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Tau propagation in the brain olfactory circuits is associated with smell perception changes in aging
Nat Commun. 2024 Jun 6;15(1):4809. doi: 10.1038/s41467-024-48462-3.
Ibai Diez # 1 2, Laura Ortiz-Terán # 1 3, Thomas S C Ng 4 5, Mark W Albers 6, Gad Marshall 7, William Orwig 1 8, Chan-Mi Kim 1, Elisenda Bueichekú 1, Victor Montal 1 9, Jonas Olofsson 10, Patrizia Vannini 2 7, Georges El Fahkri 1, Reisa Sperling 2 6 7, Keith Johnson 1, Heidi I L Jacobs 1, Jorge Sepulcre 11 12
Abstract:
The direct access of olfactory afferents to memory-related cortical systems has inspired theories about the role of the olfactory pathways in the development of cortical neurodegeneration in Alzheimer's disease (AD). In this study, we used baseline olfactory identification measures with longitudinal flortaucipir and PiB PET, diffusion MRI of 89 cognitively normal older adults (73.82 ± 8.44 years; 56% females), and a transcriptomic data atlas to investigate the spatiotemporal spreading and genetic vulnerabilities of AD-related pathology aggregates in the olfactory system. We find that odor identification deficits are predominantly associated with tau accumulation in key areas of the olfactory pathway, with a particularly strong predictive power for longitudinal tau progression. We observe that tau spreads from the medial temporal lobe structures toward the olfactory system, not the reverse. Moreover, we observed a genetic background of odor perception-related genes that might confer vulnerability to tau accumulation along the olfactory system.
PMID: 38844444
Free Full-Text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11156945/
Tags: Alzheimer’s, Flortaucipir, humans, medial temporal lobe, olfaction, PiB PET, tau