Table 1.
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.