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Abstract #2625

Association of CSF amyloid-β and tau with diffusion along the perivascular space in Alzheimer’s disease

Thomas Welton1, Nicole Isabella Tan2, Sumeet Kumar2, Nicole Keong3, Thomas Teo4, and Adeline SL Ng5
1Research, National Neuroscience Institute; Duke-NUS Medical School, Singapore, Singapore, Singapore, 2National Neuroscience Institute, Singapore, Singapore, 3National Neuroscience Institute; Duke-NUS Medical School, Singapore, Singapore, Singapore, 4Research, National Neuroscience Institute, Singapore, Singapore, 5National Neuroscience Institute; Duke-NUS Medical School, Singapore; Lee Kong Chian School of Medicine, Singapore, Singapore, Singapore

Synopsis

Keywords: Alzheimer's Disease, Alzheimer's Disease

Motivation: Glymphatic clearance of toxic proteins, quantified by the “DTI-along-the-perivascular-space” (ALPS) index, is impaired in Alzheimer’s disease (AD)

Goal(s): We tested the association of the ALPS index to CSF Aβ and tau.

Approach: We used imaging, CSF biomarker, and neuropsychological assessment data from 12 MCI, 21 AD, and 11 other dementia patients. We generated color FA maps and ALPS ROIs, before testing the interaction effects of ALPS × group on each CSF biomarker measure.

Results: In our sample of AD and mild cognitive impairment patients (n=44), we found significant positive association of CSF tau and phosphorylated tau (but not amyloid-β) with the ALPS index.

Impact: Our study establishes a novel link between brain glymphatic function and CSF phosphorylated tau in AD via the ALPS index.

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