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P2-314

2006, Alzheimer's & Dementia

Double transgenic mice (PSAPP) expressing mutant human amyloid precursor protein (APP 695) and mutant human presenilin-1 (PS1) develop ␤-amyloid (A␤) plaques throughout the cortex starting at 3 months of age. We examined the neurochemical profile of PSAPP brain by in vivo and in vitro magnetic resonance spectroscopy (NMR) and plaque distribution, size and number by immunohistochemistry. Methods: PSAPP mice were fed chow containing ibuprofen (375 ppm) or celecoxib (120 ppm) between the ages of 3 months to 6 months or 1 month to 18 months. At 6 or 18 months of age PSAPP-treated mice and controls, PSAPP-untreated and wild type mice, were anesthetized with halothane and scanned at 9.4T using T2-weighted imaging (TR/TE ϭ 3.3/60 ms). Spectroscopy was run using a PRESS sequence with multiple TE values. Brains were then removed, one hemisphere was used to study plaque pathology and the other hemisphere was dissected and the cerebral cortex analyzed by in vitro NMR (600MHz spectra) and by ELISA for A␤ levels. A␤ plaque area and number were analyzed using Stereo Investigator (v 6.55), MicroBright-Field and statistics calculated with Neurolucida Explorer. Results: There were significant increases in myo-inositol and glutamine and significant decreases in glutamate and NAA in the cerebral cortex of PSAPP transgenic mice at 18 months of age. Celecoxib significantly raised NAA levels and ibuprofen increased the glutamate. A␤1-40 and 42 stained plaque area correlated inversely with NAA. A␤42/40 ratio was altered by ibuprofen at 6 months of age. Discussion: As in human Alzheimer brains, increased brain levels of myo-inositol and decreased NAA levels are consistent with decreased healthy neuron and increased glia cells in PSAPP mouse brain. The significant inverse correlation between A␤ plaque burden and NAA points to NAA as a pathological marker in this mouse model.

S332 P2-311 Poster P2:: Monday Posters INTEGRATED METABOLIC AND NEUROPATHOLOGICAL ANALYSIS OF ALZHEIMER MOUSE BRAIN IN RESPONSE TO ANTI-INFLAMMATORY TREATMENT Alpaslan Dedeoglu1, Ji-Kyung Choi2, Isabel Carreras3, Sukru Kaymakcalan1, Neil W. Kowall1, Bruce G. Jenkins2, 1Neurology, Boston University, Bedford VA Hospital, Boston, MA, USA; 2Radiology, MGH and Harvard Medical School, Boston, MA, USA; 3Biochemistry, Boston University, Bedford VA Hospital, Boston, MA, USA. Contact e-mail: [email protected] Introduction: Double transgenic mice (PSAPP) expressing mutant human amyloid precursor protein (APP695) and mutant human presenilin-1 (PS1) develop -amyloid (A) plaques throughout the cortex starting at 3 months of age. We examined the neurochemical profile of PSAPP brain by in vivo and in vitro magnetic resonance spectroscopy (NMR) and plaque distribution, size and number by immunohistochemistry. Methods: PSAPP mice were fed chow containing ibuprofen (375 ppm) or celecoxib (120 ppm) between the ages of 3 months to 6 months or 1 month to 18 months. At 6 or 18 months of age PSAPP-treated mice and controls, PSAPP-untreated and wild type mice, were anesthetized with halothane and scanned at 9.4T using T2-weighted imaging (TR/TE ⫽ 3.3/60 ms). Spectroscopy was run using a PRESS sequence with multiple TE values. Brains were then removed, one hemisphere was used to study plaque pathology and the other hemisphere was dissected and the cerebral cortex analyzed by in vitro NMR (600MHz spectra) and by ELISA for A levels. A plaque area and number were analyzed using Stereo Investigator (v 6.55), MicroBrightField and statistics calculated with Neurolucida Explorer. Results: There were significant increases in myo-inositol and glutamine and significant decreases in glutamate and NAA in the cerebral cortex of PSAPP transgenic mice at 18 months of age. Celecoxib significantly raised NAA levels and ibuprofen increased the glutamate. A1-40 and 42 stained plaque area correlated inversely with NAA. A42/40 ratio was altered by ibuprofen at 6 months of age. Discussion: As in human Alzheimer brains, increased brain levels of myo-inositol and decreased NAA levels are consistent with decreased healthy neuron and increased glia cells in PSAPP mouse brain. The significant inverse correlation between A plaque burden and NAA points to NAA as a pathological marker in this mouse model. Supported by: NIA (R21 AG025162-01A1), Alzheimer Association (NIRG 02 3563), Department of Veteran Affairs (Merit Award). P2-312 PET IMAGING OF MICROGLIA IN A MOUSE MODEL OF ALZHEIMER’S DISEASE Sriram Venneti, Brian J. Lopresti, Guoji Wang, Chester A. Mathis, William E. Klunk, Aaron D. Shmookler, Ronald L. Hamilton, Udayan M. Apte, Clayton A. Wiley, University of Pittsburgh, Pittsburgh, PA, USA. Contact e-mail: [email protected] Background: The role of activated microglia in AD pathogenesis is not well understood. A immunization protocols in both animal models and humans have shown prominent microglial activation associated with amyloid clearance and phagocytosis. The ability to determine the extent of microglial activation in vivo could clarify the role of microglia in the pathogenesis of AD and immunization protocols. Objective: We investigated the feasibility of imaging activated microglia using Positron Emission Tomography (PET) by taking advantage of elevated levels of peripheral benzodiazepine receptor expression (PBR) on activated microglia. We tested the hypothesis that PK11195, a selective ligand to PBR, will specifically label activated microglia in vivo using PET in a mouse model of AD. Results: PK11195 binding to microglia was first characterized in vitro and in AD post mortem tissue using filtration binding assays. [H-3]PK11195 binding was significantly higher in lipopolysaccharide activated primary human microglia compared to unactivated microglia, activated astrocytes and unactivated astrocyte controls in culture (n⫽3, p⬍0.001). [H-3]PK11195 was then compared in AD and age matched control brain tissue (5 AD and 5 controls). Tissue obtained from the frontal cortex showed significantly higher binding in AD than controls (p⫽0.0002). The cerebellum from AD cases did not show any significant difference compared to controls indicating that increased [H-3]PK11195 binding was specific to regions with AD pathology. [C-11]PK11195 microPET imaging was then performed in 7 control and 7 transgenic mice (13-20 mo.) expressing the APP Swedish and PSEN1 mutations (TG), after which mice were sacrificed to assess histopathology. TG mice showed a lesser degree of microglial activation as compared to AD postmortem tissue. However, 4 of the 7 transgenic mice showed moderately increased retention of [C-11]PK11195 in brain, which correlated positively with increasing age in TG mice. Conclusion: Our results indicate that the extent of microglial activation in these TG mice, as assessed by PET imaging and histopathology, is lower than that seen in AD postmortem tissue, suggesting that the neuroinflammatory process is different in TG models and AD. P2-313 PREVALENCE AND SEVERITY OF MICROBLEEDS IN A MEMORY CLINIC SETTING Charlotte Cordonnier1,2, Wiesje M. van der Flier3, Jasper D. Sluimer4, Didier Leys1, Frederik Barkhof4, Philip Scheltens3, 1Lille University, Lille, France; 2Department of Neurology and Alzheimer Center, VU Medical Center, Amsterdam, The Netherlands; 3Department of Neurology and Alzheimer Center, VU University Medical Center, Amsterdam, The Netherlands; 4Department of Radiology and Image Analysis Center, VU University Medical Center, Amsterdam, The Netherlands. Contact e-mail: [email protected] Objective: To determine prevalence and severity of microbleeds (MBs) in a large cohort of patients attending a memory clinic. Methods: We consecutively included patients attending our memory clinic, between January 2002 and April 2005. We analyzed prevalence and number of MBs according to demographic, diagnostic and MRI data. Results: We included 772 patients (53% men, age 66 ⫾11). One hundred and twenty-seven patients (17%) exhibited at least 1 MB. The prevalence differed according to diagnostic groups (p⬍0.0001): 65% of patients with vascular dementia exhibited MBs versus 18% of Alzheimer (AD) patients, 20% of mild cognitive impairment (MCI), and 10% in patients with subjective complaints. The presence of MBs was associated with age, white matter hyperintensities, lacunar infarcts and infarcts. Conclusions: The prevalence of MBs in a large cohort of patients attending a memory clinic is higher than previously described in community samples and lower than reported in stroke patients. Our finding of a relatively high proportion of MBs in AD and MCI provides further evidence for the involvement of vascular factors in neurodegenerative diseases such as AD. P2-314 HYPOMETABOLISM PRECEDES VOLUME LOSS IN PRESYMPTOMATIC INDIVIDUALS WITH EARLY-ONSET FAMILIAL ALZHEIMER’S DISEASE Lisa Mosconi1, Alberto Pupi2, Mony de Leon1, Yi Li1, Benedetta Nacmias2, Susan De Santi1, Wai Tsui1, Paul Myoung1, Valentina Bessi2, Mozghan Fayyaz2, Mario Mascalchi2, Sandro Sorbi2, 1 New York University School of Medicine, New York, NY, USA; 2 University of Florence, Florence, Italy. Contact e-mail: [email protected] Background: The aim of the present study is to compare brain atrophy to hypometabolism as preclinical markers of AD by studying presymptomatic individuals from families with early-onset autosomal dominant AD (FAD) carrying mutations in the Presinilin-1 gene. FAD individuals near to the anticipated age of onset may be expected to be in a presymptomatic stage of the disease, providing unique information about preclinical AD-related brain changes. Objective: By using MRI and FDG-PET imaging, the present study compares FAD to age-matched normal non-carrier individuals to examine the hypothesis that the earliest signs of future AD can be found as alterations in brain glucose metabolism (MRglc). Methods: S333 Poster P2:: Monday Posters Seven at risk individuals from four families with FAD (CDR⫽0, age 43⫹4 years, 4 women, education ⬎12 years) and 7 age, gender and education matched normal Controls (including 4 non-affected siblings) received complete clinical, neuropsychological, MRI and FDG-PET examinations. Regions of interest (ROIs) including the hippocampus (Hip), the entorhinal cortex (EC), the posterior cingulate cortex (PCC), the inferior parietal lobule (IPL), and the superior temporal gyrus (STG) were drawn bilaterally on the MRI scans of all subjects. The ROIs were used to measure volume loss (atrophy) on MRI, and MRglc from the MRI-coregistered, atrophy corrected PET scans. The whole-brain (WB) MRglc was also examined. Results: All presymptomatic FAD cases were comparable to Controls for neuropsychological measures. On MRI, after correcting for the total intracranial volume, none of the FAD cases showed significant volume reductions in any ROI. Conversely, after correcting for pons MRglc, MRglc reductions were found with PET in FAD as compared to Controls in the WB (13%), bilaterally in the IPL (14-16%) and in the STG (11-12%), and in the left EC (21%), PCC (20%), and Hip (12%) (p⬍.05). Conclusions: These results show that FAD individuals in a presymptomatic stage already show widespread MRglc reductions consistent with the typical AD PET pattern in the absence of structural brain atrophy. These data further suggest that PET MRglc measures may serve as biomarkers in the preclinical diagnosis of AD. P2-315 ENTORHINAL CORTEX SULCAL PATTERN IS ASSOCIATED WITH AD Jiong Zhan1, Miroslaw Brys1, Jerzy Wegiel2, Izabela Kuchna2, Yi Li1, Lidia Sobanska1, Susan De Santi1, Mosconi Lisa1, Wai Tsui1, Juan Li1, Javier Elizabeth1, Mony J. de Leon1, 1Center for Brain Health NYU School of Medicine, NewYork City, NY, USA; 2Institute for Basic Research in Developmental Disabilities, Staten Island, NY, USA. Contact e-mail: [email protected] Background: The entorhinal cortex (EC) is important in the diagnosis of Alzheimer’s disease (AD). Variations in rhinal sulcus (RS) patterns are known, but it is not known if they effect EC size. Prior studies have associated size but not EC patterns with AD. Objective(s): To determine if EC sulcal variations are associated with AD and to reduced EC size. Methods: We investigated the MR sulcal pattern in 421 subjects including 212 AD and 107 old normal (NL) and 102 young NL. To examine the stability of the sulcal pattern, we examined 54 AD subjects that had a 3-yr longitudinal examination. Based on the appearance of the rhinal and collateral sulci we determined whether subjects had a One-Sulcus or TwoSulci pattern. 6 postmortem subjects were used for validation. Results: The One-Sulcus pattern was over expressed in AD compared with old NL (table 1, odds ratio⫽2.43, p⫽0.002, 95%CI: 1.37/4.31). No relationship was found between pattern and age, gender, education or ApoE genotype. The reliability and the longitudinal study yielded nearly perfect agreement (99.07%). Post mortem correlation of the sulcal pattern with MRI showed a perfect agreement. Two-Sulci pattern was associated with a larger EC surface area (p⫽0.027). Table 1 Sulcus Patterns in Three Groups One-Sulcus Two-Sulci count percentage count percentage Young NL Old NL AD 24 23.53% 78 76.47% 19 17.76% 88 82.24% 73 34.43% 139 65.57% Conclusions: The MR results indicate the lateral border of EC has two patterns with the One-Sulcus pattern over expressed in AD. The results also show that the One-Sulcus pattern is associated with a smaller surface area. This finding implies that from birth individuals at risk for AD may have a smaller EC. The data show that the pattern does not change over time in AD and is not related to ApoE genotype. These results suggest inquiry into the origin of the pattern and its relationship to AD. P2-316 NEURAL CORRELATES OF THE CLOCK DRAWING TEST PERFORMANCE IN PATIENTS WITH ALZHEIMER’S DISEASE: A FDG-PET STUDY Dong Y. Lee1, IL H. Choo1, Eun H. Seo1, Jong C. Youn2, Ki W. Kim3, Jin H. Jhoo4, Shin G. Kim1, Jong I. Woo1, 1Department of Neuropsychiatry and Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea; 2Department of Neuropsychiatry, Kyunggi Provincial Hospital for the Elderly, Yongin, Republic of Korea; 3Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea; 4 Department of Psychiatry, Pundang Jesaeng Hospital, Daejin Medical Center, Seongnam, Republic of Korea. Contact e-mail: [email protected] Background: The clock drawing test (CDT) is a very useful tool in detecting and monitoring cognitive decline in Alzheimer’s disease (AD). Although CDT has generally been associated with many cognitive skills such as visuospatial, perceptual, executive and motor functioning, the brain areas which underlie the impaired performance of the CDT in AD patients remain controversial. Objective(s): In order to identify the neuroanatomic correlates for the impaired performance on the CDT in patients with AD, we investigated the relationship between the CDT score and resting cerebral glucose utilization, a measure of functional integrity of synapse. Methods: 71 probable AD patients and 40 elderly control subjects underwent a [18F] fluorodeoxyglucose (FDG) PET scan. The performance on the CDT was measured by four different scoring methods. Using SPM99 (statistical parametric mapping 1999), positive correlations between the regional cerebral glucose metabolic rate (rCMRglc) and CDT scores were tested on a voxel basis in AD patients. Results: Specific correlations were found between rCMRglu of right inferior parietal lobule and supramaginal gyrus (Brodmann area 40) and CDT performance scores, regardless of CDT scoring methods (p⬍0.05, corrected for multiple comparisons). Even after controlling the effect of potential confounder on CDT performances, such as education and age, right parietal glucose metabolism significantly explained the considerable proportion of the variance of CDT scores. Conclusions: These findings suggest that the performance on the CDT in AD patients depends on the functional integrity of the right parietal cortex, which is responsible for visuospatial functioning. P2-317 IN VITRO CHARACTERIZATION OF PIB BINDING TO -SYNUCLEIN Michelle Fodero-Tavoletti1,2, Roberto Cappai1,2, Sabine Krause3, Andrea Lippoldt3, Lisa Foster1, Laura Leone1, David Smith1, Catriona McLean4, Christopher C. Rowe5, Thomas Dyrks6, Colin L. Masters1,2, Victor L. Villemagne1,5, 1University of Melbourne, Melbourne, Australia; 2Mental Health Research Institute, Melbourne, Australia; 3Schering AG Radiopharmaceuticals Research, Berlin, Germany; 4Alfred Hospital, Melbourne, Australia; 5Austin Hospital, Melbourne, Australia; 6Schering AG Radiopharmaceuticals Research, Melbourne, Australia. Contact e-mail: [email protected] Background: A accumulation in plaques is one of the pathological hallmarks of Alzheimer’s disease (AD), but also occurs in Dementia with Lewy Bodies (DLB). The contribution of A to the development of DLB is unclear. 11C-PIB-PET studies have shown that DLB subjects present a similar increased 11C-PIB binding as seen in AD subjects. 11C-PIB is a thioflavin-T derivative and thioflavin-T does bind to aggregated -synuclein (-syn). Objective(s): In order to establish the potential contribution of -syn binding to PIB PET studies in DLB, we characterized the binding of 3H-PIB to A42 and -syn utlising an in vitro binding assay, as well as immunofluorescence (IF)/ immunohistochemistry (IHC) microscopy to investigate whether PIB binds to Lewy bodies (LB), in addition to A plaques. Methods: In vitro saturation studies with 2-40 nM 3H-PIB were carried out on 0.5, 1.0 and 2.0g/ml -syn and 1.0g/ml A42 fibrils.