Structural brain changes identified up to fifteen years before Alzheimer’s symptoms in people with Down syndrome
Peer-Reviewed Publication
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Updates every hour. Last Updated: 26-Jul-2025 07:10 ET (26-Jul-2025 11:10 GMT/UTC)
Published in the journal Brain, the study precisely describes how atrophy progresses in the medial temporal lobe and demonstrates the value of MRI as an early structural biomarker.
The study shows that atrophy in medial temporal lobe (MTL) regions begins 13 to 15 years before the first symptoms of Alzheimer’s disease in people with Down syndrome, opening a critical window for early detection and intervention.
The volume of the posterior hippocampus is confirmed as one of the most accurate structural biomarkers for identifying the symptomatic onset of Alzheimer’s, with diagnostic capacity comparable to cerebrospinal fluid analyses.
For the first time, a detailed chronological map of how MTL degeneration progresses in Down syndrome has been established, which could guide clinical trials and targeted therapies in very early stages of the disease.
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