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Graham Wilson

Publications and source records attributed to Graham Wilson.

7 recordsLinked to original sources

Measures of retinal health successfully capture risk for Alzheimer's disease and related dementias at midlife.

BackgroundIdentification of at-risk individuals who would benefit from early intervention for Alzheimer's disease and related dementias (ADRD) is critical as new treatments are developed. Measures of retinal health could offer accessible and low-cost indication of pre-morbid disease risk, but their association with ADRD risk is unknown.ObjectiveTo determine whether midlife retinal neuronal and microvascular measures are associated with ADRD risk-index scores and individual domains of ADRD risk.MethodsData were from the Dunedin Multidisciplinary Health and Development Study, a population-representative longitudinal New Zealand-based birth cohort study. 94.1% (N&#x2009;=&#x2009;938) of living Study members were seen at age 45 (2017-2019). Retinal neuronal (retinal nerve fiber layer (RNFL) and ganglion cell-inner plexiform layer (GC-IPL)) and microvascular (arterioles and venules) measures were used as predictors. Outcome measures were four top ADRD risk indexes (CAIDE, LIBRA, Lancet, and ADU-ADRI), and a comprehensive midlife ADRD risk index, the DunedinARB.ResultsPoorer retinal microvascular health (narrower arterioles and wider venules) was associated with greater ADRD risk (&#x3b2;s&#x2009;=&#x2009;0.16-0.31; ps&#x2009;<&#x2009;0.001). Thinner RNFL was modestly associated with higher ADRD risk (&#x3b2;s&#x2009;=&#x2009;0.05-0.08; ps&#x2009;=&#x2009;0.02-0.13). Follow-up tests of distinct domains of ADRD risk indicated that while RNFL associations reflected cardiometabolic risk only, microvascular measures were associated with diverse ADRD risk factors.ConclusionsMeasures of retinal health, particularly microvascular measures, successfully capture ADRD risk across several domains of known risk factors, even at the young midlife age of 45 years. Retinal microvascular imaging may be an accessible, scalable, and relatively low-cost method of assessing ADRD risk among middle-aged adults.

Humans↗

Improving risk indexes for Alzheimer's disease and related dementias for use in midlife.

Knowledge of a person's risk for Alzheimer's disease and related dementias (ADRDs) is required to triage candidates for preventive interventions, surveillance, and treatment trials. ADRD risk indexes exist for this purpose, but each includes only a subset of known risk factors. Information missing from published indexes could improve risk prediction. In the Dunedin Study of a population-representative New Zealand-based birth cohort followed to midlife (N&#x2009;=&#x2009;938, 49.5% female), we compared associations of four leading risk indexes with midlife antecedents of ADRD against a novel benchmark index comprised of nearly all known ADRD risk factors, the Dunedin ADRD Risk Benchmark (DunedinARB). Existing indexes included the Cardiovascular Risk Factors, Aging, and Dementia index (CAIDE), LIfestyle for BRAin health index (LIBRA), Australian National University Alzheimer's Disease Risk Index (ANU-ADRI), and risks selected by the Lancet Commission on Dementia. The Dunedin benchmark was comprised of 48 separate indicators of risk organized into 10 conceptually distinct risk domains. Midlife antecedents of ADRD treated as outcome measures included age-45 measures of brain structural integrity [magnetic resonance imaging-assessed: (i) machine-learning-algorithm-estimated brain age, (ii) log-transformed volume of white matter hyperintensities, and (iii) mean grey matter volume of the hippocampus] and measures of brain functional integrity [(i) objective cognitive function assessed via the Wechsler Adult Intelligence Scale-IV, (ii) subjective problems in everyday cognitive function, and (iii) objective cognitive decline measured as residualized change in cognitive scores from childhood to midlife on matched Weschler Intelligence scales]. All indexes were quantitatively distributed and proved informative about midlife antecedents of ADRD, including algorithm-estimated brain age (&#x3b2;'s from 0.16 to 0.22), white matter hyperintensities volume (&#x3b2;'s from 0.16 to 0.19), hippocampal volume (&#x3b2;'s from -0.08 to -0.11), tested cognitive deficits (&#x3b2;'s from -0.36 to -0.49), everyday cognitive problems (&#x3b2;'s from 0.14 to 0.38), and longitudinal cognitive decline (&#x3b2;'s from -0.18 to -0.26). Existing indexes compared favourably to the comprehensive benchmark in their association with the brain structural integrity measures but were outperformed in their association with the functional integrity measures, particularly subjective cognitive problems and tested cognitive decline. Results indicated that existing indexes could be improved with targeted additions, particularly of measures assessing socioeconomic status, physical and sensory function, epigenetic aging, and subjective overall health. Existing premorbid ADRD risk indexes perform well in identifying linear gradients of risk among members of the general population at midlife, even when they include only a small subset of potential risk factors. They could be improved, however, with targeted additions to more holistically capture the different facets of risk for this multiply determined, age-related disease.

Alzheimer&#x2019;s disease↗

Allvar gullstrand.

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History, 19th Century↗

Walter Rudolf Hess.

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History, 19th Century↗

Dimethylsulphoniopropionate (DMSP) and related compounds in higher plants.

Dimethylsulphoniopropionate (DMSP) is produced in high concentrations in many marine algae, but in higher plants only in a few salt marsh grasses of the genus Spartina, in sugar canes (Saccharum spp.), and in the Pacific strand plant Wollastonia biflora (L.) DC. The high concentrations found in higher plants (up to 250 micromol g(-1) dry weight) suggest an important role, but though many functions have been suggested (including methylating agent, detoxification of excess sulphur, salt tolerance, and herbivore deterrent), its actual functions remain unclear. The fact that the ability to produce DMSP in high concentrations is found in species that have no taxonomic or ecological relationship suggests that the compound evolved independently and serves different functions in different plants. This is supported by observations that DMSP in W. biflora behaves differently from that in Spartina species. While DMSP concentrations in W. biflora have been found to increase with increasing salinity, suggesting a role in osmotic control, such a relationship has not been found for DMSP in Spartina species. Recent observations on tissue culture showed that, while undifferentiated tissue of W. biflora produced DMSP, such material of Spartina alterniflora Loisel. did not. Ongoing studies with tissue culture of both species have opened up new avenues of research on DMSP in higher plants, ultimately to elucidate the functions of this enigmatic compound.

Models, Chemical↗