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BBC MUNDO RADIO
LOS ANGELES, July 10 (Xinhua) -- The risk of developing Alzheimer's disease among healthy older adults can be identified well before cognitive problems emerge, U.S. researchers say. The identification method involves abnormal brain images combined with examination of the composition of the fluid that surrounds the spine, according to researchers at the University of California in Davis (UC Davis). "Our findings indicate that a distinctive pattern of imaging and biomarker deviations from typical adults may be an early warning sign of neurobiological pathology and an early sign of Alzheimer's disease," said Laurel Beckett, a professor of public health sciences at UC Davis and the lead study author. "By the time people get diagnosed with Alzheimer's using cognitive tests, there's already a lot of brain damage. We hope that in the future methods that combine brain imaging and biomarker assessments can push the diagnosis back, while learning more about the mechanisms causing Alzheimer's disease, so we can develop better treatments," he said Published in the latest journal Neurobiology of Aging, the study analysis picked out a subgroup of healthy adults who later would experience a decline in memory performance typical of early Alzheimer's disease long before other study participants. For the study, the researchers used data from the Alzheimer's Disease Neuroimaging Initiative, which provides researchers with access to brain scans, clinical data and other laboratory results from spinal fluid and blood tests from more than 800 older adults. Some study participants began with a clean slate of cognitive health, some with mild cognitive impairment - a condition that often presages Alzheimer's - and others with mild or moderate Alzheimer's disease. The researchers analyzed data from 220 normal older adults who had undergone structural magnetic resonance imaging (MRI) and clinical examinations. About half also provided spinal fluid samples. Among the 96 participants, cluster analysis identified three distinct subgroups of individuals based solely on their baseline imaging and laboratory measures. During the next three years, few of these healthy people showed any cognitive change. But cognitive tests for people in one of the subgroups - about 10 percent of the sample - declined at nearly five times the rate as healthy older adults. The researchers believe this group, which had the most extreme MRI and spinal fluid measurements, may represent the earliest stages of subclinical cognitive decline and Alzheimer's disease. Beckett said that the finding is an important step toward discovering the constellation of imaging and fluid biomarkers that foreshadow cognitive decline, as well as a means of determining whether new treatments are effective. "This method could improve clinical trials for prevention and reduce the numbers of study participants necessary to speed drug discovery - and eventually change how the pharmaceutical industry and National Institutes of Health conduct Alzheimer's disease clinical trials."
