White matter microstructure disruption in early stage amyloid pathology

L.E. Collij*, S. Ingala, H. Top, V. Wottschel, K.E. Stickney, J. Tomassen, E. Konijnenberg, M. Ten Kate, C. Sudre, I.L. Alves, M.M. Yaqub, A.M. Wink, D.V. Ent, P. Scheltens, B.N.M. van Berckel, P.J. Visser, F. Barkhof, A. Den Braber

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Introduction Amyloid beta (A beta) accumulation is the first pathological hallmark of Alzheimer's disease (AD), and it is associated with altered white matter (WM) microstructure. We aimed to investigate this relationship at a regional level in a cognitively unimpaired cohort.Methods We included 179 individuals from the European Medical Information Framework for AD (EMIF-AD) preclinAD study, who underwent diffusion magnetic resonance (MR) to determine tract-level fractional anisotropy (FA); mean, radial, and axial diffusivity (MD/RD/AxD); and dynamic [F-18]flutemetamol) positron emission tomography (PET) imaging to assess amyloid burden.Results Regression analyses showed a non-linear relationship between regional amyloid burden and WM microstructure. Low amyloid burden was associated with increased FA and decreased MD/RD/AxD, followed by decreased FA and increased MD/RD/AxD upon higher amyloid burden. The strongest association was observed between amyloid burden in the precuneus and body of the corpus callosum (CC) FA and diffusivity (MD/RD) measures. In addition, amyloid burden in the anterior cingulate cortex strongly related to AxD and RD measures in the genu CC.Discussion Early amyloid deposition is associated with changes in WM microstructure. The non-linear relationship might reflect multiple stages of axonal damage.
Original languageEnglish
Article numbere12124
Number of pages9
JournalAlzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring
Issue number1
Publication statusPublished - 2021


  • )
  • Amyloid beta (A&#946
  • RISK
  • diffusion tensor imaging (DTI)
  • magnetic resonance imaging (MRI)
  • positron emission tomography (PET)
  • preclinical Alzheimer&apos
  • s disease (AD)
  • white matter microstructure


Dive into the research topics of 'White matter microstructure disruption in early stage amyloid pathology'. Together they form a unique fingerprint.

Cite this