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Background: Microglial activation is an early phenomenon in Alzheimer's disease (AD) that may occur prior to and independently of amyloid-β (Aβ) aggregation. Compelling experimental evidence suggests that the apolipoprotein E ε4 (APOEε4) allele may be a culprit of early microglial activation in AD. However, it is unclear whether the APOEε4 genotype is associated with microglial reactivity in the living human brain.

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Public Health.

Alzheimers Dement

December 2024

National Center for Neurological Disorders, Shanghai, Shanghai, China.

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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Biomarkers.

Alzheimers Dement

December 2024

Department of Radiology, Drum Tower Hospital, Clinical Colledge of Nanjing Medicial University, Nanjing 210008, china, Nanjing, China.

Background: It remains unclear to what extent APOEε4 relates to amyloid beta (Aβ) and tau deposition, functional connectivity and neurodegeneration in Alzheimer's disease spectrum.

Method: In 345 participants including subjective cognitive impairment and mild cognitive impairment and Alzheimer disease, We investigate the association of APOEε 4 with Aβ and Tau, functional connectivity and neurodegeneration (cortical thickness and gray matter volume). Using mediation analyses, we tested the indirect effects of APOEε4 on neurodegeneration via Tau deposition (F-AV451 positron emission tomography) and interregional functional connectivity (functional MRI) in Braak I-II and Braak III-VI.

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Biomarkers.

Alzheimers Dement

December 2024

Brunel University London, Uxbridge, UB8 3PH, UK.

Background: Sporadic Alzheimer's disease (AD) accounts for >90% of AD cases, of which 70% are thought to be due to a combination of several risk genes. Of these, Apolipoprotein E (APOE) is the most studied gene. Given that the APOE ɛ4 risk variant is found in ∼14% of the general population and ∼37% of the AD population, APOE ɛ4 is neither necessary nor sufficient to cause AD on its own.

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Background: Persistent neurological symptoms including cognitive impairment can follow SARS-CoV-2 infection, a condition termed neurological post-acute sequelae of COVID-19 (Neuro-PASC). Structural brain differences have been observed in individuals with Neuro-PASC, raising concern that COVID-19 may promote age-related neurodegeneration. However, the mechanisms by which COVID-19 impairs cognition and its impact on brain aging, remain poorly characterized.

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