Featured Research

from universities, journals, and other organizations

After death, twin brains show similar patterns of neuropathologic changes

Date:
February 27, 2014
Source:
University of Southern California
Summary:
Study on the brains of twins finds that Alzheimer's disease is actually a diverse collection of diseases, symptoms and pathological changes. In a unique study, an international team of researchers compared the brains of twins where one or both died of Alzheimer's disease. They found that many of the twin pairs not only had similar progressions of Alzheimer's disease and dementia prior to death, but they also had similar combinations of pathologies -- two-or-more unconnected areas of damage to the brain. The researchers had the rare opportunity to directly autopsy the brains of seven pairs of twins who both died after being receiving diagnostic evaluations over many years, including a pair of identical twins who were both diagnosed with Alzheimer's and died within a year of one another at the age of 98.

Despite widespread use of a single term, Alzheimer's disease is actually a diverse collection of diseases, symptoms and pathological changes. What's happening in the brain often varies widely from patient to patient, and a trigger for one person may be harmless is another.

Related Articles


In a unique study, an international team of researchers led by USC psychologist Margaret Gatz compared the brains of twins where one or both died of Alzheimer's disease. They found that many of the twin pairs not only had similar progressions of Alzheimer's disease and dementia prior to death, but they also had similar combinations of pathologies -- two-or-more unconnected areas of damage to the brain.

The paper is part of Gatz's landmark body of work on aging and cognition with the Swedish Twin Registry, a large cohort study of more than 14,000 Swedish twins, now over the age of 65. Across nearly 30 years, Gatz's work with twins -- including genetically identical pairs -- has shifted the study of Alzheimer's disease to include the entire lifespan, including the effects of developmental exposure, periodontal disease, mental health, obesity and diabetes on later-life Alzheimer's risk.

The current paper provides more evidence that there may not be a single smoking-gun cause of Alzheimer's, but rather a range of potential causes to which we may be susceptible largely depending on our genetics. It appears in the current issue of the journal Brain Pathology.

"We try to make inferences based on tests and diagnoses, but we have to assume that what we're seeing is a manifestation of what's going on in these twins' brains," said Gatz, professor of psychology, gerontology and preventive medicine in USC Dornsife College. "For this reason, we wanted to compare the brains of twins to ask whether identical twins' brains are actually more identical?"

The researchers had the rare opportunity to directly autopsy the brains of seven pairs of twins who both died after being receiving diagnostic evaluations over many years, including a pair of identical twins who were both diagnosed with Alzheimer's and died within a year of one another at the age of 98.

"There may be risk factors that start to accumulate but don't lead to a clinical diagnosis," explained lead author Diego Iacono of the Karolinska Institute in Sweden and the Biomedical Research Institute. "We found that the presence of Alzheimer's disease doesn't preclude the presence of other damage. Looking at co-pathologies in twin pairs may present new areas for research aside from the typical factors."

For example, while there's wide consensus among experts about the course of Alzheimer's disease and the presence of amyloid plaques and tangles in the brain, what starts the process going is less clear, including the role of lesions, Lewy bodies and vascular or ventricle damage, more often associated with specific types of dementia such as Parkinson's disease.

"Identical twins tended to have similar combinations of pathologies. We looked not just at the hallmark indicators of Alzheimer's, but at all the other damage in the brain. Across the whole array of neuropathological changes, the identical twins appeared to have more similar pathologies," Gatz said. "This is fascinating: it's not just a key pathology related to the twins' diagnoses but the combination of things happening in their brains. We're going to keep looking for what these combinations are."


Story Source:

The above story is based on materials provided by University of Southern California. Note: Materials may be edited for content and length.


Journal Reference:

  1. Diego Iacono, Inga Volkman, Inger Nennesmo, Nancy L. Pedersen, Laura Fratiglioni, Boo Johansson, David Karlsson, Bengt Winblad, Margaret Gatz. Neuropathologic assessment of dementia markers in identical and fraternal twins. Brain Pathology, 2014; DOI: 10.1111/bpa.12127

Cite This Page:

University of Southern California. "After death, twin brains show similar patterns of neuropathologic changes." ScienceDaily. ScienceDaily, 27 February 2014. <www.sciencedaily.com/releases/2014/02/140227092151.htm>.
University of Southern California. (2014, February 27). After death, twin brains show similar patterns of neuropathologic changes. ScienceDaily. Retrieved October 24, 2014 from www.sciencedaily.com/releases/2014/02/140227092151.htm
University of Southern California. "After death, twin brains show similar patterns of neuropathologic changes." ScienceDaily. www.sciencedaily.com/releases/2014/02/140227092151.htm (accessed October 24, 2014).

Share This



More Health & Medicine News

Friday, October 24, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Breakfast Debate: To Eat Or Not To Eat?

Breakfast Debate: To Eat Or Not To Eat?

Newsy (Oct. 23, 2014) Conflicting studies published in the same week re-ignited the debate over whether we should be eating breakfast. Video provided by Newsy
Powered by NewsLook.com
Ebola Fears Keep Guinea Hospitals Empty

Ebola Fears Keep Guinea Hospitals Empty

AP (Oct. 23, 2014) Fears of Ebola are keeping doctors and patients alike away from hospitals in the West African nation of Guinea. (Oct. 23) Video provided by AP
Powered by NewsLook.com
Despite Rising Death Toll, Many Survive Ebola

Despite Rising Death Toll, Many Survive Ebola

AP (Oct. 23, 2014) The family of a Dallas nurse infected with Ebola in the US says doctors can no longer detect the virus in her. Despite the mounting death toll in West Africa, there are survivors there too. (Oct. 23) Video provided by AP
Powered by NewsLook.com
Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Working Mother (Oct. 22, 2014) Is your child ready? Video provided by Working Mother
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins