Cerebrovascular disease (CVD) and amyloid burden are the most frequent pathologies in subjects with cognitive impairment. However, the relationship between CVD, amyloid burden, and cognition are largely unknown. We aimed to evaluate whether CVD (lacunes, white matter hyperintensities, and microbleeds) and amyloid burden (Pittsburgh compound B [PiB] retention ratio) contribute to cognitive impairment independently or interactively. We recruited 136 patients with subcortical vascular cognitive impairment who underwent magnetic resonance imaging, PiB-positron emission tomography, and neuropsychological testing. The number of lacunes was associated with memory, frontal dysfunctions, and disease severity. The volume of white matter hyperintensities and the PiB retention ratio were associated only with memory dysfunction. There was no direct correlation between CVD markers and PiB retention ratio except that the number of lacunes was negatively correlated with the PiB retention ratio. In addition, there were no interactive effects of CVD and PiB retention ratio on cognition. Our findings suggest that CVD and amyloid burden contribute independently and not interactively to specific patterns of cognitive dysfunction in patients with subcortical vascular cognitive impairment.

译文

脑血管疾病 (CVD) 和淀粉样蛋白负担是认知障碍患者最常见的病理。然而,CVD,淀粉样蛋白负担和认知之间的关系在很大程度上尚不清楚。我们旨在评估CVD (腔隙,白质高信号和微出血) 和淀粉样蛋白负荷 (匹兹堡化合物B [PiB] 保留比) 是否独立或交互地导致认知障碍。我们招募了136名皮质下血管性认知障碍患者,他们接受了磁共振成像,PiB-正电子发射断层扫描和神经心理学测试。腔隙的数量与记忆,额叶功能障碍和疾病严重程度有关。白质高信号的体积和PiB保留率仅与记忆功能障碍有关。CVD标记与PiB保留率之间没有直接相关性,只是腔隙数与PiB保留率呈负相关。此外,CVD和PiB保留率对认知没有交互作用。我们的发现表明,在皮质下血管性认知障碍患者中,CVD和淀粉样蛋白负担独立且非交互作用地促进了认知功能障碍的特定模式。

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