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024 7 _ |a 10.1002/alz.12252
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037 _ _ |a DZNE-2021-00371
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Malpetti, Maura
|b 0
245 _ _ |a Apathy in presymptomatic genetic frontotemporal dementia predicts cognitive decline and is driven by structural brain changes.
260 _ _ |a Hoboken, NJ
|c 2021
|b Wiley
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500 _ _ |a (CC BY)
520 _ _ |a Apathy adversely affects prognosis and survival of patients with frontotemporal dementia (FTD). We test whether apathy develops in presymptomatic genetic FTD, and is associated with cognitive decline and brain atrophy.Presymptomatic carriers of MAPT, GRN or C9orf72 mutations (N = 304), and relatives without mutations (N = 296) underwent clinical assessments and MRI at baseline, and annually for 2 years. Longitudinal changes in apathy, cognition, gray matter volumes, and their relationships were analyzed with latent growth curve modeling.Apathy severity increased over time in presymptomatic carriers, but not in non-carriers. In presymptomatic carriers, baseline apathy predicted cognitive decline over two years, but not vice versa. Apathy progression was associated with baseline low gray matter volume in frontal and cingulate regions.Apathy is an early marker of FTD-related changes and predicts a subsequent subclinical deterioration of cognition before dementia onset. Apathy may be a modifiable factor in those at risk of FTD.
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650 _ 7 |a MRI
|2 Other
650 _ 7 |a apathy
|2 Other
650 _ 7 |a cognitive decline
|2 Other
650 _ 7 |a genetic frontotemporal dementia
|2 Other
650 _ 7 |a longitudinal design
|2 Other
650 _ 7 |a presymptomatic carriers
|2 Other
650 _ 2 |a Apathy
|2 MeSH
650 _ 2 |a Atrophy: pathology
|2 MeSH
650 _ 2 |a Brain: pathology
|2 MeSH
650 _ 2 |a Cognitive Dysfunction: pathology
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Frontotemporal Dementia: genetics
|2 MeSH
650 _ 2 |a Gray Matter: pathology
|2 MeSH
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Magnetic Resonance Imaging
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Mutation: genetics
|2 MeSH
650 _ 2 |a Prodromal Symptoms
|2 MeSH
700 1 _ |a Jones, P Simon
|b 1
700 1 _ |a Tsvetanov, Kamen A
|b 2
700 1 _ |a Rittman, Timothy
|b 3
700 1 _ |a van Swieten, John C
|b 4
700 1 _ |a Borroni, Barbara
|b 5
700 1 _ |a Sanchez-Valle, Raquel
|b 6
700 1 _ |a Moreno, Fermin
|b 7
700 1 _ |a Laforce, Robert
|b 8
700 1 _ |a Graff, Caroline
|b 9
700 1 _ |a Synofzik, Matthis
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700 1 _ |a Galimberti, Daniela
|b 11
700 1 _ |a Masellis, Mario
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700 1 _ |a Tartaglia, Maria Carmela
|b 13
700 1 _ |a Finger, Elizabeth
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700 1 _ |a Vandenberghe, Rik
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700 1 _ |a de Mendonça, Alexandre
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700 1 _ |a Tagliavini, Fabrizio
|b 17
700 1 _ |a Santana, Isabel
|b 18
700 1 _ |a Ducharme, Simon
|b 19
700 1 _ |a Butler, Chris R
|b 20
700 1 _ |a Gerhard, Alexander
|b 21
700 1 _ |a Levin, Johannes
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700 1 _ |a Danek, Adrian
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700 1 _ |a Otto, Markus
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700 1 _ |a Frisoni, Giovanni B
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700 1 _ |a Ghidoni, Roberta
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700 1 _ |a Sorbi, Sandro
|b 27
700 1 _ |a Heller, Carolin
|b 28
700 1 _ |a Todd, Emily G
|b 29
700 1 _ |a Bocchetta, Martina
|b 30
700 1 _ |a Cash, David M
|b 31
700 1 _ |a Convery, Rhian S
|b 32
700 1 _ |a Peakman, Georgia
|b 33
700 1 _ |a Moore, Katrina M
|b 34
700 1 _ |a Rohrer, Jonathan D
|b 35
700 1 _ |a Kievit, Rogier A
|b 36
700 1 _ |a Rowe, James B
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700 1 _ |a Genfi, Genetic Ftd Initiative
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773 _ _ |a 10.1002/alz.12252
|g Vol. 17, no. 6, p. 969 - 983
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