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Abstract #4212

Higher iron levels in the older adult brain are linked to higher R2 in gray matter and more white matter hyperintensities

Md Tahmid Yasar1, Ashley I. Bush2, Scott Ayton2, Puja Agarwal3, Sonal Agrawal3, David A. Bennett3, Julie A. Schneider3, and Konstantinos Arfanakis1,3
1Illinois Institute of Technology, Chicago, IL, United States, 2Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, Australia, 3Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, United States

Synopsis

Keywords: Aging, Aging, Alzheimer’s disease, Ex-vivo applications, Neuropathology

Motivation: High iron levels in the brain of older adults have been linked to age-related neuropathologies and cognitive impairment. It is not yet known how iron levels relate to brain MRI characteristics above and beyond the effects of neuropathologies.

Goal(s): To investigate the association of brain iron levels with R2 and white matter hyperintensities (WMH) independent of the effects of age-related neuropathologies in community-based older adults.

Approach: Ex-vivo MRI, detailed neuropathologic evaluation, and inductively coupled plasma mass spectrometry were combined in 437 community-based older adults.

Results: Higher iron levels are independently associated with higher R2 and WMH levels controlling for other metals and neuropathologies.

Impact: We demonstrated that brain iron levels in older adults are associated with higher R2 and WMH independent of age-related neuropathologies and other metals, suggesting the presence of additional mechanisms of iron accumulation.

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Keywords