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Early functional changes and plasma GFAP in Swedish families with Autosomal Dominant Alzheimer’s disease mutations




TekijätLuckett, Emma S.; Zapater-Fajari, Mariola; Almkvist, Ove; Johansson, Charlotte; Chiotis, Konstantinos; Bucci, Marco; Wall, Anders; Ashton, Nicholas J.; Blennow, Kaj; Zetterberg, Henrik; Rodriguez-Vieitez, Elena; Graff, Caroline; Nordberg, Agneta

KustantajaSpringer Science and Business Media LLC

Julkaisuvuosi2026

Lehti: Translational Psychiatry

Artikkelin numero67

Vuosikerta16

eISSN2158-3188

DOIhttps://doi.org/10.1038/s41398-026-03829-6

Julkaisun avoimuus kirjaamishetkelläAvoimesti saatavilla

Julkaisukanavan avoimuus Kokonaan avoin julkaisukanava

Verkko-osoitehttps://doi.org/10.1038/s41398-026-03829-6

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/508963278

Rinnakkaistallenteen lisenssiCC BY

Rinnakkaistallennetun julkaisun versioKustantajan versio


Tiivistelmä

We aimed to understand longitudinal associations between Alzheimer’s disease (AD) biomarkers in Autosomal Dominant AD (ADAD) across estimated years to symptom onset (EYO). Forty-five individuals (19 mutation carriers [EYO = −7.9 ± 11.7 years, APP N = 11; PSEN1 N = 8]) from Swedish ADAD families participated. All received baseline 18F-Flurodeoxyglucose (FDG) PET and cognitive testing, and a subset (N = 26) plasma glial fibrillary acidic protein (GFAP) measurement. Follow-up data collection (including 106 FDG scans) was performed over 7.4 ± 6.4 years (visits ranged from 1–5, EYO = −25.8 to +10.3 years in mutation carriers). Mixed effects models were applied to determine longitudinal associations. APP and PSEN1 mutation carriers showed different FDG uptake profiles from EYO = −20 to −10 years, with a hypermetabolism before hypometabolism in PSEN1 mutation carriers. Early increases in plasma GFAP were primarily related to subcortical FDG decreases and cognitive changes in APP mutation carriers compared to non-carriers. We provide evidence for gene-dependent biomarker trajectories in ADAD.


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Julkaisussa olevat rahoitustiedot
AN was supported by grants from the Swedish Research Council (2017-02965,2017-06087, 2020-01990, 2023-02649), the Swedish Foundation for Strategic Research (SSF; RB13-0192), the Swedish Brain Foundation (Hjärnfonden), the Center for Innovative Medicine (CIMED) at Region Stockholm - Karolinska institutet, the Swedish Alzheimer Foundation (Alzheimerfonden), Fondation pour la Recherche sur Alzheimer, Paris, France, the Region Stockholm-Karolinska Institutet regional agreement on medical training and clinical research (ALF), private bequests. Rainwater foundation, US. CJ and CG were supported by grants from the Swedish Research Council (#529-2014-7504, #2015-02926, #2018-02754), the Swedish Brain Foundation, the Swedish Dementia Foundation (Demensfonden), the Swedish Alzheimer Foundation (Alzheimerfonden), ALF-Projects Region Stockholm, the Gun and Bertil Stohne’s Foundation and Stiftelsen för Gamla Tjänarinnor, Sweden. KB is supported by the Swedish Research Council (#2017-00915 and #2022-00732), the Swedish Alzheimer Foundation (#AF-930351, #AF-939721, #AF-968270, and #AF-994551), Hjärnfonden, Sweden (#FO2017-0243 and #ALZ2022-0006), the Swedish state under the agreement between the Swedish government and the County Councils, the ALF-agreement (#ALFGBG-715986 and #ALFGBG-965240), the European Union Joint Program for Neurodegenerative Disorders (JPND2019-466-236), the Alzheimer’s Association 2021 Zenith Award (ZEN-21-848495), the Alzheimer’s Association 2022-2025 Grant (SG-23-1038904 QC), La Fondation Recherche Alzheimer (FRA), Paris, France, the Kirsten and Freddy Johansen Foundation, Copenhagen, Denmark, and Familjen Rönströms Stiftelse, Stockholm, Sweden. HZ is a Wallenberg Scholar and a Distinguished Professor at the Swedish Research Council supported by grants from the Swedish Research Council (#2023-00356; #2022-01018 and #2019-02397), the European Union’s Horizon Europe research and innovation programme under grant agreement No 101053962, Swedish State Support for Clinical Research (#ALFGBG-71320), the Alzheimer Drug Discovery Foundation (ADDF), USA (#201809-2016862), the AD Strategic Fund and the Alzheimer’s Association (#ADSF-21-831376-C, #ADSF-21-831381-C, #ADSF-21-831377-C, and #ADSF-24-1284328-C), the Bluefield Project, Cure Alzheimer’s Fund, the Olav Thon Foundation, the Erling-Persson Family Foundation, Familjen Rönströms Stiftelse, Stiftelsen för Gamla Tjänarinnor, Hjärnfonden, Sweden (#FO2022-0270), the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 860197 (MIRIADE), the European Union Joint Programme – Neurodegenerative Disease Research (JPND2021-00694), the National Institute for Health and Care Research University College London Hospitals Biomedical Research Centre, and the UK Dementia Research Institute at UCL (UKDRI-1003). Open access funding provided by Karolinska Institute.


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