Better stress coping associated with lower tau in amyloid-positive cognitively unimpaired older adults.

作者: Eider M. Arenaza-Urquijo , Scott A. Przybelski , Mary M. Machulda , David S. Knopman , Val J. Lowe

DOI: 10.1212/WNL.0000000000008979

关键词:

摘要: Objective Research in animals has shown that chronic stress exacerbates tau pathology. In humans, psychological been associated with higher risk of Alzheimer disease clinical syndrome. The objective this cross-sectional study was to assess the hypothesis coping ability (assessed via Brief Resilience Scale [BRS]) is burden and evaluate whether these associations differed by sex amyloid status (A+/A−) cognitively unimpaired (CU) older adults. Methods We included 225 CU participants (mean age 70.4 ± 10.2 years, 48% female) enrolled population-based Mayo Clinic Study Aging who completed BRS underwent amyloid-PET (Pittsburgh compound B–PET) tau-PET (AV1451-PET). fitted multiple regression analysis covariance models between interaction sex. focused on entorhinal cortex (ERC) also performed voxel-wise analyses. Age, sex, education, depression, anxiety were considered as covariates. Results Higher lower medial temporal lobe (including ERC) occipito-temporal cuneal/precuneal cortices. association present both A+ A− but weaker There an restricted such adults abilities showed tau. no significant interactions Conclusions A faster termination response (higher ability) may limit negative effects deposition. Conversely, be early sign accumulating Longitudinal studies are warranted clarify mechanisms act exacerbate pathology or influences stress-related brain lowers cope stress.

参考文章(51)
Amit Sood, Kavita Prasad, Darrell Schroeder, Prathibha Varkey, Stress management and resilience training among Department of Medicine faculty: a pilot randomized clinical trial. Journal of General Internal Medicine. ,vol. 26, pp. 858- 861 ,(2011) , 10.1007/S11606-011-1640-X
O. C. Okonkwo, S. A. Schultz, J. M. Oh, J. Larson, D. Edwards, D. Cook, R. Koscik, C. L. Gallagher, N. M. Dowling, C. M. Carlsson, B. B. Bendlin, A. LaRue, H. A. Rowley, B. T. Christian, S. Asthana, B. P. Hermann, S. C. Johnson, M. A. Sager, Physical activity attenuates age-related biomarker alterations in preclinical AD Neurology. ,vol. 83, pp. 1753- 1760 ,(2014) , 10.1212/WNL.0000000000000964
Michael Crowe, Ross Andel, Nancy L. Pedersen, Margaret Gatz, Do work-related stress and reactivity to stress predict dementia more than 30 years later? Alzheimer Disease & Associated Disorders. ,vol. 21, pp. 205- 209 ,(2007) , 10.1097/WAD.0B013E31811EC10A
Norman Epstein, Aaron T. Beck, Robert A. Steer, Gary Brown, An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology. ,vol. 56, pp. 893- 897 ,(1988) , 10.1037//0022-006X.56.6.893
R. S. Wilson, D. A. Evans, J. L. Bienias, C. F. Mendes de Leon, J. A. Schneider, D. A. Bennett, Proneness to psychological distress is associated with risk of Alzheimer’s disease Neurology. ,vol. 61, pp. 1479- 1485 ,(2003) , 10.1212/01.WNL.0000096167.56734.59
Yun Ha Jeong, Cheol Hyoung Park, Jongman Yoo, Ki Young Shin, Sung‐Min Ahn, Hye‐Sun Kim, Sang Hyung Lee, Piers C. Emson, Yoo‐Hun Suh, Chronic stress accelerates learning and memory impairments and increases amyloid deposition in APPV717I‐CT100 transgenic mice, an Alzheimer's disease model The FASEB Journal. ,vol. 20, pp. 729- 731 ,(2006) , 10.1096/FJ.05-4265FJE
Silvia Mejía, Margarita Giraldo, David Pineda, Alfredo Ardila, Francisco Lopera, Nongenetic factors as modifiers of the age of onset of familial Alzheimer's disease. International Psychogeriatrics. ,vol. 15, pp. 337- 349 ,(2003) , 10.1017/S1041610203009591
Greti Aguilera, Regulation of pituitary ACTH secretion during chronic stress. Frontiers in Neuroendocrinology. ,vol. 15, pp. 321- 350 ,(1994) , 10.1006/FRNE.1994.1013