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Women with Down Syndrome Show Greater Alzheimer’s Protein Burden than Men

Researchers recommend timing interventions in Down syndrome clinical trials according to sex-specific disease progression.

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Overview

  • In postmortem analyses, women with Down syndrome had higher levels of beta amyloid and phosphorylated tau than men at the same average age of Alzheimer’s diagnosis.
  • The disparity was most pronounced in the occipital lobe, a brain region usually affected later in the disease.
  • Protein measurements came from UC Irvine’s Alzheimer’s Disease Research Center Brain Tissue Repository and the NIH NeuroBioBank.
  • The NIH-supported findings highlight the need to adjust intervention schedules in clinical trials to reflect sex-based progression differences.
  • Next steps include examining vascular integrity, white-matter connectivity and correlations with biomarkers collected during life to guide precision-medicine approaches.