Differences in age-related effects on brain volume in Down syndrome as compared to Williams syndrome and typical development.


Journal Article

BACKGROUND: Individuals with Down Syndrome (DS) are reported to experience early onset of brain aging. However, it is not well understood how pre-existing neurodevelopmental effects versus neurodegenerative processes might be contributing to the observed pattern of brain atrophy in younger adults with DS. The aims of the current study were to: (1) to confirm previous findings of age-related changes in DS compared to adults with typical development (TD), (2) to test for an effect of these age-related changes in a second neurodevelopmental disorder, Williams syndrome (WS), and (3) to identify a pattern of regional age-related effects that are unique to DS. METHODS: High-resolution T1-weighted MRI of the brains of subjects with DS, WS, and TD controls were segmented, and estimates of regional brain volume were derived using FreeSurfer. A general linear model was employed to test for age-related effects on volume between groups. Secondary analyses in the DS group explored the relationship between brain volume and neuropsychological tests and APOE. RESULTS: Consistent with previous findings, the DS group showed significantly greater age-related effects relative to TD controls in total gray matter and in regions of the orbitofrontal cortex and the parietal cortex. Individuals with DS also showed significantly greater age-related effects on volume of the left and right inferior lateral ventricles (LILV and RILV, respectively). There were no significant differences in age-related effects on volume when comparing the WS and TD groups. In the DS group, cognitive tests scores measuring signs of dementia and APOE ϵ4 carrier status were associated with LILV and RILV volume. CONCLUSIONS: Individuals with DS demonstrated a unique pattern of age-related effects on gray matter and ventricular volume, the latter of which was associated with dementia rating scores in the DS group. Results may indicate that early onset of brain aging in DS is primarily due to DS-specific neurodegenerative processes, as opposed to general atypical neurodevelopment.

Full Text

Duke Authors

Cited Authors

  • Koran, MEI; Hohman, TJ; Edwards, CM; Vega, JN; Pryweller, JR; Slosky, LE; Crockett, G; Villa de Rey, L; Meda, SA; Dankner, N; Avery, SN; Blackford, JU; Dykens, EM; Thornton-Wells, TA

Published Date

  • 2014

Published In

Volume / Issue

  • 6 / 1

Start / End Page

  • 8 -

PubMed ID

  • 24713364

Pubmed Central ID

  • 24713364

International Standard Serial Number (ISSN)

  • 1866-1947

Digital Object Identifier (DOI)

  • 10.1186/1866-1955-6-8


  • eng

Conference Location

  • England