Abstract
Normal brain aging is commonly associated with neural activity alteration, β-amyloid (Aβ) deposition, and tau aggregation, driving a progressive cognitive decline in normal elderly individuals. Positron emission tomography (PET) with radiotracers targeting these age-related changes has been increasingly employed to clarify the sequence of their occurrence and the evolution of clinically cognitive deficits. Herein, we reviewed recent literature on PET-based imaging of normal human brain aging in terms of neural activity, Aβ, and tau. Neural hypoactivity reflected by decreased glucose utilization with PET imaging has been predominately reported in the frontal, cingulate, and temporal lobes of the normal aging brain. Aβ PET imaging uncovers the pathophysiological association of Aβ deposition with cognitive aging, as well as the potential mechanisms. Tau-associated cognitive changes in normal aging are likely independent of but facilitated by Aβ as indicated by tau and Aβ PET imaging. Future longitudinal studies using multi-radiotracer PET imaging combined with other neuroimaging modalities, such as magnetic resonance imaging (MRI) morphometry, functional MRI, and magnetoencephalography, are essential to elucidate the neuropathological underpinnings and interactions in normal brain aging.
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References
Kirkwood TB, Austad SN. Why do we age? Nature. 2000;408:233–8. https://doi.org/10.1038/35041682.
Campisi J. Senescent cells, tumor suppression, and organismal aging: good citizens, Bad Neighbors. Cell. 2005;120:513–22. https://doi.org/10.1016/j.cell.2005.02.003.
Lockhart SN, DeCarli C. Structural imaging measures of brain aging. Neuropsychol Rev. 2014;24:271–89. https://doi.org/10.1007/s11065-014-9268-3.
Weis S, Sonnberger M, Dunzinger A, Voglmayr E, Aichholzer M, Kleiser R, et al. Normal aging brain. Imaging Brain Diseases. Berlin: Springer; 2019. p. 871–95.
Marks SM, Lockhart SN, Baker SL, Jagust WJ. Tau and beta-amyloid are associated with medial temporal lobe structure, function, and memory encoding in normal aging. J Neurosci. 2017;37:3192–201. https://doi.org/10.1523/JNEUROSCI.3769-16.2017.
Caserta MT, Bannon Y, Fernandez F, Giunta B, Schoenberg MR, Tan J. Normal brain aging: clinical, immunological, neuropsychological, and neuroimaging features. Int Rev Neurobiol. 2009;84:1–19. https://doi.org/10.1016/S0074-7742(09)00401-2.
Gan KJ, Sudhof TC. Specific factors in blood from young but not old mice directly promote synapse formation and NMDA-receptor recruitment. Proc Natl Acad Sci U S A. 2019;116:12524–33. https://doi.org/10.1073/pnas.1902672116.
World Population Ageing. United Nations. 2017:2017 https://www.un.org/development/desa/pd/content/world-population-ageing-2017.
Bloom DE, Chatterji S, Kowal P, Lloyd-Sherlock P, McKee M, Rechel B, et al. Macroeconomic implications of population ageing and selected policy responses. Lancet. 2015;385:649–57. https://doi.org/10.1016/s0140-6736(14)61464-1.
Colom M, Vidal B, Zimmer L. Is there a role for GPCR agonist radiotracers in PET neuroimaging? Front Mol Neurosci. 2019;12:255. https://doi.org/10.3389/fnmol.2019.00255.
Small GW, Bookheimer SY, Thompson PM, Cole GM, Huang SC, Kepe V, et al. Current and future uses of neuroimaging for cognitively impaired patients. Lancet Neurol. 2008;7:161–72. https://doi.org/10.1016/s1474-4422(08)70019-x.
Shen X, Liu H, Hu Z, Hu H, Shi P. The relationship between cerebral glucose metabolism and age: report of a large brain PET data set. PLoS One. 2012;7:e51517. https://doi.org/10.1371/journal.pone.0051517.
Jeong H, Park J, Song I, Chung Y, Rhie S. Changes in cognitive function and brain glucose metabolism in elderly women with subjective memory impairment: a 24-month prospective pilot study. Acta Neurol Scand. 2017;135:108–14. https://doi.org/10.1111/ane.12569.
Yoshizawa H, Gazes Y, Stern Y, Miyata Y, Uchiyama S. Characterizing the normative profile of 18F-FDG PET brain imaging: sex difference, aging effect, and cognitive reserve. Psychiatry Res. 2014;221:78–85. https://doi.org/10.1016/j.pscychresns.2013.10.009.
Lecouvey G, Quinette P, Kalpouzos G, Guillery-Girard B, Bejanin A, Gonneaud J, et al. Binding in working memory and frontal lobe in normal aging: is there any similarity with autism? Front Hum Neurosci. 2015;9:90. https://doi.org/10.3389/fnhum.2015.00090.
Van Der Gucht A, Verger A, Guedj E, Malandain G, Hossu G, Yagdigul Y, et al. Age-related changes in FDG brain uptake are more accurately assessed when applying an adaptive template to the SPM method of voxel-based quantitative analysis. Ann Nucl Med. 2015;29:921–8. https://doi.org/10.1007/s12149-015-1022-2.
Greve DN, Salat DH, Bowen SL, Izquierdo-Garcia D, Schultz AP, Catana C, et al. Different partial volume correction methods lead to different conclusions: an (18)F-FDG-PET study of aging. Neuroimage. 2016;132:334–43. https://doi.org/10.1016/j.neuroimage.2016.02.042.
Hsieh TC, Lin WY, Ding HJ, Sun SS, Wu YC, Yen KY, et al. Sex- and age-related differences in brain FDG metabolism of healthy adults: an SPM analysis. J Neuroimaging. 2012;22:21–7. https://doi.org/10.1111/j.1552-6569.2010.00543.x.
Bonte S, Vandemaele P, Verleden S, Audenaert K, Deblaere K, Goethals I, et al. Healthy brain ageing assessed with 18F-FDG PET and age-dependent recovery factors after partial volume effect correction. Eur J Nucl Med Mol Imaging. 2017;44:838–49. https://doi.org/10.1007/s00259-016-3569-0.
Ishibashi K, Onishi A, Fujiwara Y, Oda K, Ishiwata K, Ishii K. Longitudinal effects of aging on (18)F-FDG distribution in cognitively normal elderly individuals. Sci Rep. 2018;8:11557. https://doi.org/10.1038/s41598-018-29937-y.
Apostolova LG, Thompson PM, Rogers SA, Dinov ID, Zoumalan C, Steiner CA, et al. Surface feature-guided mapping of cerebral metabolic changes in cognitively normal and mildly impaired elderly. Mol Imaging Biol. 2010;12:218–24. https://doi.org/10.1007/s11307-009-0247-7.
Ewers M, Brendel M, Rizk-Jackson A, Rominger A, Bartenstein P, Schuff N, et al. Reduced FDG-PET brain metabolism and executive function predict clinical progression in elderly healthy subjects. Neuroimage Clin. 2014;4:45–52. https://doi.org/10.1016/j.nicl.2013.10.018.
Brugnolo A, Morbelli S, Arnaldi D, De Carli F, Accardo J, Bossert I, et al. Metabolic correlates of Rey auditory verbal learning test in elderly subjects with memory complaints. J Alzheimers Dis. 2014;39:103–13. https://doi.org/10.3233/JAD-121684.
Sakurai R, Ishii K, Yasunaga M, Takeuchi R, Murayama Y, Sakuma N, et al. The neural substrate of gait and executive function relationship in elderly women: a PET study. Geriatr Gerontol Int. 2017;17:1873–80. https://doi.org/10.1111/ggi.12982.
Chetelat G, Landeau B, Salmon E, Yakushev I, Bahri MA, Mezenge F, et al. Relationships between brain metabolism decrease in normal aging and changes in structural and functional connectivity. Neuroimage. 2013;76:167–77. https://doi.org/10.1016/j.neuroimage.2013.03.009.
Cross DJ, Anzai Y, Petrie EC, Martin N, Richards TL, Maravilla KR, et al. Loss of olfactory tract integrity affects cortical metabolism in the brain and olfactory regions in aging and mild cognitive impairment. J Nucl Med. 2013;54:1278–84. https://doi.org/10.2967/jnumed.112.116558.
Kakimoto A, Ito S, Okada H, Nishizawa S, Minoshima S, Ouchi Y. Age-related sex-specific changes in brain metabolism and morphology. J Nucl Med. 2016;57:221–5. https://doi.org/10.2967/jnumed.115.166439.
Curiati PK, Tamashiro-Duran JH, Duran FL, Buchpiguel CA, Squarzoni P, Romano DC, et al. Age-related metabolic profiles in cognitively healthy elders: results from a voxel-based [18F]fluorodeoxyglucose-positron-emission tomography study with partial volume effects correction. AJNR Am J Neuroradiol. 2011;32:560–5. https://doi.org/10.3174/ajnr.A2321.
Jack CR, Knopman DS, Jagust WJ, Shaw LM, Aisen PS, Weiner MW, et al. Hypothetical model of dynamic biomarkers of the Alzheimer's pathological cascade. Lancet Neurol. 2010;9:119–28. https://doi.org/10.1016/s1474-4422(09)70299-6.
Tracking Progress of Alzheimer’s Proteins in Aging Brains. Neuroscience News. 2016. https://neurosciencenews.com/pet-scan-alzheimers-3781/. Accessed 2 Mar 2016.
Scholl M, Lockhart SN, Schonhaut DR, O'Neil JP, Janabi M, Ossenkoppele R, et al. PET imaging of tau deposition in the aging human brain. Neuron. 2016;89:971–82. https://doi.org/10.1016/j.neuron.2016.01.028.
Fleisher AS, Chen K, Liu X, Roontiva A, Thiyyagura P, Ayutyanont N, et al. Using positron emission tomography and florbetapir F18 to image cortical amyloid in patients with mild cognitive impairment or dementia due to Alzheimer disease. Arch Neurol. 2011;68:1404–11. https://doi.org/10.1001/archneurol.2011.150.
Price JL, Morris JC. Tangles and plaques in nondemented aging and “preclinical” Alzheimer's disease. Ann Neurol. 1999;45:358–68. https://doi.org/10.1002/1531-8249(199903)45:3<358::aid-ana12>3.0.co;2-x.
Bennett D, Schneider J, Arvanitakis Z, Kelly J, Aggarwal N, Shah R, et al. Neuropathology of older persons without cognitive impairment from two community-based studies. Neurology. 2006;66:1837–44. https://doi.org/10.1212/01.wnl.0000219668.47116.e6.
Crystal H, Dickson D, Fuld P, Masur D, Scott R, Mehler M, et al. Clinico-pathologic studies in dementia: nondemented subjects with pathologically confirmed Alzheimer's disease. Neurology. 1988;38:1682. https://doi.org/10.1212/wnl.38.11.1682.
Hampel H. Amyloid-beta and cognition in aging and Alzheimer's disease: molecular and neurophysiological mechanisms. J Alzheimers Dis. 2013;33(Suppl 1):S79–86. https://doi.org/10.3233/JAD-2012-129003.
Bilgel M, An Y, Helphrey J, Elkins W, Gomez G, Wong DF, et al. Effects of amyloid pathology and neurodegeneration on cognitive change in cognitively normal adults. Brain. 2018;141:2475–85. https://doi.org/10.1093/brain/awy150.
Perrotin A, Mormino EC, Madison CM, Hayenga AO, Jagust WJ. Subjective cognition and amyloid deposition imaging: a Pittsburgh compound B positron emission tomography study in normal elderly individuals. Arch Neurol. 2012;69:223–9. https://doi.org/10.1001/archneurol.2011.666.
McCluskey GE, Yates P, Villemagne VL, Rowe C, Szoeke CEI. Self-reported confusion is related to global and regional beta-amyloid: data from the Women's Healthy Ageing Project. Brain Imaging Behav. 2018;12:78–86. https://doi.org/10.1007/s11682-016-9668-5.
Jack CR Jr, Wiste HJ, Weigand SD, Knopman DS, Vemuri P, Mielke MM, et al. Age, sex, and APOE epsilon4 effects on memory, brain structure, and beta-amyloid across the adult life span. JAMA Neurol. 2015;72:511–9. https://doi.org/10.1001/jamaneurol.2014.4821.
Mattsson P, Forsberg A, Persson J, Nyberg L, Nilsson LG, Halldin C, et al. Beta-amyloid binding in elderly subjects with declining or stable episodic memory function measured with PET and [11C]AZD2184. Eur J Nucl Med Mol Imaging. 2015;42:1507–11. https://doi.org/10.1007/s00259-015-3103-9.
Herrmann FR, Rodriguez C, Haller S, Garibotto V, Montandon ML, Giannakopoulos P. Gray matter densities in limbic areas and APOE4 independently predict cognitive decline in normal brain aging. Front Aging Neurosci. 2019;11:157. https://doi.org/10.3389/fnagi.2019.00157.
Gottesman RF, Schneider AL, Zhou Y, Chen X, Green E, Gupta N, et al. The ARIC-PET amyloid imaging study: brain amyloid differences by age, race, sex, and APOE. Neurology. 2016;87:473–80. https://doi.org/10.1212/WNL.0000000000002914.
Joannette M, Bocti C, Dupont PS, Lavallee MM, Nikelski J, Vallet GT, et al. Education as a moderator of the relationship between episodic memory and amyloid load in normal aging. J Gerontol A Biol Sci Med Sci. 2020;75:1820–6. https://doi.org/10.1093/gerona/glz235.
Gabelle A, Jaussent I, Bouallegue FB, Lehmann S, Lopez R, Barateau L, et al. Reduced brain amyloid burden in elderly patients with narcolepsy type 1. Ann Neurol. 2019;85:74–83. https://doi.org/10.1002/ana.25373.
Sharma RA, Varga AW, Bubu OM, Pirraglia E, Kam K, Parekh A, et al. Obstructive sleep apnea severity affects amyloid burden in cognitively normal elderly. A longitudinal study. Am J Respir Crit Care Med. 2018;197:933–43. https://doi.org/10.1164/rccm.201704-0704OC.
You JC, Jones E, Cross DE, Lyon AC, Kang H, Newberg AB, et al. Association of β-amyloid burden with sleep dysfunction and cognitive impairment in elderly individuals with cognitive disorders. JAMA Netw Open. 2019;2. https://doi.org/10.1001/jamanetworkopen.2019.13383.
Rainey-Smith SR, Gu Y, Gardener SL, Doecke JD, Villemagne VL, Brown BM, et al. Mediterranean diet adherence and rate of cerebral Abeta-amyloid accumulation: data from the Australian imaging, Biomarkers and Lifestyle Study of Ageing. Transl Psychiatry. 2018;8:238. https://doi.org/10.1038/s41398-018-0293-5.
Hill E, Clifton P, Goodwill AM, Dennerstein L, Campbell S, Szoeke C. Dietary patterns and beta-amyloid deposition in aging Australian women. Alzheimers Dement (N Y). 2018;4:535–41. https://doi.org/10.1016/j.trci.2018.09.007.
Rabin JS, Schultz AP, Hedden T, Viswanathan A, Marshall GA, Kilpatrick E, et al. Interactive associations of vascular risk and beta-amyloid burden with cognitive decline in clinically normal elderly individuals: findings from the Harvard aging brain study. JAMA Neurol. 2018;75:1124–31. https://doi.org/10.1001/jamaneurol.2018.1123.
Krell-Roesch J, Lowe VJ, Neureiter J, Pink A, Roberts RO, Mielke MM, et al. Depressive and anxiety symptoms and cortical amyloid deposition among cognitively normal elderly persons: the Mayo Clinic study of aging. Int Psychogeriatr. 2018;30:245–51. https://doi.org/10.1017/S1041610217002368.
Hsu DC, Mormino EC, Schultz AP, Amariglio RE, Donovan NJ, Rentz DM, et al. Lower late-life body-mass index is associated with higher cortical amyloid burden in clinically normal elderly. J Alzheimers Dis. 2016;53:1097–105. https://doi.org/10.3233/JAD-150987.
Vemuri P, Lesnick TG, Knopman DS, Przybelski SA, Reid RI, Mielke MM, et al. Amyloid, vascular, and resilience pathways associated with cognitive aging. Ann Neurol. 2019;86:866–77. https://doi.org/10.1002/ana.25600.
Becker JA, Hedden T, Carmasin J, Maye J, Rentz DM, Putcha D, et al. Amyloid-beta associated cortical thinning in clinically normal elderly. Ann Neurol. 2011;69:1032–42. https://doi.org/10.1002/ana.22333.
Chetelat G, Villemagne VL, Villain N, Jones G, Ellis KA, Ames D, et al. Accelerated cortical atrophy in cognitively normal elderly with high beta-amyloid deposition. Neurology. 2012;78:477–84. https://doi.org/10.1212/WNL.0b013e318246d67a.
Hsu PJ, Shou H, Benzinger T, Marcus D, Durbin T, Morris JC, et al. Amyloid burden in cognitively normal elderly is associated with preferential hippocampal subfield volume loss. J Alzheimers Dis. 2015;45:27–33. https://doi.org/10.3233/JAD-141743.
Chetelat G, Villemagne VL, Pike KE, Baron JC, Bourgeat P, Jones G, et al. Larger temporal volume in elderly with high versus low beta-amyloid deposition. Brain. 2010;133:3349–58. https://doi.org/10.1093/brain/awq187.
Vipin A, Ng KK, Ji F, Shim HY, Lim JKW, Pasternak O, et al. Amyloid burden accelerates white matter degradation in cognitively normal elderly individuals. Hum Brain Mapp. 2019;40:2065–75. https://doi.org/10.1002/hbm.24507.
Moscoso A, Rey-Bretal D, Silva-Rodriguez J, Aldrey JM, Cortes J, Pias-Peleteiro J, et al. White matter hyperintensities are associated with subthreshold amyloid accumulation. Neuroimage. 2020;218:116944. https://doi.org/10.1016/j.neuroimage.2020.116944.
Mormino EC, Brandel MG, Madison CM, Marks S, Baker SL, Jagust WJ. Abeta deposition in aging is associated with increases in brain activation during successful memory encoding. Cereb Cortex. 2012;22:1813–23. https://doi.org/10.1093/cercor/bhr255.
Oh H, Steffener J, Razlighi QR, Habeck C, Liu D, Gazes Y, et al. Abeta-related hyperactivation in frontoparietal control regions in cognitively normal elderly. Neurobiol Aging. 2015;36:3247–54. https://doi.org/10.1016/j.neurobiolaging.2015.08.016.
Rieck JR, Rodrigue KM, Kennedy KM, Devous MD Sr, Park DC. The effect of beta-amyloid on face processing in young and old adults: a multivariate analysis of the BOLD signal. Hum Brain Mapp. 2015;36:2514–26. https://doi.org/10.1002/hbm.22788.
Foster CM, Kennedy KM, Horn MM, Hoagey DA, Rodrigue KM. Both hyper- and hypo-activation to cognitive challenge are associated with increased beta-amyloid deposition in healthy aging: a nonlinear effect. Neuroimage. 2018;166:285–92. https://doi.org/10.1016/j.neuroimage.2017.10.068.
Kennedy KM, Foster CM, Rodrigue KM. Increasing beta-amyloid deposition in cognitively healthy aging predicts nonlinear change in BOLD modulation to difficulty. Neuroimage. 2018;183:142–9. https://doi.org/10.1016/j.neuroimage.2018.08.017.
Lim HK, Nebes R, Snitz B, Cohen A, Mathis C, Price J, et al. Regional amyloid burden and intrinsic connectivity networks in cognitively normal elderly subjects. Brain. 2014;137:3327–38. https://doi.org/10.1093/brain/awu271.
Mormino EC, Smiljic A, Hayenga AO, Onami SH, Greicius MD, Rabinovici GD, et al. Relationships between beta-amyloid and functional connectivity in different components of the default mode network in aging. Cereb Cortex. 2011;21:2399–407. https://doi.org/10.1093/cercor/bhr025.
Kikuchi M, Hirosawa T, Yokokura M, Yagi S, Mori N, Yoshikawa E, et al. Effects of brain amyloid deposition and reduced glucose metabolism on the default mode of brain function in normal aging. J Neurosci. 2011;31:11193–9. https://doi.org/10.1523/JNEUROSCI.2535-11.2011.
Hahn A, Strandberg TO, Stomrud E, Nilsson M, van Westen D, Palmqvist S, et al. Association between earliest amyloid uptake and functional connectivity in cognitively unimpaired elderly. Cereb Cortex. 2019;29:2173–82. https://doi.org/10.1093/cercor/bhz020.
Steininger SC, Liu X, Gietl A, Wyss M, Schreiner S, Gruber E, et al. Cortical amyloid beta in cognitively normal elderly adults is associated with decreased network efficiency within the cerebro-cerebellar system. Front Aging Neurosci. 2014;6:52. https://doi.org/10.3389/fnagi.2014.00052.
Oh H, Jagust WJ. Frontotemporal network connectivity during memory encoding is increased with aging and disrupted by beta-amyloid. J Neurosci. 2013;33:18425–37. https://doi.org/10.1523/JNEUROSCI.2775-13.2013.
Vogel JW, Doležalová MV, La Joie R, Marks SM, Schwimmer HD, Landau SM, et al. Subjective cognitive decline and β-amyloid burden predict cognitive change in healthy elderly. Neurology. 2017;89:2002–9. https://doi.org/10.1212/WNL.0000000000004627.
van Bergen JMG, Li X, Quevenco FC, Gietl AF, Treyer V, Meyer R, et al. Simultaneous quantitative susceptibility mapping and Flutemetamol-PET suggests local correlation of iron and β-amyloid as an indicator of cognitive performance at high age. NeuroImage. 2018;174:308–16. https://doi.org/10.1016/j.neuroimage.2018.03.021.
Knopman DS, Jack CR Jr, Wiste HJ, Weigand SD, Vemuri P, Lowe VJ, et al. Selective worsening of brain injury biomarker abnormalities in cognitively normal elderly persons with beta-amyloidosis. JAMA Neurol. 2013;70:1030–8. https://doi.org/10.1001/jamaneurol.2013.182.
Wirth M, Oh H, Mormino EC, Markley C, Landau SM, Jagust WJ. The effect of amyloid beta on cognitive decline is modulated by neural integrity in cognitively normal elderly. Alzheimers Dement. 2013;9:687–98 e1. https://doi.org/10.1016/j.jalz.2012.10.012.
Saha P, Sen N. Tauopathy: a common mechanism for neurodegeneration and brain aging. Mech Ageing Dev. 2019;178:72–9. https://doi.org/10.1016/j.mad.2019.01.007.
Davis D, Schmitt F, Wekstein D, Markesbery W. Alzheimer neuropathologic alterations in aged cognitively normal subjects. J Neuropathol Exp Neurol. 1999;58:376–88. https://doi.org/10.1097/00005072-199904000-00008.
Xia CF, Arteaga J, Chen G, Gangadharmath U, Gomez LF, Kasi D, et al. [(18)F]T807, a novel tau positron emission tomography imaging agent for Alzheimer's disease. Alzheimers Dement. 2013;9:666–76. https://doi.org/10.1016/j.jalz.2012.11.008.
Marquie M, Normandin MD, Vanderburg CR, Costantino IM, Bien EA, Rycyna LG, et al. Validating novel tau positron emission tomography tracer [F-18]-AV-1451 (T807) on postmortem brain tissue. Ann Neurol. 2015;78:787–800. https://doi.org/10.1002/ana.24517.
Maass A, Lockhart SN, Harrison TM, Bell RK, Mellinger T, Swinnerton K, et al. Entorhinal tau pathology, episodic memory decline, and neurodegeneration in aging. J Neurosci. 2018;38:530–43. https://doi.org/10.1523/JNEUROSCI.2028-17.2017.
Pontecorvo MJ, Devous MD Sr, Navitsky M, Lu M, Salloway S, Schaerf FW, et al. Relationships between flortaucipir PET tau binding and amyloid burden, clinical diagnosis, age and cognition. Brain. 2017;140:748–63. https://doi.org/10.1093/brain/aww334.
Harrison TM, Maass A, Adams JN, Du R, Baker SL, Jagust WJ. Tau deposition is associated with functional isolation of the hippocampus in aging. Nat Commun. 2019;10:4900. https://doi.org/10.1038/s41467-019-12921-z.
Adams JN, Maass A, Harrison TM, Baker SL, Jagust WJ. Cortical tau deposition follows patterns of entorhinal functional connectivity in aging. Elife. 2019;8. https://doi.org/10.7554/eLife.49132.
Hedden T, Schultz AP, Rieckmann A, Mormino EC, Johnson KA, Sperling RA, et al. Multiple brain markers are linked to age-related variation in cognition. Cereb Cortex. 2016;26:1388–400. https://doi.org/10.1093/cercor/bhu238.
Sepulcre J, Sabuncu MR, Li Q, El Fakhri G, Sperling R, Johnson KA. Tau and amyloid beta proteins distinctively associate to functional network changes in the aging brain. Alzheimers Dement. 2017;13:1261–9. https://doi.org/10.1016/j.jalz.2017.02.011.
Sepulcre J, Schultz AP, Sabuncu M, Gomez-Isla T, Chhatwal J, Becker A, et al. In vivo tau, amyloid, and gray matter profiles in the aging brain. J Neurosci. 2016;36:7364–74. https://doi.org/10.1523/JNEUROSCI.0639-16.2016.
Lowe VJ, Weigand SD, Senjem ML, Vemuri P, Jordan L, Kantarci K, et al. Association of hypometabolism and amyloid levels in aging, normal subjects. Neurology. 2014;82:1959–67. https://doi.org/10.1212/WNL.0000000000000467.
Jack CR, Wiste HJ, Weigand SD, Rocca WA, Knopman DS, Mielke MM, et al. Age-specific population frequencies of cerebral β-amyloidosis and neurodegeneration among people with normal cognitive function aged 50–89 years: a cross-sectional study. Lancet Neurol. 2014;13:997–1005. https://doi.org/10.1016/s1474-4422(14)70194-2.
Baran TM, Lin FV. Alzheimer's disease neuroimaging I. Amyloid and FDG PET of successful cognitive aging: global and cingulate-specific differences. J Alzheimers Dis. 2018;66:307–18. https://doi.org/10.3233/JAD-180360.
Jack CR Jr, Wiste HJ, Weigand SD, Therneau TM, Knopman DS, Lowe V, et al. Age-specific and sex-specific prevalence of cerebral β-amyloidosis, tauopathy, and neurodegeneration in cognitively unimpaired individuals aged 50–95 years: a cross-sectional study. Lancet Neurol. 2017;16:435–44. https://doi.org/10.1016/S1474-4422(17)30077-7.
Acknowledgments
This work was funded by the grants from the National Key Research and the Development Program of China (No. 2016YFA0100900), the National Natural Science Foundation of China (NSFC) (No. 81725009, 81761148029, 21788102, 32027802, 82030049), and the Fundamental Research Funds for the Central Universities (2020FZZX001-05). In addition, we acknowledged the Japan Society for the Promotion of Science (JSPS) for their support on this work.
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Zhang, K., Mizuma, H., Zhang, X. et al. PET imaging of neural activity, β-amyloid, and tau in normal brain aging. Eur J Nucl Med Mol Imaging 48, 3859–3871 (2021). https://doi.org/10.1007/s00259-021-05230-5
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DOI: https://doi.org/10.1007/s00259-021-05230-5