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Stout, J. A.

Publications and source records attributed to Stout, J. A..

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Smelling the Risk: Early Olfactory Deficits, Brain Networks, and Blood Markers of Alzheimers Disease Risk in Humanized APOE Mice

Olfactory impairment is a hallmark of early Alzheimers disease (AD), but the underlying mechanisms connecting sensory decline to genetic and environmental risk factors remain unclear. Our integrative analysis combines ethologically relevant olfactory behavior assays, high-resolution diffusion MRI connectomics, and blood transcriptomics in a large cohort of humanized APOE mice stratified by APOE genotype (APOE2, APOE3, APOE4), age, sex, high-fat diet, and immune background (HN). Behaviorally, APOE4 mice exhibited accelerated deficits in odor salience, novelty detection, and memory, especially when exposed to a high-fat diet, whereas APOE2 mice showed resilience (ANOVA: APOE x HN, F(2,1669)=77.25, p<0.001, eta squared effect size = 0.08). Notably, age and diet exerted compounding effects, with older and HFD-fed mice displaying reduced odor-guided exploration (diet x age: F(1,1669)=16.04, p<0.001, eta squared effect size = 0.01). Memory analyses revealed robust genotype- and age-dependent impairments: at 24- and 48-hour delays, recognition indices were significantly lower in APOE4 mice compared to APOE2 (long-term memory: APOE x HN, F(2,395)=5.6, p=0.004). Elastic Net-regularized multi-set canonical correlation analysis (MCCA) linked behavior to brain network substrates, revealing subnetworks whose connectivity explained up to 24 percent of behavioral variance (sum of canonical correlations: 1.27, 95% CI [1.18, 1.85], p<0.0001). High-weighted connections between the ventral orbital cortex, somatosensory cortex, and cerebellar-brainstem pathways were identified as critical nodes for risk or compensation. Integrative blood transcriptomics revealed eigengene modules strongly correlated with imaging changes in olfactory-memory circuits (for example, eigengene 2 vs. subiculum diffusivity: r = -0.5, p < 1e-30, explaining up to 24 percent of variance). Gene ontology analysis pinpointed shared pathways in synaptic signaling, translation, and metabolic regulation across brain and blood. Notably, glutamatergic and synaptic pathways were enriched among genes linking peripheral and central compartments. Collectively, these results demonstrate that olfactory behavior, quantitatively shaped by genotype, age, diet, and immune status, serves as a sensitive and translatable early biomarker of Alzheimers disease risk. Our systems-level approach identifies specific brain networks and peripheral molecular signatures underlying sensory-cognitive vulnerability, providing a robust framework for early detection and targeted intervention in AD.

neuroscience↗

Neuroimaging Biomarkers of Neuroprotection: Impact of Voluntary versus Enforced Exercise in Alzheimers Disease Models

Exercise is a promising strategy for preventing or delaying Alzheimers disease (AD), yet its mechanisms remain unclear. We investigated how exercise influences brain structure, function, and behavior in a familial AD model. Mice underwent voluntary, voluntary plus enforced exercise, or remained sedentary. Neuroimaging included in vivo manganese-enhanced MRI (MEMRI). perfusion, and ex vivo diffusion MRI to assess morphometry, activity, cerebral blood flow (CBF), microstructural integrity and connectivity. Both exercise regimens induced structural and functional brain adaptations while reducing anhedonia. Voluntary exercise increased cortical and limbic volumes, particularly in the hippocampus, cingulate, and entorhinal cortex, supporting cognitive and emotional regulation. Adding enforced exercise influenced subcortical and sensory regions, including visual, motor and associative areas, supporting sensory-motor integration. MEMRI revealed increased activity in sensorimotor, limbic, and associative cortices, with voluntary exercise enhancing limbic and associative regions, and enforced exercise strengthening sensorimotor and subcortical circuits. White matter integrity improved in memory-associate pathways such as the corpus callosum, cingulum, and hippocampal commissure. Synaptic remodeling was observed in the cingulate cortex, anterior thalamic nuclei, and amygdala. Voluntary exercise enhanced CBF in the motor cortex and hippocampus, while enforced exercise limited these increases. Connectivity analyses revealed exercise-responsive networks spanning the cingulate cortex, entorhinal cortex, anterior thalamic nuclei, and basolateral amygdala, and associated tracts. Graph analyses linked running distance with increased thalamic, brainstem, and cerebellar connectivity, associating exercise intensity with plasticity. These findings highlight the ability of chronic exercise to modulate neuroimaging biomarkers through distinct but complementary pathways, reinforcing its potential as a neuroprotective intervention for AD. HighlightsO_LIExercise alters MRI biomarkers via distinct and partially overlapping mechanisms. C_LIO_LIVoluntary exercise boosts cortical and limbic regions for emotion and cognition. C_LIO_LIEnforced exercise strengthens subcortical and sensory areas for motor control. C_LIO_LIFA increases suggest memory tract reinforcement and grey matter remodelling. C_LIO_LIGraph analysis reveals plasticity in memory, emotion, and reward circuits. C_LI

neuroscience↗

Network Biomarkers of Alzheimer's Disease Risk Derived from Joint Volume and Texture Covariance Patterns in Mouse Models

Alzheimers disease (AD) lacks effective cures and is typically detected after substantial pathological changes have occurred, making intervention challenging. Early detection and understanding of risk factors and their downstream effects are therefore crucial. Animal models provide valuable tools to study these prodromal stages. We investigated various levels of genetic risk for AD using mice expressing the three major human APOE alleles in place of mouse APOE. We leverage these mouse models utilizing high-resolution magnetic resonance diffusion imaging, due to its ability to provide multiple parameters that can be analysed jointly. We examine how APOE genotype interacts with age, sex, diet, and immunity to yield jointly discernable changes in regional brain volume and fractional anisotropy, a sensitive metric for brain water diffusion. Our results demonstrate that genotype strongly influences the caudate putamen, pons, cingulate cortex, and cerebellum, while sex affects the amygdala and piriform cortex bilaterally. Immune status impacts numerous regions, including the parietal association cortices, thalamus, auditory cortex, V1, and bilateral dentate cerebellar nuclei. Risk factor interactions particularly affect the amygdala, thalamus, and pons. APOE2 mice on a regular diet exhibited the fewest temporal changes, suggesting resilience, while APOE3 mice showed minimal effects from a high-fat diet (HFD). HFD amplified aging effects across multiple brain regions. The interaction of AD risk factors, including diet, revealed significant changes in the periaqueductal gray, pons, amygdala, inferior colliculus, M1, and ventral orbital cortex. Future studies should investigate the mechanisms underlying these coordinated changes in volume and texture, potentially by examining network similarities in gene expression and metabolism, and their relationship to structural pathways involved in neurodegenerative disease progression.

neuroscience↗

Mapping the impact of age and APOE risk factors for late onset Alzheimer disease on long range brain connections through multiscale bundle analysis

Alzheimers disease currently has no cure and is usually detected too late for interventions to be effective. In this study we have focused on cognitively normal subjects to study the impact of risk factors on their long-range brain connections. To detect vulnerable connections, we devised a multiscale, hierarchical method for spatial clustering of the whole brain tractogram and examined the impact of age and APOE allelic variation on cognitive abilities and bundle properties including texture e.g., mean fractional anisotropy, variability, and geometric properties including streamline length, volume, and shape, as well as asymmetry. We found that the third level subdivision in the bundle hierarchy provided the most sensitive ability to detect age and genotype differences associated with risk factors. Our results indicate that frontal bundles were a major age predictor, while the occipital cortex and cerebellar connections were important risk predictors that were heavily genotype dependent, and showed accelerated decline in fractional anisotropy, shape similarity, and increased asymmetry. Cognitive metrics related to olfactory memory were mapped to bundles, providing possible early markers of neurodegeneration. In addition, physiological metrics such as diastolic blood pressure were associated with changes in white matter tracts. Our novel method for a data driven analysis of sensitive changes in tractography may differentiate populations at risk for AD and isolate specific vulnerable networks.

neuroscience↗

Genetic Substrates of Brain Vulnerability and Resilience in APOE2 Mice Transitioning from Midlife to Old Age

Understanding the interplay between genotype, age, and sex has potential to reveal factors that determine the switch between successful and pathological aging. APOE allelic variation modulate brain vulnerability and cognitive resilience during aging and Alzheimer disease (AD). The APOE4 allele confers the most risk and has been extensively studied with respect to the control APOE3 allele. The APOE2 allele has been less studied, and the mechanisms by which it confers cognitive resilience and neuroprotection remain largely unknown. Using mouse models with targeted replacement of the murine APOE gene with the human major APOE2 alleles we sought to identify changes during a critical period of middle to old age transition, in a mouse model of resilience to AD. Age but not female sex was important in modulating learning and memory estimates based on Morris water maze metrics. A small but significant 3% global brain atrophy due to aging was reflected by regional atrophy in the cingulate cortex 24, fornix and hippocampal commissure (>9%). Females had larger regional volumes relative to males for the bed nucleus of stria terminalis, subbrachial nucleus, postsubiculum (~10%), and claustrum (>5%), while males had larger volumes for the orbitofrontal cortex, frontal association cortex, and the longitudinal fasciculus of pons (>9%). Age promoted atrophy in both white (anterior commissure, corpus callosum, etc.), and gray matter, in particular the olfactory cortex, frontal association area 3, thalamus, hippocampus and cerebellum. A negative age by sex interaction was noted for the olfactory areas, piriform cortex, amygdala, ventral hippocampus, entorhinal cortex, and cerebellum, suggesting faster decline in females. Fractional anisotropy indicated an advantage for younger females for the cingulate cortex, insula, dorsal thalamus, ventral hippocampus, amygdala, visual and entorhinal cortex, and cerebellum, but there was faster decline with age. Interestingly white matter tracts were largely spared in females during aging. We used vertex screening to find associations between connectome and traits such as age and sex, and sparse multiple canonical correlation analysis to integrate our analyses over connectomes, traits, and RNA-seq. Brain subgraphs favored in males included the secondary motor cortex and superior cerebellar peduncle, while those for females included hippocampus and primary somatosensory cortex. Age related connectivity loss affected the hippocampus and primary somatosensory cortex. We validated these subgraphs using neural networks, showing increased accuracy for sex prediction from 81.9% when using the whole connectome as a predictor, to 94.28% when using the subgraphs estimated through vertex screening. Transcriptomic analyses revealed the largest fold change (FC) for age related genes was for Cpt1c (log2FC = 7.1), involved in transport of long-chain fatty acids into mitochondria and neuronal oxidative metabolism. Arg1, a critical regulator of innate and adaptive immune responses (log2FC = 4.9) also showed age specific changes. Amongst the sex related genes, the largest FC were observed for Maoa (log2FC = 4.9) involved in the degradation of the neurotransmitters serotonin, epinephrine, norepinephrine, and dopamine, and implicated in response to stress. Four genes were common for age and sex related vulnerability: Myo1e (log2FC = -1.5), Creld2 (log2FC = 1.4), Ptprt (log2FC = 2.9), and Pex1 (log2FC = 3.6). We tested whether blood gene expression help track phenotype changes with age and sex. Genes with the highest weight after connectome filtering included Ankzfp1 with a role in maintaining mitochondrial integrity under stress, as well as Pex1, Cep250, Nat14, Arg1, and Rangrf. Connectome filtered genes pointed to pathways relate to stress response, transport, and metabolic processes. Our modeling approaches using sparse canonical correlation analysis help relate quantitative traits to vulnerable brain networks, and blood markers for biological processes. Our study shows the APOE2 impact on neurocognition, brain networks, and biological pathways during a critical middle to old age transition in an animal model of resilience. Identifying changes in vulnerable brain and gene networks and markers of resilience may help reveal targets for therapies that support successful aging.

neuroscience↗

Age-related Macular Degeneration is associated with faster rates of structural brain changes and widespread differences in connectivity

Age-related macular degeneration (AMD) is a prevalent disease impeding vision. More recently, AMD has also been linked to cognitive impairment, such as deficits in language and memory skills. In order to better understand the extent of AMD-related changes in the whole brain structure and connectivity, we have conducted an MRI diffusion acquisition study on 40 participants (20 diagnosed with AMD and 20 controls). These acquisitions were then performed again in a follow up two years later. We developed novel analysis methods for diffusion based tractography and connectomes to better determine which, if any, brain region connections saw the greatest changes between the AMD and the age-matched control groups. Using voxel-based analysis, we identified atrophy in AMD participants in the cuneate gyrus, which has been associated with vision, and the left superior temporal gyrus, which has been associated with language, while later acquisitions compounded this with a deficiency in the bilateral cingulate gyrus, itself linked to higher cognition and memory. These regional atrophy findings support that people with AMD experience widespread neuronal degradation that is not limited to retinal neurons. Regions that saw drastically lowered fractional anisotropy among AMD vs. control included the visual cortex, such as the bilateral occipital lobe and the frontoparietal cortex. Tensor Network Principal Component Analysis (TN-PCA) isolated lingual and temporal connections as important differentiators of AMD connectomes compared to controls, thus supporting our morphometric and texture findings in regions related to vision, but also connectopathies of language and memory brain regions. Bundle based analyses in baseline data revealed that the lingual gyrus had greater spread of tracts overall in the AMD participants, which may be explained by prior reorganization in this area, demonstrating a connection between retinal health and lingual structure. Moreover, we noted group differences in the interhemispheric temporal connections, and lingual cerebellar connections, supporting extensive downstream effects of vision loss. Our bundle-based analyses expand the toolset available for neuroimaging-based phenotyping, and reveal widespread changes in AMD participants beyond brain regions and tractography networks directly involved in vision processing, including those involved in language and memory.

neuroscience↗

Vulnerable Brain Networks Associated with Risk for Alzheimer's Disease

Brain connectomes provide untapped potential for identifying individuals at risk for Alzheimers disease (AD), and can help provide novel targets based on selective circuit vulnerability. Age, APOE4 genotype, and female sex are thought to contribute to the selective vulnerability of brain networks in Alzheimers disease, in a manner that differentiates pathological versus normal aging. These brain networks may predict pathology otherwise hard to detect, decades before overt disease manifestation and cognitive decline. Uncovering network based biomarkers at prodromal, asymptomatic stages may offer new windows of opportunity for interventions, either therapeutic or preventive. We used a sample of 72 people across the age span to model the relationship between Alzheimers disease risk and vulnerable brain networks. Sparse Canonical Correlation analysis (SCCA) revealed relationships between brain subgraphs and AD risk, with bootstrap based confidence intervals. When constructing a composite AD risk factor based on sex, age, genotype, the highest weight was associated with genotype. Next, we mapped networks associated with auditory, visual, and olfactory memory, and identified networks extending beyond the main nodes known to be involved in these functions. The inclusion of cognitive metrics in a composite risk factor pointed to vulnerable networks, and associated with the specific memory tests. These regions with the highest cumulative degree of connectivity in our studies were the pericalcarine, insula, banks of the superior sulcus and cerebellum. To help scale up our approach, we extended Tensor Network Principal Component Analysis (TNPCA) to evaluate AD risk related subgraphs, introducing CCA components and sparsity. When constructing a composite AD risk factor based on sex, age, and genotype, and family risk factor the most significant risk was associated with age. Our sparse regression based predictive models revealed vulnerable networks associated with known risk factors. The prediction error was 17% for genotype, 24% for family risk factor, and 5 years for age. Age prediction in groups including MCI and AD subjects involved several regions that were not prominent for age prediction otherwise. These regions included the middle and transverse temporal, paracentral and superior banks of temporal sulcus, as well as the amygdala and parahippocampal gyrus. The joint estimation of AD risk and connectome based mappings involved the cuneus, temporal, and cingulate cortices known to be associated with AD, and add new candidates, such as the cerebellum, whose role in AD is to be understood. Our predictive modeling approaches for AD risk factors represent a stepping stone towards single subject prediction, based on distances from normative graphs.

neuroscience↗

Absolute Winding Number Differentiates Spatial Navigation Strategies with Genetic Risk for Alzheimer's Disease

Spatial navigation and orientation are emerging as promising markers for altered cognition in prodromal Alzheimers disease, and even in cognitively normal individuals at risk for Alzheimers disease. The different APOE gene alleles confer various degrees of risk. The APOE2 allele is considered protective, APOE3 is seen as control, while APOE4 carriage is the major known genetic risk for Alzheimers disease. We have used mouse models carrying the three humanized APOE alleles and tested them in a spatial memory task in the Morris water maze. We introduce a new metric, the absolute winding number, to characterize the spatial search strategy, through the shape of the swim path. We show that this metric is robust to noise, and works for small group samples. Moreover, the absolute winding number better differentiated APOE3 carriers, through their straighter swim paths relative to both APOE2 and APOE4 genotypes. Finally, this novel metric was sensitive to sex differences, supporting increased vulnerability in females. We hypothesized differences in spatial memory and navigation strategies are linked to differences in brain networks, and showed that different genotypes have different reliance on the hippocampal and caudate putamen circuits, pointing to a role for white matter connections. Moreover, differences were most pronounced in females. This departure from a hippocampal centric to a brain network approach may open avenues for identifying regions linked to increased risk for Alzheimers disease, before overt disease manifestation. Further exploration of novel biomarkers based on spatial navigation strategies may enlarge the windows of opportunity for interventions. The proposed framework will be significant in dissecting vulnerable circuits associated with cognitive changes in prodromal Alzheimers disease.

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