Head injury is associated with tau deposition on PET in MCI and AD patients

• Published in: Alzheimer's & dementia : diagnosis, assessment & disease monitoring assessment & disease monitoring, 2021, Vol.13 (1), p.e12230-n/a
• Main Authors: Risacher, Shannon L., West, John D., Deardorff, Rachael, Gao, Sujuan, Farlow, Martin R., Brosch, Jared R., Apostolova, Liana G., McAllister, Thomas W., Wu, Yu‐Chien, Jagust, William J., Landau, Susan M., Weiner, Michael W., Saykin, Andrew J.
• Format: Article
• Language: English
• Subjects: [18F]flortaucipir positron emission tomography (PET); Alzheimer's disease; Chronic traumatic encephalopathy; Dementia; head injury; mild cognitive impairment; Neuroimaging; Older people; tau; Traumatic brain injury
• ISSN: 2352-8729; 2352-8729
• DOI: 10.1002/dad2.12230

Introduction Head injuries (HI) are a risk factor for dementia, but the underlying etiology is not fully known. Understanding whether tau might mediate this relationship is important. Methods Cognition and tau deposition were compared between 752 individuals with (impaired, n = 302) or without cognitive impairment (CN, n = 450) with amyloid and [18F]flortaucipir positron emission tomography, HI history information, and cognitive testing from the Alzheimer's Disease Neuroimaging Initiative and the Indiana Memory and Aging Study. Results Sixty‐three (38 CN, 25 impaired) reported a history of HI. Higher neuropsychiatric scores and poorer memory were observed in those with a history of HI. Tau was higher in individuals with a history of HI, especially those who experienced a loss of consciousness (LOC). Results were driven by impaired individuals, especially amyloid beta‐positive individuals with history of HI with LOC. Discussion These findings suggest biological changes, such as greater tau, are associated with HI in individuals with cognitive impairment. Small effect sizes were observed; thus, further studies should replicate and extend these results.