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@ARTICLE{Ciampa:163666,
author = {Ciampa, Claire J and Parent, Jourdan H and Harrison,
Theresa M and Fain, Rebekah M and Betts, Matthew J and
Maaß, Anne and Winer, Joseph R and Baker, Suzanne L and
Janabi, Mustafa and Furman, Daniella J and D'Esposito, Mark
and Jagust, William J and Berry, Anne S},
title = {{A}ssociations among locus coeruleus catecholamines, tau
pathology, and memory in aging.},
journal = {Neuropsychopharmacology},
volume = {47},
number = {5},
issn = {0893-133X},
address = {Basingstoke},
publisher = {Nature Publishing Group},
reportid = {DZNE-2022-00412},
pages = {1106-1113},
year = {2022},
abstract = {The locus coeruleus (LC) is the brain's major source of the
neuromodulator norepinephrine, and is also profoundly
vulnerable to the development of Alzheimer's disease
(AD)-related tau pathology. Norepinephrine plays a role in
neuroprotective functions that may reduce AD progression,
and also underlies optimal memory performance. Successful
maintenance of LC neurochemical function represents a
candidate mechanism of protection against the propagation of
AD-related pathology and may facilitate the preservation of
memory performance despite pathology. Using
[18F]Fluoro-m-tyrosine ([18F]FMT) PET imaging to measure
catecholamine synthesis capacity in LC regions of interest,
we examined relationships among LC neurochemical function,
AD-related pathology, and memory performance in cognitively
normal older adults (n = 49). Participants underwent
[11C]Pittsburgh compound B and [18F]Flortaucipir PET to
quantify β-amyloid (n = 49) and tau burden (n = 42)
respectively. In individuals with substantial β-amyloid,
higher LC [18F]FMT net tracer influx (Kivis) was associated
with lower temporal tau. Longitudinal tau-PET analyses in a
subset of our sample (n = 30) support these findings to
reveal reduced temporal tau accumulation in the context of
higher LC [18F]FMT Kivis. Higher LC catecholamine synthesis
capacity was positively correlated with self-reported
cognitive engagement and physical activity across the
lifespan, established predictors of successful aging
measured with the Lifetime Experiences Questionnaire. LC
catecholamine synthesis capacity moderated tau's negative
effect on memory, such that higher LC catecholamine
synthesis capacity was associated with better-than-expected
memory performance given an individual's tau burden. These
PET findings provide insight into the neurochemical
mechanisms of AD vulnerability and cognitive resilience in
the living human brain.},
keywords = {Aged / Aging: pathology / Alzheimer Disease: diagnostic
imaging / Alzheimer Disease: pathology / Amyloid
beta-Peptides: metabolism / Catecholamines / Humans / Locus
Coeruleus: diagnostic imaging / Locus Coeruleus: metabolism
/ Norepinephrine / Positron-Emission Tomography: methods /
tau Proteins: metabolism / Amyloid beta-Peptides (NLM
Chemicals) / Catecholamines (NLM Chemicals) / tau Proteins
(NLM Chemicals) / Norepinephrine (NLM Chemicals)},
cin = {AG Düzel / AG Maaß},
ddc = {610},
cid = {I:(DE-2719)5000006 / I:(DE-2719)1311001},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:35034099},
pmc = {pmc:PMC8938463},
doi = {10.1038/s41386-022-01269-6},
url = {https://pub.dzne.de/record/163666},
}