1. Cerebrospinal Fluid 7-Ketocholesterol Level is Associated with Amyloid-β42 and White Matter Microstructure in Cognitively Healthy Adults
- Author
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Pablo Martinez-Lage, Javier Mar, Maria de Arriba, Henrik Zetterberg, Myriam Barandiaran, Maite Garcia-Sebastian, Mirian Ecay-Torres, Jon Saldias, Irundika H.K. Dias, Alazne Gabilondo, Jorge Villanua, Félix M. Goñi, Ane Iriondo, Arantzazu Arrospide, Ainara Estanga, Kaj Blennow, Andrea Izagirre, Beatriz Abad-García, Sara Aurtenetxe, Mikel Tainta, and Montserrat Clerigue
- Subjects
Adult ,Male ,0301 basic medicine ,medicine.medical_specialty ,Amyloid beta ,Corpus callosum ,Cohort Studies ,White matter ,03 medical and health sciences ,Cognition ,0302 clinical medicine ,Cerebrospinal fluid ,Internal medicine ,Fractional anisotropy ,Humans ,Medicine ,Longitudinal Studies ,Inferior longitudinal fasciculus ,Ketocholesterols ,Aged ,Aged, 80 and over ,Amyloid beta-Peptides ,biology ,business.industry ,General Neuroscience ,Fornix ,General Medicine ,Middle Aged ,Magnetic Resonance Imaging ,White Matter ,Peptide Fragments ,Psychiatry and Mental health ,Clinical Psychology ,Cross-Sectional Studies ,030104 developmental biology ,Endocrinology ,medicine.anatomical_structure ,biology.protein ,Female ,Geriatrics and Gerontology ,business ,Biomarkers ,030217 neurology & neurosurgery ,Diffusion MRI - Abstract
Background: Abnormal cholesterol metabolism changes the neuronal membrane and may promote amyloidogenesis. Oxysterols in cerebrospinal fluid (CSF) are related to Alzheimer's disease (AD) biomarkers in mild cognitive impairment and dementia. Cholesterol turnover is important for axonal and white matter (WM) microstructure maintenance. Objective: We aim to demonstrate that the association of oxysterols, AD biomarkers, and WM microstructure occurs early in asymptomatic individuals. Methods: We studied the association of inter-individual variability of CSF 24-hydroxycholesterol (24-OHC), 27-hydroxycholesterol (27-OHC), 7-ketocholesterol (7-KC), 7 beta-hydroxycholesterol (7 beta-OHC), amyloid-beta(42) (A beta(42)), total-tau (t-tau), phosphorylated-tau (p-tau), neurofilament (NfL), and WM microstructure using diffusion tensor imaging, generalized linear models and moderation/mediation analyses in 153 healthy adults. Results: Higher 7-KC levels were related to lower A beta(42), indicative of greater AD pathology (p = 0.041). Higher 7-KC levels were related to lower fractional anisotropy (FA) and higher mean (MD), axial (AxD), and radial (RD) diffusivity. 7-KC modulated the association between AxD and NfL in the corpus callosum splenium (B = 39.39, p = 0.017), genu (B = 68.64, p = 0.000), and fornix (B = 10.97, p = 0.000). Lower A beta(42) levels were associated to lower FA and higher MD, AxD, and RD in the fornix, corpus callosum, inferior longitudinal fasciculus, and hippocampus. The association between AxD and A beta(42) was moderated by 7K-C (p = 0.048). Conclusion: This study adds clinical evidence to support the role of 7K-C on axonal integrity and the involvement of cholesterol metabolism in the A beta(42) generation process.
- Published
- 2020
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