Axonal damage and inflammation response are biological correlates of decline in small-world values: a cohort study in autosomal dominant Alzheimer's disease

Lisa Vermunt*, Courtney L Sutphen, Ellen Dicks, Diederick M de Leeuw*, Ricardo F Allegri, Sarah B Berman, David M Cash, Jasmeer P Chhatwal, Carlos Cruchaga, Gregory S Day, Michael Ewers, Martin R Farlow, Nick C Fox, Bernardino Ghetti, Neill R Graff-Radford, Jason Hassenstab, Mathias Jucker, Celeste M Karch, Jens Kuhle, Christoph LaskeJohannes Levin, Colin L Masters, Eric McDade, Hiroshi Mori, John C Morris, Richard J Perrin, Oliver Preische, Peter R Schofield, Marc Suárez-Calvet, Chengjie Xiong, Philip Scheltens, Charlotte E Teunissen, Pieter Jelle Visser, Randall J Bateman, Tammie L S Benzinger, Anne M Fagan, Brian A Gordon, Betty M Tijms

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The grey matter of the brain develops and declines in coordinated patterns during the lifespan. Such covariation patterns of grey matter structure can be quantified as grey matter networks, which can be measured with magnetic resonance imaging. In Alzheimer’s disease, the global organization of grey matter networks becomes more random, which is captured by a decline in the small-world coefficient. Such decline in the small-world value has been robustly associated with cognitive decline across clinical stages of Alzheimer’s disease. The biological mechanisms causing this decline in small-world values remain unknown. Cerebrospinal fluid (CSF) protein biomarkers are available for studying diverse pathological mechanisms in humans and can provide insight into decline. We investigated the relationships between 10 CSF proteins and small-world coefficient in mutation carriers (N = 219) and non-carriers (N = 136) of the Dominantly Inherited Alzheimer Network Observational study. Abnormalities in Amyloid beta, Tau, synaptic (Synaptosome associated protein-25, Neurogranin) and neuronal calcium-sensor protein (Visinin-like protein-1) preceded loss of small-world coefficient by several years, while increased levels in CSF markers for inflammation (Chitinase-3-like protein 1) and axonal injury (Neurofilament light) co-occurred with decreasing small-world values. This suggests that axonal loss and inflammation play a role in structural grey matter network changes.

Original languageEnglish
Article numberfcae357
Number of pages12
JournalBrain Communications
Volume6
Issue number5
DOIs
Publication statusPublished - 9 Oct 2024

Keywords

  • autosomal dominant Alzheimer disease
  • axonal damage
  • inflammation
  • neuronal injury
  • structural covariance network

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