Elevated tau in the piriform cortex in Alzheimer's but not Parkinson's disease using PET‐MR

Abstract INTRODUCTION Olfactory dysfunction can be an early sign of Alzheimer's disease (AD). We used tau positron emission tomography‐magnetic resonance (PET‐MR) to analyze a key region of the olfactory circuit, the piriform cortex, in comparison to the adjacent medial temporal lobe. METHODS U...

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Main Authors: Hossein Moein Taghavi, Mahta Karimpoor, Eric K. vanStaalduinen, Christina B. Young, Marios Georgiadis, Samantha Leventis, Mackenzie Carlson, America Romero, Alexandra Trelle, Hillary Vossler, Maya Yutsis, Jarrett Rosenberg, Guido A. Davidzon, Greg Zaharchuk, Kathleen Poston, Anthony D. Wagner, Victor W. Henderson, Elizabeth Mormino, Michael Zeineh
Format: Article
Language:English
Published: Wiley 2024-10-01
Series:Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
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Online Access:https://doi.org/10.1002/dad2.70040
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author Hossein Moein Taghavi
Mahta Karimpoor
Eric K. vanStaalduinen
Christina B. Young
Marios Georgiadis
Samantha Leventis
Mackenzie Carlson
America Romero
Alexandra Trelle
Hillary Vossler
Maya Yutsis
Jarrett Rosenberg
Guido A. Davidzon
Greg Zaharchuk
Kathleen Poston
Anthony D. Wagner
Victor W. Henderson
Elizabeth Mormino
Michael Zeineh
author_facet Hossein Moein Taghavi
Mahta Karimpoor
Eric K. vanStaalduinen
Christina B. Young
Marios Georgiadis
Samantha Leventis
Mackenzie Carlson
America Romero
Alexandra Trelle
Hillary Vossler
Maya Yutsis
Jarrett Rosenberg
Guido A. Davidzon
Greg Zaharchuk
Kathleen Poston
Anthony D. Wagner
Victor W. Henderson
Elizabeth Mormino
Michael Zeineh
author_sort Hossein Moein Taghavi
collection DOAJ
description Abstract INTRODUCTION Olfactory dysfunction can be an early sign of Alzheimer's disease (AD). We used tau positron emission tomography‐magnetic resonance (PET‐MR) to analyze a key region of the olfactory circuit, the piriform cortex, in comparison to the adjacent medial temporal lobe. METHODS Using co‐registered magnetic resonance imaging (MRI) and 18F‐PI‐2620 tau PET‐MR scans in 94 older adults, we computed tau uptake in the piriform‐periamygdaloid cortex, amygdala, entorhinal‐perirhinal cortices, and hippocampus. RESULTS We found an ordinal cross‐sectional increase in piriform cortex tau uptake with increasing disease severity (amyloid‐negative controls, amyloid‐positive controls, mild cognitive impairment [MCI] and AD), comparable to entorhinal‐perirhinal cortex. Amyloid‐positive controls showed significantly greater tau uptake than amyloid‐negative controls. Negative correlations were present between memory performance and piriform uptake. Piriform uptake was not elevated in cognitively unimpaired Parkinson's disease. DISCUSSION Cross‐sectionally, there is an early increase in tau uptake in the piriform cortex in AD but not in Parkinson's disease. Highlights Positron emission tomography–magnetic resonance (PET‐MR) analysis of the piriform cortex sheds light on its role as a potential early region affected by neurodegenerative disorders underlying olfactory dysfunction. Uptake of tau tracer was elevated in the piriform cortex in Alzheimer's disease (AD) and mild cognitive impairment (MCI) but not in Parkinson's disease (PD). Memory performance was worse with greater piriform uptake.
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spelling doaj-art-df0cc34deaa34af3ac9dd6bf441198a62024-12-27T13:08:30ZengWileyAlzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring2352-87292024-10-01164n/an/a10.1002/dad2.70040Elevated tau in the piriform cortex in Alzheimer's but not Parkinson's disease using PET‐MRHossein Moein Taghavi0Mahta Karimpoor1Eric K. vanStaalduinen2Christina B. Young3Marios Georgiadis4Samantha Leventis5Mackenzie Carlson6America Romero7Alexandra Trelle8Hillary Vossler9Maya Yutsis10Jarrett Rosenberg11Guido A. Davidzon12Greg Zaharchuk13Kathleen Poston14Anthony D. Wagner15Victor W. Henderson16Elizabeth Mormino17Michael Zeineh18Department of RadiologyStanford University School of MedicineStanfordCaliforniaUSADepartment of RadiologyStanford University School of MedicineStanfordCaliforniaUSADepartment of RadiologyStanford University School of MedicineStanfordCaliforniaUSADepartment of Neurology and Neurological SciencesStanford University School of MedicineStanfordCaliforniaUSADepartment of RadiologyStanford University School of MedicineStanfordCaliforniaUSADepartment of RadiologyStanford University School of MedicineStanfordCaliforniaUSADepartment of Neurology and Neurological SciencesStanford University School of MedicineStanfordCaliforniaUSADepartment of Neurology and Neurological SciencesStanford University School of MedicineStanfordCaliforniaUSADepartment of Neurology and Neurological SciencesStanford University School of MedicineStanfordCaliforniaUSADepartment of Neurology and Neurological SciencesStanford University School of MedicineStanfordCaliforniaUSADepartment of Neurology and Neurological SciencesStanford University School of MedicineStanfordCaliforniaUSADepartment of RadiologyStanford University School of MedicineStanfordCaliforniaUSADepartment of RadiologyStanford University School of MedicineStanfordCaliforniaUSADepartment of RadiologyStanford University School of MedicineStanfordCaliforniaUSADepartment of Neurology and Neurological SciencesStanford University School of MedicineStanfordCaliforniaUSAWu Tsai Neurosciences InstituteStanford UniversityStanford California USADepartment of Neurology and Neurological SciencesStanford University School of MedicineStanfordCaliforniaUSADepartment of Neurology and Neurological SciencesStanford University School of MedicineStanfordCaliforniaUSADepartment of RadiologyStanford University School of MedicineStanfordCaliforniaUSAAbstract INTRODUCTION Olfactory dysfunction can be an early sign of Alzheimer's disease (AD). We used tau positron emission tomography‐magnetic resonance (PET‐MR) to analyze a key region of the olfactory circuit, the piriform cortex, in comparison to the adjacent medial temporal lobe. METHODS Using co‐registered magnetic resonance imaging (MRI) and 18F‐PI‐2620 tau PET‐MR scans in 94 older adults, we computed tau uptake in the piriform‐periamygdaloid cortex, amygdala, entorhinal‐perirhinal cortices, and hippocampus. RESULTS We found an ordinal cross‐sectional increase in piriform cortex tau uptake with increasing disease severity (amyloid‐negative controls, amyloid‐positive controls, mild cognitive impairment [MCI] and AD), comparable to entorhinal‐perirhinal cortex. Amyloid‐positive controls showed significantly greater tau uptake than amyloid‐negative controls. Negative correlations were present between memory performance and piriform uptake. Piriform uptake was not elevated in cognitively unimpaired Parkinson's disease. DISCUSSION Cross‐sectionally, there is an early increase in tau uptake in the piriform cortex in AD but not in Parkinson's disease. Highlights Positron emission tomography–magnetic resonance (PET‐MR) analysis of the piriform cortex sheds light on its role as a potential early region affected by neurodegenerative disorders underlying olfactory dysfunction. Uptake of tau tracer was elevated in the piriform cortex in Alzheimer's disease (AD) and mild cognitive impairment (MCI) but not in Parkinson's disease (PD). Memory performance was worse with greater piriform uptake.https://doi.org/10.1002/dad2.70040Alzheimer'sMRIolfactionPDPETPET‐MR
spellingShingle Hossein Moein Taghavi
Mahta Karimpoor
Eric K. vanStaalduinen
Christina B. Young
Marios Georgiadis
Samantha Leventis
Mackenzie Carlson
America Romero
Alexandra Trelle
Hillary Vossler
Maya Yutsis
Jarrett Rosenberg
Guido A. Davidzon
Greg Zaharchuk
Kathleen Poston
Anthony D. Wagner
Victor W. Henderson
Elizabeth Mormino
Michael Zeineh
Elevated tau in the piriform cortex in Alzheimer's but not Parkinson's disease using PET‐MR
Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
Alzheimer's
MRI
olfaction
PD
PET
PET‐MR
title Elevated tau in the piriform cortex in Alzheimer's but not Parkinson's disease using PET‐MR
title_full Elevated tau in the piriform cortex in Alzheimer's but not Parkinson's disease using PET‐MR
title_fullStr Elevated tau in the piriform cortex in Alzheimer's but not Parkinson's disease using PET‐MR
title_full_unstemmed Elevated tau in the piriform cortex in Alzheimer's but not Parkinson's disease using PET‐MR
title_short Elevated tau in the piriform cortex in Alzheimer's but not Parkinson's disease using PET‐MR
title_sort elevated tau in the piriform cortex in alzheimer s but not parkinson s disease using pet mr
topic Alzheimer's
MRI
olfaction
PD
PET
PET‐MR
url https://doi.org/10.1002/dad2.70040
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