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Abstract #4575

Cerebral Blood Flow Associations with Apolipoprotein E4 and Cerebral Amyloid Burden in Cognitively Intact Individuals

Simona Nikolova1, Gina Dumkrieger1, Leslie Baxter1, Bryan Woodruff1, Richard Caselli1, and Oana Dumitrascu1
1Mayo Clinic, Phoenix, AZ, United States

Synopsis

Keywords: Biology, Models, Methods, Alzheimer's Disease, Amyloid, Alipoprotein E4, Cerebral blood flow

Motivation: Understanding how cerebral perfusion can inform mechanisms behind amyloid plaque accumulation, aiding early intervention strategies for Alzheimer's disease.

Goal(s): To investigate the differences in cerebral perfusion in cognitively intact individuals with and without positive amyloid-PET and create a predictive model of amyloid plaque deposition.

Approach: Utilizing neuroimaging techniques, we calculated cerebral perfusion metrics and compared them among amyloid positive vs negative individuals compensating for age, sex, APOE4 carriage and vascular comorbidities.

Results: A predictive model that includes cerebral perfusion and APOE4 has increased sensitivity and specificity of amyloid burden prediction, proposing potential vascular targets for therapeutic interventions in neurodegeneration.

Impact: Our results will impact researchers and clinicians, enhancing early Alzheimer’s diagnosis and intervention. Future research may explore lifestyle and other vascular-targeting modifications for APOE4 carriers, allowing for personalized treatment strategies, and improving patient outcomes.

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