Associations of potential ADRD plasma biomarkers in cognitively normal volunteers

Author:

Estepp Taylor G.123,Charnigo Richard J.34,Abner Erin L.123,Jicha Gregory A.15,Sudduth Tiffany L.1,Fardo David W.13,Wilcock Donna M.16

Affiliation:

1. Sanders‐Brown Center on Aging and Alzheimer's Disease Center University of Kentucky Lexington Kentucky USA

2. College of Public Health Department of Epidemiology University of Kentucky Lexington Kentucky USA

3. College of Public Health Department of Biostatistics University of Kentucky Lexington Kentucky USA

4. College of Arts and Sciences Department of Statistics University of Kentucky Lexington Kentucky USA

5. College of Medicine Department of Neurology University of Kentucky Lexington Kentucky USA

6. College of Medicine Department of Physiology University of Kentucky Lexington Kentucky USA

Abstract

AbstractINTRODUCTIONThis study examined the relationships between 13 novel blood‐plasma biomarkers and dementia‐related demographic and health factors in a cohort of 237 cognitively normal research volunteers whose average age was ≈82 years and who were 63% female.METHODSWe regressed each biomarker on selected covariates to explore the associations between the biomarkers and selected factors to assess whether they may contribute to biomarker values. Post hoc sensitivity analyses were done with updated data and consistent variable sets for robustness and batch effects.RESULTSBiomarker concentrations were largely not associated with demographics or health conditions, but some expected associations (e.g., apolipoprotein E [APOE] status with amyloid beta [Aβ]42/Aβ40) were observed. Post hoc results remained similar to those of the main analysis.DISCUSSIONThe absence of strong associations between the biomarkers with age, gender, or medical conditions suggests that changes in these biomarkers, when observed, may be attributable to neuropathological changes.Highlights Among N = 237 cognitively normal adults, we studied candidate Alzheimer's disease and related dementia (ADRD) plasma biomarkers. Biomarkers were largely not associated with demographic or health factors. Apolipoprotein E (APOE) status was associated with amyloid beta (Aβ)42/Aβ40 ratio. These results support hypotheses that plasma biomarkers are informative for ADRD.

Funder

National Institute on Aging

Publisher

Wiley

Subject

Psychiatry and Mental health,Cellular and Molecular Neuroscience,Geriatrics and Gerontology,Neurology (clinical),Developmental Neuroscience,Health Policy,Epidemiology

Reference47 articles.

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3. U.S. population share by generation 2021. Statista. Accessed November 15 2022.http://www.statista.com/statistics/296974/us‐population‐share‐by‐generation/

4. US Census Bureau.2020 Census will help policymakers prepare for the incoming wave of aging boomers. Published online 2022. Accessed November 15 2022.http://www.census.gov/library/stories/2019/12/by‐2030‐all‐baby‐boomers‐will‐be‐age‐65‐or‐older.html

5. Alzheimer's Disease Facts and Figures.Alzheimer's Disease and Dementia. Accessed November 15 2022.http://www.alz.org/alzheimers‐dementia/facts‐figures

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