ADNI participants were included.

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Liver function has been suggested as a possible factor in the progression of Alzheimer's disease (AD) development. However, the association between liver function and cerebrospinal fluid (CSF) levels of AD biomarkers remains unclear. In this study, we analyzed the data from 1687 adults without dementia from the Chinese Alzheimer's Biomarker and LifestylE study to investigate differences in liver function between pathological and clinical AD groups, as defined by the 2018 National Institute on Aging-Alzheimer's Association Research Framework.

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Studies have shown that multimorbidity may be associated with the Alzheimer's disease (AD) stages, but it has not been fully characterized in patients without dementia. A total of 1402 Han Chinese older adults without dementia from Chinese Alzheimer's Biomarker and LifestylE (CABLE) study were included and grouped according to their multimorbidity patterns, defined by the number of chronic disorders and cluster analysis. Multivariable linear regression models were used to detect the associations with AD-related cerebrospinal fluid (CSF) biomarkers.

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Healthy lifestyle might alleviate the socioeconomic inequities in health, but the extent of the joint and interactive effects of these two factors on dementia are unclear. This study aimed to detect the joint and interactive associations of socioeconomic status (SES) and lifestyle factors with incident dementia risk, and the underlying brain imaging alterations. Cox proportional hazards analysis was performed to test the joint and interactive associations.

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