8742eea0fb3899933e7c6c417db41e82 pmc_10088472.pdf 090b544b90086fd8164be0955f7910da4761bc5e pmc_10088472.pdf 0ecea25334bc45bc9745c2075d78db2dd86eb589b46b507b1d9950574c84438c pmc_10088472.pdf Title: Association of biological sex with clinical outcomes and biomarkers of Alzheimer’s disease in adults with Down syndrome Subject: DOI: 10.1093/braincomms/fcad074; Brain Communications, 5, 2, 2023-3-17.; Abstract: The study of sex differences in Alzheimer’s disease is increasingly recognized as a key priority in research and clinical development. People with Down syndrome represent the largest population with a genetic link to Alzheimer’s disease (>90% in the 7th decade). Yet, sex differences in Alzheimer’s disease manifestations have not been fully investigated in these individuals, who are key candidates for preventive clinical trials. In this double-centre, cross-sectional study of 628 adults with Down syndrome [46% female, 44.4 (34.6; 50.7) years], we compared Alzheimer’s disease prevalence, as well as cognitive outcomes and AT(N) biomarkers across age and sex. Participants were recruited from a population-based health plan in Barcelona, Spain, and from a convenience sample recruited via services for people with intellectual disabilities in England and Scotland. They underwent assessment with the Cambridge C Keywords: Down syndrome; Alzheimer’s disease; sex; gender; precision medicine Author: M. 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edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@4671e53b Children: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@2db7a79b Item: Title: Materials and methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@6950e31 Children: Item: Title: Study population Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@b7dd107 Item: Title: Neurological and neuropsychological assessment Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@42eca56e Item: Title: Apolipoprotein E genotyping Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@52f759d7 Item: Title: Plasma and CSF biomarker analyses Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7cbd213e Item: Title: Brain imaging Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@192d3247 Item: Title: Statistical analysis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@3ecd23d9 Item: Title: Data availability Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@569cfc36 Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@43bd930a Children: Item: Title: Participants Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@33723e30 Item: Title: Sex differences in Alzheimer’s disease clinical presentation Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@64f6106c Item: Title: Sex differences in Alzheimer’s disease biomarkers Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@553a3d88 Item: Title: Association of sex and APOE ɛ4 haplotype in Down syndrome Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7a30d1e6 Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5891e32e Item: Title: Supplementary material Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@cb0ed20 Item: Title: Acknowledgements Destination: 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Font: BaseFont: SPYYAF+TimesNewRomanPSMT CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: SPYYAF+TimesNewRomanPSMT Flags: Nonsymbolic FontBBox: -568, -307, 2046, 1040 FontFile2: true XMP: uuid:0c81e951-5f33-42c9-a08c-7a6054856dda uuid:6D2884A1-67FC-D67F-B455-F835D9F809F1 True Down syndrome; Alzheimer’s disease; sex; gender; precision medicine PDFlib+PDI 9.0.7p3 (C++/Win64) application/pdf 10.1093/braincomms/fcad074 en Oxford University Press Association of biological sex with clinical outcomes and biomarkers of Alzheimer’s disease in adults with Down syndrome M. Florencia Iulita Alexandre Bejanin Eduard Vilaplana Maria Carmona-Iragui Bessy Benejam Laura Videla Isabel Barroeta Susana Fernández Miren Altuna Jordi Pegueroles Victor Montal Silvia Valldeneu Sandra Giménez Sofía González-Ortiz Soraya Torres Shaimaa El Bounasri El Bennadi Concepcion Padilla Mateus Rozalem Aranha Teresa Estellés Ignacio Illán-Gala Olivia Belbin Natalia Valle-Tamayo Valle Camacho Esther Blessing Ricardo S. Osorio Sebastian Videla Sylvain Lehmann Anthony J. Holland Henrik Zetterberg Kaj Blennow Daniel Alcolea Jordi Clarimón Shahid H. Zaman Rafael Blesa Alberto Lleó Juan Fortea DOI: 10.1093/braincomms/fcad074; Brain Communications, 5, 2, 2023-3-17.; Abstract: The study of sex differences in Alzheimer’s disease is increasingly recognized as a key priority in research and clinical development. People with Down syndrome represent the largest population with a genetic link to Alzheimer’s disease (>90% in the 7th decade). Yet, sex differences in Alzheimer’s disease manifestations have not been fully investigated in these individuals, who are key candidates for preventive clinical trials. In this double-centre, cross-sectional study of 628 adults with Down syndrome [46% female, 44.4 (34.6; 50.7) years], we compared Alzheimer’s disease prevalence, as well as cognitive outcomes and AT(N) biomarkers across age and sex. Participants were recruited from a population-based health plan in Barcelona, Spain, and from a convenience sample recruited via services for people with intellectual disabilities in England and Scotland. They underwent assessment with the Cambridge C © The Author(s) 2023. Published by Oxford University Press on behalf of the Guarantors of Brain. Down syndrome Alzheimer’s disease sex gender precision medicine Journal Brain Communications © The Author(s) 2023. 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