Home › Research › Down syndrome and Alzheimer's
Cross-Sectional FDG in Down Syndrome and Autosomal Dominant Alzheimer's Disease
Abdelmoity O, Wisch JK, Kennedy JT, Goyal M, Vlassenko A, Flores S, Handen BL, Head E et al.. Annals of neurology, 2025-09-22
Topic: Amyloid, tau and blood-test diagnosis
Plain-language summary
Objectives Directly compare the brain glucose patterns seen with [F-18] fluorodeoxyglucose (FDG) positron emission tomography (PET) between 2 genetically determined forms of Alzheimer's disease: Down syndrome (DS) and autosomal dominant Alzheimer's disease (ADAD). Methods Cross-sectional analyses of FDG were performed in individuals with DS (n = 76) from the Alzheimer Biomarker Consortium-Down Syndrome (ABC-DS), ADAD (n = 297), and neurotypical familial controls (n = 188) from the Dominantly Inherited Alzheimer Network (DIAN). Within-group linear regression models and generalized additive models were performed for select regional FDG uptake measures (isthmus cingulate and inferior parietal, precuneus, middle temporal gyrus, and precentral gyrus). Age, sex, apolipoprotein (APOE) ε4 carrier status, and cortical amyloid burden were included within these analyses. Results Even 20 years before expected onset of clinical symptoms, FDG uptake was lower for DS compared to neurotypical familial controls (p Interpretation Brain glucose metabolism is substantially lower for people with DS, even in individuals who are cognitively stable. The patterns of FDG decline are distinct in these 2 genetically determined forms of AD. The diagnostic utility of FDG-PET is specific to the genetic form of AD. ANN NEUROL 2025;98:1237-1248.
What this study adds
Evidence grade: Low
This is a cross-sectional study of 76 participants. This cross-sectional imaging study found that brain glucose metabolism was substantially lower in people with Down syndrome than in neurotypical familial controls, even 20 years before expected symptom onset, with patterns distinct from autosomal dominant Alzheimer's disease. It describes a biomarker difference and does not test any treatment, cure or prevention.
Taken from this record’s own fields, not from reading the paper. The grade is assigned from the abstract’s wording; what that means.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Abdelmoity, O., Wisch, J. K., Kennedy, J. T., Goyal, M., Vlassenko, A., Flores, S., et al. (2025). Cross-Sectional FDG in Down Syndrome and Autosomal Dominant Alzheimer's Disease. Annals of neurology. https://doi.org/10.1002/ana.78002
Vancouver
Abdelmoity O, Wisch JK, Kennedy JT, Goyal M, Vlassenko A, Flores S, et al. Cross-Sectional FDG in Down Syndrome and Autosomal Dominant Alzheimer's Disease. Annals of neurology. 2025. doi:10.1002/ana.78002. PMID: 40977577.
BibTeX
@article{abdelmoity2025-40977577,
author = {Abdelmoity, O. and Wisch, J. K. and Kennedy, J. T. and Goyal, M. and Vlassenko, A. and Flores, S. and Handen, B. L. and Head, E. and others},
title = {{Cross-Sectional FDG in Down Syndrome and Autosomal Dominant Alzheimer's Disease}},
journal = {Annals of neurology},
year = {2025},
doi = {10.1002/ana.78002},
pmid = {40977577},
url = {https://doi.org/10.1002/ana.78002}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- Results Even 20 years before expected onset of clinical symptoms, FDG uptake was lower for DS compared to neurotypical familial controls (p Interpretation Brain glucose metabolism is substantially lower for people with DS, even in individuals who are cognitively stable.
Why it matters
This cross-sectional imaging study found that brain glucose metabolism was substantially lower in people with Down syndrome than in neurotypical familial controls, even 20 years before expected symptom onset, with patterns distinct from autosomal dominant Alzheimer's disease. It describes a biomarker difference and does not test any treatment, cure or prevention.
Study details
- Study designcross-sectional
- Participants76
- Evidence strengthLow
How this study scored 46/100
Published in a leading specialty journal, and it is a snapshot of people at one point in time. Scored zero for effect reported and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 9 / 10 | Tier 2 — leading specialty journal (Annals of neurology) |
| Journal's citation record | 3 / 4 | Annals of Neurology: journal h-index 437 (OpenAlex, 2026-10-29) |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 1 / 4 | 76 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Beau M. Ances: h-index 81 (OpenAlex, whole career) |
| Institution's track record | 3 / 3 | Harvard University: institution h-index 3,235 (OpenAlex) |
| Multicenter collaboration | 3 / 3 | OpenAlex lists 24 institution(s) in 7 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40977577) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 46 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Related
Studies in the library that share something with this one. The line above each title says what.
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.
Related studies in Down syndrome and Alzheimer's from nearby years
Also tagged “down”
527 studies in the library carry the topic tag “down”; these are this study's neighbours in a fixed, alphabetical-by-hash tour of them, not the closest in content. All 527 tagged studies.