Fluids biomarker and neuroimaging of AD diagnosis: Early diagnosis of Alzheimer's disease in South China aging population using fluids biomarker and neuroimaging.
Study summary
The goal of this observational study is to learn about the pathophysiology characterization and evolutionary patterns of Alzheimer's disease (AD) in South China older adults. The primary purposes are as follows:
1. The prevalence and characteristics of AD in South China's aging population
2. Identify novel biomarkers and neuroimaging techniques for early detection and intervention of AD
3. Supporting and fertilizing novel approaches and techniques for early diagnosis and intervention of AD Participants will undergo cognitive assessments, blood sample collection, and genetic testing. Some will undergo CSF collection, stool sample collection, MRI scanning, Aβ PET scanning, and tau PET scanning.
Eligibility
Sex
ALL
Min age
55 Years
Max age
90 Years
Healthy volunteers
Accepted
Inclusion Criteria:
* This project intends to recruit men and women between the ages of 55 and 90. The inclusion criteria are as listed:
* Age 55-90 years old (including 55 and 90 years old). However, people with autosomal dominant and other familial Alzheimer disease (FAD) are not limited by age.
* The score of the Geriatric Depression Scale (GDS) is less than 6 points.
* There is a caregiver who can maintain at least 10 hours of contact per week and can accompany volunteers to the test site for testing.
* Visual and auditory acuity is sufficient for neuropsychological testing. (Including normal corrected vision and hearing)
* Be in good health and are expected to be free of disease interference during the study.
* Volunteers are not pregnant, lactating or have reproductive potential (that is, women must be two years after menopause or undergo sterilization surgery).
* Willingness and ability to participate in longitudinal imaging studies.
* A modified version of the Hachinski Ischemic scores less than or equal to 4.
* Have completed grade 6 education or have good work experience (sufficient to rule out mental retardation).
* Must be able to speak Mandarin fluently.
* Willing to undergo multiple 3T MRI scans and at least two PET scans.
* Agree to collect blood for genomic analysis (including GWAS sequencing and other analyses), AD risk and protective genes such as apolipoprotein E (APOE), klotho, etc., and biological sample storage.
* Agree to collect blood for biomarker detection.
* Agree to share genomic data and biomarker samples.
Exclusion Criteria:
* MRI brain scan screening reveals infection, infarction or other focal lesions or multiple lacunes or lacunes in key memory structures.
* Any volunteers who do not meet the MRI scan requirements, including having a cardiac pacemaker, eyes, skin or metal fragments or foreign bodies in the body.
* Severe depression, bipolar affective disorder described in DSM-IV in the past year.
* Psychotic features, agitation or behavioral problems that may lead to difficulty complying with the protocol content in the past 3 months.
* Currently using medication to treat obsessive-compulsive disorder or attention deficit disorder.
* History of schizophrenia (meeting DSM-IV criteria).
* History of alcohol or drug abuse or dependence within the past 2 years (metting DSM-IV criteria).
* Any major systemic disease or unstable physical condition that may make longitudinal research difficult.
* Clinically significant abnormalities of B12 or TFTs may interfere with the study, low B12 will be excluded.
* Currently using certain psychoactive medications (e.g., certain antidepressants, neuro-depressants, chronic anxiolytics, or sedative-hypnotics). Currently using warfarin or other anticoagulants such as dabigatran, rivaroxaban, and apixaban (except lumbar puncture).
* Use of prohibited drugs.
* Simultaneously participating in other clinical studies involving neuropsychiatry.
Primary outcome measure(s)
Longitudinal changes of cognitive function _ ADAS-Cog — An average of 1 year Alzheimer's Disease Assessment Scale - Cognitive Subscale (ADAS-Cog)
Longitudinal changes of cognitive function _ MMSE, the Chinese version — An average of 1 year Mini-mental State Examination (MMSE, the Chinese version)
Longitudinal changes of cognitive function _ MoCA-Basic — An average of 1 year Montreal Cognitive Assessment Basic (MoCA-Basic)
Longitudinal functional and behavioral function _ CDR — An average of 1 year Clinical Dementia Rating (CDR)
Longitudinal functional and behavioral function _ NPI — An average of 1 year Neuropsychiatric Inventory (NPI)
Longitudinal functional and behavioral function _ GDS — An average of 1 year Geriatric Depression Scale (GDS)
Longitudinal functional and behavioral function _ FAQ — An average of 1 year Function Activities Questionnaire (FAQ)
Longitudinal functional and behavioral function _ ADL — An average of 1 year Activity of Daily Living Scale (ADL)
Longitudinal functional and behavioral function _ PSQI — An average of 1 year Pittsburgh sleep quality index (PSQI)
Longitudinal functional and behavioral function _ RBDSQ — An average of 1 year REM sleep behavior disorder screening questionnaire (RBDSQ)
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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