Journal Article DZNE-2023-00455

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Sex difference in evolution of cognitive decline: studies on mouse model and the Dominantly Inherited Alzheimer Network cohort.

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2023
Nature Publishing Group London

Translational Psychiatry 13(1), 123 () [10.1038/s41398-023-02411-8]

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Abstract: Women carry a higher burden of Alzheimer's disease (AD) compared to men, which is not accounted entirely by differences in lifespan. To identify the mechanisms underlying this effect, we investigated sex-specific differences in the progression of familial AD in humans and in APPswe/PS1ΔE9 mice. Activity dependent protein translation and associative learning and memory deficits were examined in APPswe/PS1ΔE9 mice and wild-type mice. As a human comparator group, progression of cognitive dysfunction was assessed in mutation carriers and non-carriers from DIAN (Dominantly Inherited Alzheimer Network) cohort. Female APPswe/PS1ΔE9 mice did not show recall deficits after contextual fear conditioning until 8 months of age. Further, activity dependent protein translation and Akt1-mTOR signaling at the synapse were impaired in male but not in female mice until 8 months of age. Ovariectomized APPswe/PS1ΔE9 mice displayed recall deficits at 4 months of age and these were sustained until 8 months of age. Moreover, activity dependent protein translation was also impaired in 4 months old ovariectomized APPswe/PS1ΔE9 mice compared with sham female APPswe/PS1ΔE9 mice. Progression of memory impairment differed between men and women in the DIAN cohort as analyzed using linear mixed effects model, wherein men showed steeper cognitive decline irrespective of the age of entry in the study, while women showed significantly greater performance and slower decline in immediate recall (LOGIMEM) and delayed recall (MEMUNITS) than men. However, when the performance of men and women in several cognitive tasks (such as Wechsler's logical memory) are compared with the estimated year from expected symptom onset (EYO) we found no significant differences between men and women. We conclude that in familial AD patients and mouse models, females are protected, and the onset of disease is delayed as long as estrogen levels are intact.

Keyword(s): Humans (MeSH) ; Female (MeSH) ; Male (MeSH) ; Mice (MeSH) ; Animals (MeSH) ; Infant (MeSH) ; Alzheimer Disease: metabolism (MeSH) ; Mice, Transgenic (MeSH) ; Sex Characteristics (MeSH) ; Cognitive Dysfunction: genetics (MeSH) ; Fear (MeSH) ; Memory Disorders (MeSH) ; Disease Models, Animal (MeSH) ; Amyloid beta-Protein Precursor: genetics (MeSH) ; Amyloid beta-Peptides: metabolism (MeSH) ; Amyloid beta-Protein Precursor ; Amyloid beta-Peptides

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Contributing Institute(s):
  1. Parkinson Genetics (AG Gasser 1)
  2. Translational Neurodegeneration (AG Höglinger 1 ; AG Höglinger 1)
  3. Clinical Dementia Research München Levin (Clinical Dementia Research München ; AG Levin)
Research Program(s):
  1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)
Experiment(s):
  1. Longitudinal Study on Dominantly Inherited Alzheimer's Disease

Appears in the scientific report 2023
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Medline ; Creative Commons Attribution CC BY 4.0 ; DOAJ ; OpenAccess ; Article Processing Charges ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; DOAJ Seal ; Essential Science Indicators ; Fees ; IF >= 5 ; JCR ; PubMed Central ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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Document types > Articles > Journal Article
Institute Collections > M DZNE > M DZNE-AG Höglinger 1
Institute Collections > TÜ DZNE > TÜ DZNE-AG Gasser
Institute Collections > M DZNE > M DZNE-AG Levin
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 Record created 2023-04-14, last modified 2024-03-09


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