Association between choroid plexus volume and cognitive function in community-dwelling older adults without dementia: a population-based cross-sectional analysis

Abstract Background An increase in choroid plexus (CP) volume may be associated with cognitive decline in older individuals without dementia. In this study, we aimed to clarify whether CP volume can serve as an imaging marker of cognitive decline, determine how strongly CP volume is associated with...

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Main Authors: Yosuke Hidaka, Mamoru Hashimoto, Takashi Suehiro, Ryuji Fukuhara, Tomohisa Ishikawa, Naoko Tsunoda, Asuka Koyama, Kazuki Honda, Yusuke Miyagawa, Kazuhiro Yoshiura, Seiji Yuuki, Naoto Kajitani, Shuken Boku, Kazunari Ishii, Manabu Ikeda, Minoru Takebayashi
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Fluids and Barriers of the CNS
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Online Access:https://doi.org/10.1186/s12987-024-00601-0
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author Yosuke Hidaka
Mamoru Hashimoto
Takashi Suehiro
Ryuji Fukuhara
Tomohisa Ishikawa
Naoko Tsunoda
Asuka Koyama
Kazuki Honda
Yusuke Miyagawa
Kazuhiro Yoshiura
Seiji Yuuki
Naoto Kajitani
Shuken Boku
Kazunari Ishii
Manabu Ikeda
Minoru Takebayashi
author_facet Yosuke Hidaka
Mamoru Hashimoto
Takashi Suehiro
Ryuji Fukuhara
Tomohisa Ishikawa
Naoko Tsunoda
Asuka Koyama
Kazuki Honda
Yusuke Miyagawa
Kazuhiro Yoshiura
Seiji Yuuki
Naoto Kajitani
Shuken Boku
Kazunari Ishii
Manabu Ikeda
Minoru Takebayashi
author_sort Yosuke Hidaka
collection DOAJ
description Abstract Background An increase in choroid plexus (CP) volume may be associated with cognitive decline in older individuals without dementia. In this study, we aimed to clarify whether CP volume can serve as an imaging marker of cognitive decline, determine how strongly CP volume is associated with cognitive decline, and explore factors associated with CP volume in older adults. Methods We measured CP volume, brain parenchyma, and cerebrospinal fluid (CSF) spaces associated with disproportionately enlarged subarachnoid space hydrocephalus (DESH), an imaging feature of normal-pressure hydrocephalus, in community-dwelling older adults aged ≥ 65 years without dementia. Results In 1,370 participants, lower Mini-Mental State Examination (MMSE) scores were significantly associated with higher CP volume, even after adjusting for DESH-related CSF space and brain parenchymal volume. CP volume was more strongly associated with MMSE scores than DESH-related CSF space and brain parenchymal volume. History of smoking, white matter hyperintensity, enlarged perivascular spaces, age, body mass index, and diabetes mellitus were also associated with increased CP volume. Conclusions CP volume may be a highly sensitive imaging marker of cognitive decline in community-dwelling older adults without dementia, as it is linked to cognitive decline independently of brain parenchyma and CSF volumes. Our findings emphasize the importance of investigating CP volume increase to maintain cognitive function in older individuals. Accordingly, further longitudinal studies are required.
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spelling doaj-art-5a178aa8fdf64d4faa859f01612be81d2024-12-22T12:42:37ZengBMCFluids and Barriers of the CNS2045-81182024-12-0121111010.1186/s12987-024-00601-0Association between choroid plexus volume and cognitive function in community-dwelling older adults without dementia: a population-based cross-sectional analysisYosuke Hidaka0Mamoru Hashimoto1Takashi Suehiro2Ryuji Fukuhara3Tomohisa Ishikawa4Naoko Tsunoda5Asuka Koyama6Kazuki Honda7Yusuke Miyagawa8Kazuhiro Yoshiura9Seiji Yuuki10Naoto Kajitani11Shuken Boku12Kazunari Ishii13Manabu Ikeda14Minoru Takebayashi15Department of Psychiatry, Osaka University Graduate School of MedicineDepartment of Neuropsychiatry, Faculty of Medicine, Kindai UniversityDepartment of Psychiatry, Osaka University Graduate School of MedicineDepartment of Psychiatry, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Psychiatry, Arao Kokoronosato HospitalDepartment of Neuropsychiatry, Faculty of Life Sciences, Kumamoto UniversityFaculty of Social Welfare, Kumamoto Gakuen UniversityDepartment of Geriatric Psychiatry, Mitsugumachi ClinicDepartment of Psychiatry, Kumamoto Seimei HospitalDepartment of Frailty Research, Center for Gerontology and Social Science, National Center for Geriatrics and GerontologyDepartment of Psychiatry, Mashiki HospitalDepartment of Neuropsychiatry, Faculty of Life Sciences, Kumamoto UniversityDepartment of Neuropsychiatry, Faculty of Life Sciences, Kumamoto UniversityDepartment of Radiology, Faculty of Medicine, Kindai UniversityDepartment of Psychiatry, Osaka University Graduate School of MedicineDepartment of Neuropsychiatry, Faculty of Life Sciences, Kumamoto UniversityAbstract Background An increase in choroid plexus (CP) volume may be associated with cognitive decline in older individuals without dementia. In this study, we aimed to clarify whether CP volume can serve as an imaging marker of cognitive decline, determine how strongly CP volume is associated with cognitive decline, and explore factors associated with CP volume in older adults. Methods We measured CP volume, brain parenchyma, and cerebrospinal fluid (CSF) spaces associated with disproportionately enlarged subarachnoid space hydrocephalus (DESH), an imaging feature of normal-pressure hydrocephalus, in community-dwelling older adults aged ≥ 65 years without dementia. Results In 1,370 participants, lower Mini-Mental State Examination (MMSE) scores were significantly associated with higher CP volume, even after adjusting for DESH-related CSF space and brain parenchymal volume. CP volume was more strongly associated with MMSE scores than DESH-related CSF space and brain parenchymal volume. History of smoking, white matter hyperintensity, enlarged perivascular spaces, age, body mass index, and diabetes mellitus were also associated with increased CP volume. Conclusions CP volume may be a highly sensitive imaging marker of cognitive decline in community-dwelling older adults without dementia, as it is linked to cognitive decline independently of brain parenchyma and CSF volumes. Our findings emphasize the importance of investigating CP volume increase to maintain cognitive function in older individuals. Accordingly, further longitudinal studies are required.https://doi.org/10.1186/s12987-024-00601-0Choroid plexusCerebrospinal fluidCognitive impairment
spellingShingle Yosuke Hidaka
Mamoru Hashimoto
Takashi Suehiro
Ryuji Fukuhara
Tomohisa Ishikawa
Naoko Tsunoda
Asuka Koyama
Kazuki Honda
Yusuke Miyagawa
Kazuhiro Yoshiura
Seiji Yuuki
Naoto Kajitani
Shuken Boku
Kazunari Ishii
Manabu Ikeda
Minoru Takebayashi
Association between choroid plexus volume and cognitive function in community-dwelling older adults without dementia: a population-based cross-sectional analysis
Fluids and Barriers of the CNS
Choroid plexus
Cerebrospinal fluid
Cognitive impairment
title Association between choroid plexus volume and cognitive function in community-dwelling older adults without dementia: a population-based cross-sectional analysis
title_full Association between choroid plexus volume and cognitive function in community-dwelling older adults without dementia: a population-based cross-sectional analysis
title_fullStr Association between choroid plexus volume and cognitive function in community-dwelling older adults without dementia: a population-based cross-sectional analysis
title_full_unstemmed Association between choroid plexus volume and cognitive function in community-dwelling older adults without dementia: a population-based cross-sectional analysis
title_short Association between choroid plexus volume and cognitive function in community-dwelling older adults without dementia: a population-based cross-sectional analysis
title_sort association between choroid plexus volume and cognitive function in community dwelling older adults without dementia a population based cross sectional analysis
topic Choroid plexus
Cerebrospinal fluid
Cognitive impairment
url https://doi.org/10.1186/s12987-024-00601-0
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