Entorhinal-based path integration selectively predicts midlife risk of Alzheimer's disease.
Alzheimers Dement
; 20(4): 2779-2793, 2024 04.
Article
in En
| MEDLINE
| ID: mdl-38421123
ABSTRACT
INTRODUCTION:
Entorhinal cortex (EC) is the first cortical region to exhibit neurodegeneration in Alzheimer's disease (AD), associated with EC grid cell dysfunction. Given the role of grid cells in path integration (PI)-based spatial behaviors, we predicted that PI impairment would represent the first behavioral change in adults at risk of AD.METHODS:
We compared immersive virtual reality (VR) PI ability to other cognitive domains in 100 asymptomatic midlife adults stratified by hereditary and physiological AD risk factors. In some participants, behavioral data were compared to 7T magnetic resonance imaging (MRI) measures of brain structure and function.RESULTS:
Midlife PI impairments predicted both hereditary and physiological AD risk, with no corresponding multi-risk impairment in episodic memory or other spatial behaviors. Impairments associated with altered functional MRI signal in the posterior-medial EC.DISCUSSION:
Altered PI may represent the transition point from at-risk state to disease manifestation in AD, prior to impairment in other cognitive domains.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Alzheimer Disease
Limits:
Adult
/
Humans
Language:
En
Journal:
Alzheimers Dement
Year:
2024
Document type:
Article
Affiliation country:
Reino Unido