Joint spatial associations of amyloid beta and tau pathology in Down syndrome and preclinical Alzheimer's disease: Cross‐sectional associations with early cognitive impairments

Jun 30, 2025Alzheimer's & dementia : the journal of the Alzheimer's Association

Overlap of amyloid and tau brain changes in Down syndrome and early Alzheimer's linked to early thinking problems

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Abstract

For a given (Aβ) burden, individuals with (DS) exhibited greater burden than neurotypical aging.

  • Cognitively stable DS individuals show higher tau levels compared to neurotypical individuals at similar Aβ levels.
  • DS individuals with mild cognitive impairment or Alzheimer's disease display more widespread tau pathology.
  • Aβ-associated tau burden is linked to episodic memory impairment in DS before dementia onset.
  • Executive dysfunction becomes evident as Alzheimer's disease progresses in individuals with DS.
  • Early striatal Aβ accumulation in DS may serve as a potential biomarker for monitoring disease progression.

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Key numbers

27%
Higher Burden
Approximately 27% of individuals exhibited positive subject scores.
0.50
Cognitive Impairment Correlation
Higher expressions of the Aβ pattern were correlated significantly with age.

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