Alzheimer’s disease; executive function; longitudinal; memory; mild cognitive impairment; non-linear; practice effects; subjective cognitive decline; Neuroscience (all); Clinical Psychology; Geriatrics and Gerontology; Psychiatry and Mental Health; General Neuroscience
Abstract :
[en] [en] BACKGROUND: Cognitive decline is a key outcome of clinical studies in Alzheimer's disease (AD).
OBJECTIVE: To determine effects of global amyloid load as well as hippocampus and basal forebrain volumes on longitudinal rates and practice effects from repeated testing of domain specific cognitive change in the AD spectrum, considering non-linear effects and heterogeneity across cohorts.
METHODS: We included 1,514 cases from three cohorts, ADNI, AIBL, and DELCODE, spanning the range from cognitively normal people to people with subjective cognitive decline and mild cognitive impairment (MCI). We used generalized Bayesian mixed effects analysis of linear and polynomial models of amyloid and volume effects in time. Robustness of effects across cohorts was determined using Bayesian random effects meta-analysis.
RESULTS: We found a consistent effect of amyloid and hippocampus volume, but not of basal forebrain volume, on rates of memory change across the three cohorts in the meta-analysis. Effects for amyloid and volumetric markers on executive function were more heterogeneous. We found practice effects in memory and executive performance in amyloid negative cognitively normal controls and MCI cases, but only to a smaller degree in amyloid positive controls and not at all in amyloid positive MCI cases.
CONCLUSIONS: We found heterogeneity between cohorts, particularly in effects on executive functions. Initial increases in cognitive performance in amyloid negative, but not in amyloid positive MCI cases and controls may reflect practice effects from repeated testing that are lost with higher levels of cerebral amyloid.
Disciplines :
Neurology
Author, co-author :
Teipel, Stefan J; German Center for Neurodegenerative Diseases (DZNE), Rostock, Germany ; Department of Psychosomatic Medicine, Rostock University Medical Center, Rostock, Germany
Dyrba, Martin; German Center for Neurodegenerative Diseases (DZNE), Rostock, Germany
Levin, Fedor; German Center for Neurodegenerative Diseases (DZNE), Rostock, Germany
Altenstein, Slawek; German Center for Neurodegenerative Diseases (DZNE), Berlin, Germany ; Department of Psychiatry and Psychotherapy, Charité, Berlin, Germany
Berger, Moritz; Institute for Medical Biometry, Informatics and Epidemiology, University Hospital Bonn, Bonn, Germany
Beyle, Aline; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg
Brosseron, Frederic; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg
Buerger, Katharina; German Center for Neurodegenerative Diseases (DZNE), Munich, Munich, Germany ; Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany
Burow, Lena; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany
Dobisch, Laura; German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
Ewers, Michael; German Center for Neurodegenerative Diseases (DZNE), Munich, Munich, Germany ; Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany
Fliessbach, Klaus; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg ; University of Bonn Medical Center, Department of Neurodegenerative Disease and Geriatric Psychiatry/Psychiatry, Bonn, Germany
Frommann, Ingo; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg ; University of Bonn Medical Center, Department of Neurodegenerative Disease and Geriatric Psychiatry/Psychiatry, Bonn, Germany
Glanz, Wenzel; German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
Goerss, Doreen; German Center for Neurodegenerative Diseases (DZNE), Rostock, Germany ; Department of Psychosomatic Medicine, Rostock University Medical Center, Rostock, Germany
Gref, Daria; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin-Institute of Psychiatry and Psychotherapy, Berlin, Germany
Hansen, Niels; Department of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, Goettingen, Germany
HENEKA, Michael ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB)
Incesoy, Enise I; German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany ; Institute of Cognitive Neurology and Dementia Research (IKND), Otto-von-Guericke University, Magdeburg, Germany ; Department for Psychiatry and Psychotherapy, University Clinic Magdeburg, Magdeburg, Germany pGerman Center for Neurodegenerative Diseases (DZNE), T¨ubingen, Germany
Janowitz, Daniel; Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany
Keles, Deniz; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin-Institute of Psychiatry and Psychotherapy, Berlin, Germany
Kilimann, Ingo; German Center for Neurodegenerative Diseases (DZNE), Rostock, Germany ; Department of Psychosomatic Medicine, Rostock University Medical Center, Rostock, Germany
Laske, Christoph; German Center for Neurodegenerative Diseases (DZNE), T¨ubingen, Germany ; Section for Dementia Research, Hertie Institute for Clinical Brain Research and Department of Psychiatry and Psychotherapy, University of T¨ubingen, T¨ubingen, Germany
Lohse, Andrea; Department of Psychiatry and Psychotherapy, Charité, Berlin, Germany
Munk, Matthias H; German Center for Neurodegenerative Diseases (DZNE), T¨ubingen, Germany ; Department of Psychiatry and Psychotherapy, University of T¨ubingen, T¨ubingen, Germany
Perneczky, Robert; German Center for Neurodegenerative Diseases (DZNE), Munich, Munich, Germany ; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany ; Munich Cluster for Systems Neurology (SyNergy) Munich, Munich, Germany ; Ageing Epidemiology Research Unit (AGE), School of Public Health, Imperial College London, London, UK
Peters, Oliver; German Center for Neurodegenerative Diseases (DZNE), Berlin, Germany ; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin-Institute of Psychiatry and Psychotherapy, Berlin, Germany
Preis, Lukas; German Center for Neurodegenerative Diseases (DZNE), Rostock, Germany
Priller, Josef; German Center for Neurodegenerative Diseases (DZNE), Berlin, Germany ; Department of Psychiatry and Psychotherapy, Charité, Berlin, Germany ; School of Medicine, Technical University of Munich, Department of Psychiatry and Psychotherapy, Munich, Germany ; University of Edinburgh and UK DRI, Edinburgh, UK
Rostamzadeh, Ayda; Department of Psychiatry, University of Cologne, Medical Faculty, Cologne, Germany
Roy, Nina; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg
Schmid, Matthias; Institute for Medical Biometry, Informatics and Epidemiology, University Hospital Bonn, Bonn, Germany ; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg
Schneider, Anja; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg ; University of Bonn Medical Center, Department of Neurodegenerative Disease and Geriatric Psychiatry/Psychiatry, Bonn, Germany
Spottke, Annika; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg ; Department of Neurology, University of Bonn, Bonn, Germany
Spruth, Eike Jakob; German Center for Neurodegenerative Diseases (DZNE), Berlin, Germany ; Department of Psychiatry and Psychotherapy, Charité, Berlin, Germany
Wiltfang, Jens; Department of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, Goettingen, Germany ; German Center for Neurodegenerative Diseases (DZNE), Goettingen, Germany ; Neurosciences and Signaling Group, Institute of Biomedicine (iBiMED), Department of Medical Sciences, University of Aveiro, Aveiro, Portugal
Düzel, Emrah; German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany ; German Center for Neurodegenerative Diseases (DZNE), Magdeburg, Germany
Jessen, Frank; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg ; Department of Psychiatry, University of Cologne, Medical Faculty, Cologne, Germany
Kleineidam, Luca; University of Bonn Medical Center, Department of Neurodegenerative Disease and Geriatric Psychiatry/Psychiatry, Bonn, Germany
Wagner, Michael; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Belvaux, Luxembourg ; University of Bonn Medical Center, Department of Neurodegenerative Disease and Geriatric Psychiatry/Psychiatry, Bonn, Germany
DELCODE study group and the Alzheimer’s Disease Neuroimaging Initiative
The work was supported by a grant to SJT within the CureDem funding of the Federal Ministry of Research (BMBF), grant number 01KX2130.The DELCODE study (Study-ID: BN012) was supported and conducted by the Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE). The data samples were provided by the DELCODE study group. Details and participating sites can be found at www.dzne.de/en/research/studies/clinical-studies/delcode. The DELCODE study was supported in respect to the MR imaging by Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin; Center for Cognitive Neuroscience Berlin (CCNB) at Freie Universität Berlin; Bernstein Center for Computational Neuroscience (BCCN), Berlin; Core Facility MR-Research in Neurosciences, University Medical Center Goettingen; Institute for Clinical Radiology, Ludwig Maximilian University, Munich; Institute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, Rostock University Medical Center; and Magnetic Resonance research center, University Hospital Tuebingen. The work was supported by a grant to SJT within the CureDem funding of the Federal Ministry of Research (BMBF), grant number 01KX2130.
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