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Clinical and biomarker profiling of prodromal Alzheimer's disease in workpackage 5 of the Innovative Medicines Initiative PharmaCog project: a 'European ADNI study'.
Galluzzi, S; Marizzoni, M; Babiloni, C; Albani, D; Antelmi, L; Bagnoli, C; Bartres-Faz, D; Cordone, S; Didic, M; Farotti, L; Fiedler, U; Forloni, G; Girtler, N; Hensch, T; Jovicich, J; Leeuwis, A; Marra, C; Molinuevo, J L; Nobili, F; Pariente, J; Parnetti, L; Payoux, P; Del Percio, C; Ranjeva, J-P; Rolandi, E; Rossini, P M; Schönknecht, P; Soricelli, A; Tsolaki, M; Visser, P J; Wiltfang, J; Richardson, J C; Bordet, R; Blin, O; Frisoni, G B.
Affiliation
  • Galluzzi S; Laboratory of Alzheimer's Neuroimaging & Epidemiology, Saint John of God Clinical Research Centre, Brescia, Italy.
  • Marizzoni M; Laboratory of Alzheimer's Neuroimaging & Epidemiology, Saint John of God Clinical Research Centre, Brescia, Italy.
  • Babiloni C; Department of Physiology and Pharmacology, University of Rome 'La Sapienza', Rome, Italy.
  • Albani D; IRCCS San Raffaele Pisana of Rome, Rome, Italy.
  • Antelmi L; Department of Neuroscience, Mario Negri Institute for Pharmacological Research, Milan, Italy.
  • Bagnoli C; Laboratory of Alzheimer's Neuroimaging & Epidemiology, Saint John of God Clinical Research Centre, Brescia, Italy.
  • Bartres-Faz D; Laboratory of Alzheimer's Neuroimaging & Epidemiology, Saint John of God Clinical Research Centre, Brescia, Italy.
  • Cordone S; Department of Psychiatry and Clinical Psychobiology, Faculty of Medicine, University of Barcelona and Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Catalunya, Spain.
  • Didic M; Department of Physiology and Pharmacology, University of Rome 'La Sapienza', Rome, Italy.
  • Farotti L; Aix-Marseille Université, INSERM, Marseille, France.
  • Fiedler U; Service de Neurologie et Neuropsychologie, APHM Hôpital Timone Adultes, Marseille, France.
  • Forloni G; Clinica Neurologica, Università di Perugia, Ospedale Santa Maria della Misericordia, Perugia, Italy.
  • Girtler N; Department of Psychiatry and Psychotherapy, Faculty of Medicine, LVR-Hospital Essen, University of Duisburg-Essen, Essen, Germany.
  • Hensch T; Department of Neuroscience, Mario Negri Institute for Pharmacological Research, Milan, Italy.
  • Jovicich J; Clinical Neurology, Department of Neurosciences, Rehabilitation, Ophthalmology and Maternal-Fetal Medicine, University of Genoa, Genoa, Italy.
  • Leeuwis A; Department of Psychiatry and Psychotherapy, University of Leipzig, Leipzig, Germany.
  • Marra C; Center for Mind/Brain Sciences, University of Trento, Trento, Italy.
  • Molinuevo JL; Department of Neurology, Alzheimer Centre, VU Medical Centre, Amsterdam, the Netherlands.
  • Nobili F; Department of Gerontology, Neurosciences & Orthopedics, Catholic University, Rome, Italy.
  • Pariente J; Alzheimer's Disease and Other Cognitive Disorders Unit, Hospital Clínic de Barcelona, and IDIBAPS, Barcelona, Catalunya, Spain.
  • Parnetti L; Clinical Neurology, Department of Neurosciences, Rehabilitation, Ophthalmology and Maternal-Fetal Medicine, University of Genoa, Genoa, Italy.
  • Payoux P; INSERM, Imagerie Cérébrale et Handicaps Neurologiques, Toulouse, France.
  • Del Percio C; Clinica Neurologica, Università di Perugia, Ospedale Santa Maria della Misericordia, Perugia, Italy.
  • Ranjeva JP; INSERM, Imagerie Cérébrale et Handicaps Neurologiques, Toulouse, France.
  • Rolandi E; SDN Istituto di Ricerca Diagnostica e Nucleare, Naples, Italy.
  • Rossini PM; Aix-Marseille Université, INSERM, Marseille, France.
  • Schönknecht P; Service de Neurologie et Neuropsychologie, APHM Hôpital Timone Adultes, Marseille, France.
  • Soricelli A; Laboratory of Alzheimer's Neuroimaging & Epidemiology, Saint John of God Clinical Research Centre, Brescia, Italy.
  • Tsolaki M; Department of Gerontology, Neurosciences & Orthopedics, Catholic University, Rome, Italy.
  • Visser PJ; Department of Psychiatry and Psychotherapy, University of Leipzig, Leipzig, Germany.
  • Wiltfang J; SDN Istituto di Ricerca Diagnostica e Nucleare, Naples, Italy.
  • Richardson JC; Third Neurologic Clinic, Medical School, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
  • Bordet R; Department of Neurology, Alzheimer Centre, VU Medical Centre, Amsterdam, the Netherlands.
  • Blin O; Department of Psychiatry and Psychotherapy, Faculty of Medicine, LVR-Hospital Essen, University of Duisburg-Essen, Essen, Germany.
  • Frisoni GB; Department of Psychiatry and Psychotherapy, University Medical Center, Georg-August-University, Goettingen, Germany.
J Intern Med ; 279(6): 576-91, 2016 06.
Article in En | MEDLINE | ID: mdl-26940242
ABSTRACT

BACKGROUND:

In the field of Alzheimer's disease (AD), the validation of biomarkers for early AD diagnosis and for use as a surrogate outcome in AD clinical trials is of considerable research interest.

OBJECTIVE:

To characterize the clinical profile and genetic, neuroimaging and neurophysiological biomarkers of prodromal AD in amnestic mild cognitive impairment (aMCI) patients enrolled in the IMI WP5 PharmaCog (also referred to as the European ADNI study).

METHODS:

A total of 147 aMCI patients were enrolled in 13 European memory clinics. Patients underwent clinical and neuropsychological evaluation, magnetic resonance imaging (MRI), electroencephalography (EEG) and lumbar puncture to assess the levels of amyloid ß peptide 1-42 (Aß42), tau and p-tau, and blood samples were collected. Genetic (APOE), neuroimaging (3T morphometry and diffusion MRI) and EEG (with resting-state and auditory oddball event-related potential (AO-ERP) paradigm) biomarkers were evaluated.

RESULTS:

Prodromal AD was found in 55 aMCI patients defined by low Aß42 in the cerebrospinal fluid (Aß positive). Compared to the aMCI group with high Aß42 levels (Aß negative), Aß positive patients showed poorer visual (P = 0.001), spatial recognition (P < 0.0005) and working (P = 0.024) memory, as well as a higher frequency of APOE4 (P < 0.0005), lower hippocampal volume (P = 0.04), reduced thickness of the parietal cortex (P < 0.009) and structural connectivity of the corpus callosum (P < 0.05), higher amplitude of delta rhythms at rest (P = 0.03) and lower amplitude of posterior cingulate sources of AO-ERP (P = 0.03).

CONCLUSION:

These results suggest that, in aMCI patients, prodromal AD is characterized by a distinctive cognitive profile and genetic, neuroimaging and neurophysiological biomarkers. Longitudinal assessment will help to identify the role of these biomarkers in AD progression.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Alzheimer Disease Type of study: Prognostic_studies Limits: Aged / Female / Humans / Male Language: En Journal: J Intern Med Year: 2016 Document type: Article
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Alzheimer Disease Type of study: Prognostic_studies Limits: Aged / Female / Humans / Male Language: En Journal: J Intern Med Year: 2016 Document type: Article