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. 2021 Oct 3;10(19):4582. doi: 10.3390/jcm10194582

Table 1.

Summary of the comparison between the three forms of AD.

LOAD ADAD DSAD
Clinical Features
Mean age of onset 80.2 ± 6 PSEN1 PSEN2 APP dAPP 55.8 ± 6.29
43.3 ± 8.6 58.1 ± 9.5 47.6 ± 7.1 51.5 ± 5.3
Mean age of death 86.1 ± 7.04 50.5 ± 9.7 71.8 ± 10.6 58 ± 8.4 60.4 ± 6.2 59.98 ± 5.98
Cerebral Amyloid Angiopathy Low High (with higher prevalence in dAPP) High
Amnestic phenotypes Early episodic memory loss
Early loss of visuoperceptual skills
Attention deficits
Language deterioration
Early episodic memory loss
Late loss of visuoperceptual skills
Attention deficits
Language deterioration (depending on the particular mutation)
Early episodic memory loss
Early loss of visuoperceptual skills
Attention deficits
Language deterioration
Decline in functional skills
Non amnestic phenotypes
(e.g: behavioural changes and executive dysfunction)
Less Common More Common More Common
Neurological symptoms
(e.g: epilepsy, myoclonus, spastic paraparesis, cerebellar signs)
Less Common More Common More Common
Neuroimaging and Neuropathology
Altered default mode connectivity Present Present Present
Biochemical changes Similar in magnitude and direction Similar in magnitude and direction Similar in magnitude and direction
Aβ deposition map Similar Similar Similar
Initial Striatal Aβ Absent Present Present
Hypometabolism map Similar Similar Similar
Atrophy map Similar Similar (but accelerated) Similar
Distribution of tau Similar Similar Similar
CO-PATHOLOGIES
Lewy body pathology Common Most common Rare
TDP-43 Pathology More common
Similar distribution
Less Common
Similar distribution
Less Common
Similar distribution

AD, Alzheimer’s disease; LOAD, Late-onset Alzheimer’s disease; ADAD, Autosomal Dominant Alzheimer’s disease; DSAD, Down syndrome-associated Alzheimer’s disease.