RT Journal Article T1 Effects of non-modifiable risk factors of Alzheimer’s disease on intracortical myelin content A1 Fernández Álvarez, Marina A1 Atienza, Mercedes A1 Cantero Lorente, José Luis K1 Aging K1 Alzheimer’s disease K1 APOE4 K1 Cortical microstructure integrity K1 Family history K1 Intracortical myelin K1 Functional connectivity K1 T1w/T2w ratio maps AB BackgroundNon-modifiable risk factors of Alzheimer’s disease (AD) have lifelong effects on cortical integrity that could be mitigated if identified at early stages. However, it remains unknown whether cortical microstructure is affected in older individuals with non-modifiable AD risk factors and whether altered cortical tissue integrity produces abnormalities in brain functional networks in this AD-risk population.MethodsUsing relative T1w/T2w (rT1w/T2w) ratio maps, we have compared tissue integrity of normal-appearing cortical GM between controls and cognitively normal older adults with either APOE4 (N = 50), with a first-degree family history (FH) of AD (N = 52), or with the co-occurrence of both AD risk factors (APOE4+FH) (N = 35). Additionally, individuals with only one risk factor (APOE4 or FH) were combined into one group (N = 102) and compared with controls. The same number of controls matched in age, sex, and years of education was employed for each of these comparisons. Group differences in resting state functional connectivity (rs-FC) patterns were also investigated, using as FC seeds those cortical regions showing significant changes in rT1w/T2w ratios.ResultsOverall, individuals with non-modifiable AD risk factors exhibited significant variations in rT1w/T2w ratios compared to controls, being APOE4 and APOE4+FH at opposite ends of a continuum. The co-occurrence of APOE4 and FH was further accompanied by altered patterns of rs-FC.ConclusionsThese findings may have practical implications for early detection of cortical abnormalities in older populations with APOE4 and/or FH of AD and open new avenues to monitor changes in cortical tissue integrity associated with non-modifiable AD risk factors. PB BioMed Central YR 2022 FD 2022-12-31 LK https://hdl.handle.net/10433/22766 UL https://hdl.handle.net/10433/22766 LA en NO Fernandez-Alvarez, M., Atienza, M., & Cantero, J. L. (2022). Effects of non-modifiable risk factors of Alzheimer’s disease on intracortical myelin content. Alzheimer’s Research & Therapy, 14(1), 202. https://doi.org/10.1186/s13195-022-01152-y NO Laboratory of Functional Neuroscience, Pablo de Olavide University, Seville, Spain NO CIBERNED, Network Center for Biomedical Research in Neurodegenerative Diseases, Madrid, Spain DS RIO RD May 13, 2026