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Asymmetric thinning of the cerebral cortex across the adult lifespan is accelerated in Alzheimer’s disease
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Asymmetric thinning of the cerebral cortex across the adult lifespan is accelerated in Alzheimer’s disease
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Journal Article
Asymmetric thinning of the cerebral cortex across the adult lifespan is accelerated in Alzheimer’s disease
2021
Overview
Aging and Alzheimer’s disease (AD) are associated with progressive brain disorganization. Although structural asymmetry is an organizing feature of the cerebral cortex it is unknown whether continuous age- and AD-related cortical degradation alters cortical asymmetry. Here, in multiple longitudinal adult lifespan cohorts we show that higher-order cortical regions exhibiting pronounced asymmetry at age ~20 also show progressive asymmetry-loss across the adult lifespan. Hence, accelerated thinning of the (previously) thicker homotopic hemisphere is a feature of aging. This organizational principle showed high consistency across cohorts in the Lifebrain consortium, and both the topological patterns and temporal dynamics of asymmetry-loss were markedly similar across replicating samples. Asymmetry-change was further accelerated in AD. Results suggest a system-wide dedifferentiation of the adaptive asymmetric organization of heteromodal cortex in aging and AD.
Cortical thickness is asymmetric, and cortical thinning occurs with age and in disease. Here the authors investigate if both cortices thin at the same rate or if the thicker hemisphere declines faster in aging and in Alzheimer’s disease.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
