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100 1 _ |a Franzmeier, Nicolai
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245 _ _ |a Elevated CSF GAP-43 is associated with accelerated tau accumulation and spread in Alzheimer's disease.
260 _ _ |a [London]
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520 _ _ |a In Alzheimer's disease, amyloid-beta (Aβ) triggers the trans-synaptic spread of tau pathology, and aberrant synaptic activity has been shown to promote tau spreading. Aβ induces aberrant synaptic activity, manifesting in increases in the presynaptic growth-associated protein 43 (GAP-43), which is closely involved in synaptic activity and plasticity. We therefore tested whether Aβ-related GAP-43 increases, as a marker of synaptic changes, drive tau spreading in 93 patients across the aging and Alzheimer's spectrum with available CSF GAP-43, amyloid-PET and longitudinal tau-PET assessments. We found that (1) higher GAP-43 was associated with faster Aβ-related tau accumulation, specifically in brain regions connected closest to subject-specific tau epicenters and (2) that higher GAP-43 strengthened the association between Aβ and connectivity-associated tau spread. This suggests that GAP-43-related synaptic changes are linked to faster Aβ-related tau spread across connected regions and that synapses could be key targets for preventing tau spreading in Alzheimer's disease.
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650 _ 7 |a GAP-43 Protein
|2 NLM Chemicals
650 _ 7 |a tau Proteins
|2 NLM Chemicals
650 _ 7 |a Amyloid beta-Peptides
|2 NLM Chemicals
650 _ 7 |a Biomarkers
|2 NLM Chemicals
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Alzheimer Disease: metabolism
|2 MeSH
650 _ 2 |a GAP-43 Protein: genetics
|2 MeSH
650 _ 2 |a GAP-43 Protein: metabolism
|2 MeSH
650 _ 2 |a tau Proteins: metabolism
|2 MeSH
650 _ 2 |a Amyloid beta-Peptides: metabolism
|2 MeSH
650 _ 2 |a Brain: metabolism
|2 MeSH
650 _ 2 |a Positron-Emission Tomography
|2 MeSH
650 _ 2 |a Cognitive Dysfunction: metabolism
|2 MeSH
650 _ 2 |a Biomarkers: metabolism
|2 MeSH
700 1 _ |a Dehsarvi, Amir
|0 0000-0001-7116-9741
|b 1
700 1 _ |a Steward, Anna
|b 2
700 1 _ |a Biel, Davina
|b 3
700 1 _ |a Dewenter, Anna
|0 0000-0002-5636-196X
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700 1 _ |a Roemer, Sebastian Niclas
|0 0000-0003-3423-457X
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700 1 _ |a Wagner, Fabian
|b 6
700 1 _ |a Groß, Mattes
|b 7
700 1 _ |a Brendel, Matthias
|0 P:(DE-2719)9001539
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700 1 _ |a Moscoso, Alexis
|0 0000-0003-0170-036X
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700 1 _ |a Arunachalam, Prithvi
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700 1 _ |a Blennow, Kaj
|b 11
700 1 _ |a Zetterberg, Henrik
|0 0000-0003-3930-4354
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700 1 _ |a Ewers, Michael
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700 1 _ |a Schöll, Michael
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773 _ _ |a 10.1038/s41467-023-44374-w
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856 4 _ |y OpenAccess
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