Mixed pathology is more likely in black than white decedents with Alzheimer dementia.

作者: Lisa L. Barnes , Sue Leurgans , Neelum T. Aggarwal , Raj C. Shah , Zoe Arvanitakis

DOI: 10.1212/WNL.0000000000001834

关键词:

摘要: Objective: To compare the burden of neuropathology in black and white participants with clinical Alzheimer disease (AD). Methods: Participants included 122 persons enrolled Rush Alzheimer9s Disease Clinical Core, a prospective cohort study AD. Forty-one decedents were matched two-to-one to 81 according age at death, sex, years education, cognition proximate death. We examined common brain pathologies related dementia (AD, Lewy body, macroscopic microinfarct pathology) arteriolar sclerosis atherosclerosis. calculated frequency each pathology both alone combination (mixed pathologies). Racial differences odds single vs mixed pathologies, vessel its severity, using logistic regression analyses. Results: AD was confirmed >93% dementia. However, less likely have as than (19.5% 42.0%), more an additional (70.7% 50.6%), particularly bodies, pathology, infarcts. Black also had severe Conclusion: are compared age-, sex-, education-, cognition-matched

参考文章(35)
J. C. Moms, A. Heyman, R. C. Mohs, J. P. Hughes, G. van Belle, G. Fillenbaum, E. D. Mellits, C. Clark, The consortium to establish a registry for alzheimer’s disease (CERAD). Part I. Clinical and neuropsychological assessment of alzheimer’s disease Neurology. ,vol. 39, pp. 1159- 1165 ,(1989) , 10.1212/WNL.39.9.1159
Julian E. Keil, Susan E. Sutherland, Rebecca G. Knapp, Daniel T. Lackland, Peter C. Gazes, Herman A. Tyroler, Mortality Rates and Risk Factors for Coronary Disease in Black as Compared with White Men and Women The New England Journal of Medicine. ,vol. 329, pp. 73- 78 ,(1993) , 10.1056/NEJM199307083290201
G. W. Moore, S. M. de la Monte, G. M. Hutchins, Racial differences in the etiology of dementia and frequency of Alzheimer lesions in the brain. Journal of The National Medical Association. ,vol. 81, pp. 644- 652 ,(1989)
Julie A. Schneider, Neelum T. Aggarwal, Lisa Barnes, Patricia Boyle, David A. Bennett, The Neuropathology of Older Persons with and Without Dementia from Community versus Clinic Cohorts Journal of Alzheimer's Disease. ,vol. 18, pp. 691- 701 ,(2009) , 10.3233/JAD-2009-1227
Marie-Florence Shadlen, David Siscovick, Annette L. Fitzpatrick, Corinne Dulberg, Lewis H. Kuller, Sharon Jackson, Education, Cognitive Test Scores, and Black‐White Differences in Dementia Risk Journal of the American Geriatrics Society. ,vol. 54, pp. 898- 905 ,(2006) , 10.1111/J.1532-5415.2006.00747.X
Sukriti Nag, Lei Yu, Ana W. Capuano, Robert S. Wilson, Sue E. Leurgans, David A. Bennett, Julie A. Schneider, Hippocampal sclerosis and TDP‐43 pathology in aging and Alzheimer disease Annals of Neurology. ,vol. 77, pp. 942- 952 ,(2015) , 10.1002/ANA.24388
Helena C Chui, Margaret Gatz, Cultural diversity in Alzheimer disease: the interface between biology, belief, and behavior. Alzheimer Disease & Associated Disorders. ,vol. 19, pp. 250- 255 ,(2005) , 10.1097/01.WAD.0000190802.03717.20
M.-X. Tang, P. Cross, H. Andrews, D. M. Jacobs, S. Small, K. Bell, C. Merchant, R. Lantigua, R. Costa, Y. Stern, R. Mayeux, Incidence of AD in African-Americans, Caribbean Hispanics, and Caucasians in Northern Manhattan Neurology. ,vol. 56, pp. 49- 56 ,(2001) , 10.1212/WNL.56.1.49
Charles Bratton, Kenneth Chavin, Prabhakar Baliga, Racial disparities in organ donation and why. Current Opinion in Organ Transplantation. ,vol. 16, pp. 243- 249 ,(2011) , 10.1097/MOT.0B013E3283447B1C
Consuelo H. Wilkins, Elizabeth A. Grant, Sarah E. Schmitt, Daniel W. McKeel, John C. Morris, The neuropathology of Alzheimer disease in African American and white individuals. JAMA Neurology. ,vol. 63, pp. 87- 90 ,(2006) , 10.1001/ARCHNEUR.63.1.87