The cortical origin and initial spread of medial temporal tauopathy in Alzheimer’s disease assessed with positron emission tomography

Dr. Johnson’s Lab has reported on recent work in using Positron emission tomography (PET) to image tau protein deposition in the brain in Alzheimer’s disease (AD).

Figure from article show tau PET distributions
(A) Distributions of baseline tau PET for RC (top) and inferior temporal gyrus (bottom) within subsamples (columns). Best-fit GMM containing either one or two components are shown for each distribution as black curves; vertical dashed line indicates SUVr cut point derived from two-component GMM. (B) Left: Inferior view of the temporal lobe cortex shows the region (yellow) in which vertices were tested for bimodal tau. Middle to right: Flat-map representations of temporal lobe cortex for each subgroup showing LRT value (color bar) at vertices where FTP SUVr distributions were found to be bimodal (LRT P < 0.01 after cluster-wise multiple comparisons correction). (C) Regional distributions of baseline tau for each subgroup. Fill color (inset legend) indicates bimodality of each distribution (LRT); white diamond indicates the distribution mean.

Sanchez et al. applied an automated method to quantify tau progression in patients with AD at different stages. The authors found that tau signal emerges first in the rhinal cortex independently of . Subsequent tau elevation in the temporal neocortex was associated with age, Aβ, and APOEe4 status. Longitudinal data in a subgroup of patients confirmed the tau trajectory and showed that baseline rhinal cortex tau was highly predictive of subsequent tau spread. Targeting tau in the temporal lobe might slow tau spread and disease progression in patients with AD.

A summary of the article is featured on New Medical

Sanchez, J.S., et al. (2021) The cortical origin and initial spread of medial temporal tauopathy in Alzheimer’s disease assessed with positron emission tomography. Science Translational Medicine.  doi.org/10.1126/scitranslmed.abc0655.