2019
DOI: 10.1038/s41467-019-12921-z
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Tau deposition is associated with functional isolation of the hippocampus in aging

Abstract: The tau protein aggregates in aging and Alzheimer disease and may lead to memory loss through disruption of medial temporal lobe (MTL)-dependent memory systems. Here, we investigated tau-mediated mechanisms of hippocampal dysfunction that underlie the expression of episodic memory decline using fMRI measures of hippocampal local coherence (regional homogeneity; ReHo), distant functional connectivity and tau-PET. We show that age and tau pathology are related to higher hippocampal ReHo. Functional disconnection… Show more

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Cited by 86 publications
(83 citation statements)
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“…The pattern of Network 1 is like the joint of the anteriortemporal and posterior-medial system (30), which work interactively for encoding and retrieval memory (31,32). The reduced functional connectivity within Network 1 is consistent with evidence found in resting-state fMRI, both in AD and cognitively unimpaired amyloid-β + individuals (22,33). Importantly, we found the reduction speci cally in the maintenance and retrieval phase of memory.…”
Section: Network 1 Connectivity Is Predominantly Impaired In Adsupporting
confidence: 86%
“…The pattern of Network 1 is like the joint of the anteriortemporal and posterior-medial system (30), which work interactively for encoding and retrieval memory (31,32). The reduced functional connectivity within Network 1 is consistent with evidence found in resting-state fMRI, both in AD and cognitively unimpaired amyloid-β + individuals (22,33). Importantly, we found the reduction speci cally in the maintenance and retrieval phase of memory.…”
Section: Network 1 Connectivity Is Predominantly Impaired In Adsupporting
confidence: 86%
“…This process leads to the decline of cognitive abilities 59 , reducing the quality of life of elderly persons, whose population has increased over the last years. However, the cellular and molecular mechanisms leading to age-associated alterations are not completely clear 60 . Increasing evidence shows that synaptic dysfunction 61 and mitochondrial impairment 62 64 are considered early events during aging and in the pathogenesis of neurodegenerative disorders 63 .…”
Section: Discussionmentioning
confidence: 99%
“…When tau is abnormally phosphorylated it dissociates microtubules, losing its normal function and accumulating in neurons 60 , 82 , 83 . Tau hyperphosphorylation leads to aberrant self-assembly in insoluble aggregates, accompanied by synaptic dysfunction and neuronal death in a series of neurodegenerative diseases known as tauopathies 19 .…”
Section: Discussionmentioning
confidence: 99%
“…Prior evidence suggests that such tasks have potential for early detection of AD-related cognitive changes because 1) the task involves relational binding of objects and locations, which is impaired in prodromal AD and taps into the integrity of the entorhinal cortex and hippocampus, 34,68,[80][81][82] 2) a continuous metric may be a more sensitive index than categorical measures of retrieval, 50,67 and 3) memory fidelity relies on communication between hippocampus and cortical regions, which exhibit altered connectivity in the early course of AD. 1,16,24,[83][84][85][86][87][88][89][90] Previously, preclinical ε4 homozygotes at high risk of AD were impaired on a similar memory fidelity task, while heterozygotes were not. 52 Here, we aimed to increase sensitivity of such continuous report paradigms by increasing the to-be-recalled information per test display and by separating memory precision from retrieval success.…”
Section: Discussionmentioning
confidence: 99%