2023
DOI: 10.1101/2023.01.31.526473
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Path integration selectively predicts midlife risk of Alzheimer’s disease

Abstract: The entorhinal cortex (EC) is the first cortical region to exhibit neurodegeneration in Alzheimer's disease (AD), associated with EC grid cell dysfunction. Given the role of grid cells in path integration (PI), we predicted that PI impairment would represent the first behavioural change in adults at risk of AD. Using immersive VR, we found that midlife PI impairments predicted both hereditary and physiological AD risk, with no corresponding impairment on tests of episodic memory or other spatial behaviours. Im… Show more

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Cited by 12 publications
(17 citation statements)
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“…Notably, the lack of a correlation between wayfinding inefficiency and the RAM measures in this small lab sample matches our recent report of an absence of correlation between these in an online sample of over 37,000 participants (West et al, 2023). The absence of a correlation of the PI measure and the other navigation tasks is notable in light of recent evidence that PI, rather than other spatial tests, might be particularly important for early detection of AD (Kunz et al, 2015; Bierbrauer et al, 2020; Newton et al, 2023).…”
Section: Discussionmentioning
confidence: 96%
“…Notably, the lack of a correlation between wayfinding inefficiency and the RAM measures in this small lab sample matches our recent report of an absence of correlation between these in an online sample of over 37,000 participants (West et al, 2023). The absence of a correlation of the PI measure and the other navigation tasks is notable in light of recent evidence that PI, rather than other spatial tests, might be particularly important for early detection of AD (Kunz et al, 2015; Bierbrauer et al, 2020; Newton et al, 2023).…”
Section: Discussionmentioning
confidence: 96%
“…Notably, the lack of a correlation between wayfinding inefficiency and the RAM errors in this small lab sample matches our recent report of an absence of correlation between these in an online sample of over 37,000 participants [ 45 ]. The absence of a correlation of the PI measure and the other navigation tasks is notable in light of recent evidence that PI, rather than other spatial tests, might be particularly important for early detection of AD [ 67 69 ].…”
Section: Discussionmentioning
confidence: 99%
“…Thus, rather than resulting from variation in path integration per se, differences between individuals could instead result from variation in the anchoring of grid representations underlying path integration. This could be important as a potential mechanism for deficits in spatial localisation associated with neurological and neurodevelopmental disorders ( Kunz et al, 2015 ; Newton et al, 2023 ; Noel et al, 2020 ).…”
Section: Discussionmentioning
confidence: 99%