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1
Clinical Correlates of Alzheimer's Disease Cerebrospinal Fluid Analytes in Primary Progressive Aphasia
Abstract: Background: While primary progressive aphasia (PPA) is associated with frontotemporal lobar degeneration (FTLD) pathology due to tau or TDP, clinical-pathological studies also demonstrate many cases have Alzheimer's disease (AD) pathology. The logopenic variant of PPA (lvPPA) is most often associated with AD pathology, but this has proven to be the least reliable PPA to diagnose using published clinical criteria. In this study, we used cerebrospinal fluid (CSF) analytes to identify patients with likely AD pathology, and relate phenotypic features of lvPPA to CSF. Methods: We studied 46 PPA patients who had available CSF analytes, including 26 with a clinical diagnosis of lvPPA, 9 with non-fluent/agrammatic variant (naPPA), and 11 with semantic variant (svPPA). We identified patients with likely AD pathology using amyloid-beta 1–42 (Aβ(1−42)) < 192 pg/ml and assessed MRI gray matter atrophy in these patients. Results: We found that 23 (49%) of 46 PPA patients have a low CSF Aβ(1−42) level consistent with AD pathology. Twenty-one (91%) of 23 patients had a lvPPA phenotype, and 18 (79%) of 23 cases with an elevated CSF Aβ(1−42) level did not have a lvPPA phenotype. Patients with a lvPPA phenotype demonstrated GM atrophy in the left lateral temporal lobe, and this was also seen in those with a CSF Aβ(1−42) level < 192 pg/ml. Conclusion: The lvPPA clinical phenotype may be a useful screen for CSF analytes that are a surrogate for likely AD pathology, and may help establish eligibility of these patients for disease-modifying treatment trials.
Keyword: Neurology
URL: https://doi.org/10.3389/fneur.2019.00485
http://www.ncbi.nlm.nih.gov/pubmed/31133977
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6524001/
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2
A Longitudinal Study of Speech Production in Primary Progressive Aphasia and Behavioral Variant Frontotemporal Dementia
In: Brain Lang (2019)
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3
Longitudinal progression of grey matter atrophy in non-amnestic Alzheimer’s disease
In: Brain (2019)
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4
18F-Flortaucipir PET/MRI Correlations in Nonamnestic and Amnestic Variants of Alzheimer Disease
Nasrallah, Ilya M.; Chen, Yin Jie; Hsieh, Meng-Kang. - : Society of Nuclear Medicine, 2018
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5
Clinical marker for Alzheimer disease pathology in logopenic primary progressive aphasia
Giannini, Lucia A.A.; Irwin, David J.; McMillan, Corey T.. - : Lippincott Williams & Wilkins, 2017
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6
Tau PET Imaging Predicts Cognition in Atypical Variants of Alzheimer’s Disease
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7
Neocortical Origin and Progression of Grey Matter Atrophy In Non-Amnestic Alzheimer’s Disease
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8
Neural Correlates of Verbal Episodic Memory and Lexical Retrieval in Logopenic Variant Primary Progressive Aphasia
Win, Khaing T.; Pluta, John; Yushkevich, Paul. - : Frontiers Media S.A., 2017
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9
Dissociation of Quantifiers and Object Nouns in Speech in Focal Neurodegenerative Disease
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10
ARTERIAL SPIN LABELING PERFUSION PREDICTS LONGITUDINAL DECLINE IN SEMANTIC VARIANT PRIMARY PROGRESSIVE APHASIA
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11
How the brain learns how few are “many”: An fMRI study of the flexibility of quantifier semantics
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12
Beyond words: Pragmatic inference in behavioral variant of frontotemporal degeneration
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13
Processing ambiguity in a linguistic context: decision-making difficulties in non-aphasic patients with behavioral variant frontotemporal degeneration
Spotorno, Nicola; Healey, Meghan; McMillan, Corey T.. - : Frontiers Media S.A., 2015
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14
Relating brain anatomy and cognitive ability using a multivariate multimodal framework
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15
Deficits in sentence expression in amyotrophic lateral sclerosis
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16
The relative contributions of frontal and parietal cortex for generalized quantifier comprehension
Olm, Christopher A.; McMillan, Corey T.; Spotorno, Nicola. - : Frontiers Media S.A., 2014
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17
Impairment of script comprehension in Lewy body spectrum disorders
In: Brain & language. - Orlando, Fla. [u.a.] : Elsevier 125 (2013) 3, 330-343
OLC Linguistik
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18
Comparative semantic profiles in semantic dementia and Alzheimer's disease
Libon, David J.; Rascovsky, Katya; Powers, John. - : Oxford University Press, 2013
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19
White Matter Disease Correlates with Lexical Retrieval Deficits in Primary Progressive Aphasia
Powers, John P.; McMillan, Corey T.; Brun, Caroline C.. - : Frontiers Media S.A., 2013
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20
Sparse canonical correlation analysis relates network-level atrophy to multivariate cognitive measures in a neurodegenerative population
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