RT Journal Article T1 Differential patterns of gray matter volumes and associated gene expression profiles in cognitively-defined Alzheimer's disease subgroups. A1 Groot, Colin A1 Grothe, Michel J A1 Mukherjee, Shubhabrata A1 Jelistratova, Irina A1 Jansen, Iris A1 van Loenhoud, Anna Catharina A1 Risacher, Shannon L A1 Saykin, Andrew J A1 Mac Donald, Christine L A1 Mez, Jesse A1 Trittschuh, Emily H A1 Gryglewski, Gregor A1 Lanzenberger, Rupert A1 Pijnenburg, Yolande A L A1 Barkhof, Frederik A1 Scheltens, Philip A1 van der Flier, Wiesje M A1 Crane, Paul K A1 Ossenkoppele, Rik K1 Alzheimer’s disease K1 Gene expression K1 Gray matter volumes K1 Heterogeneity K1 Psychometrics AB The clinical presentation of Alzheimer's disease (AD) varies widely across individuals but the neurobiological mechanisms underlying this heterogeneity are largely unknown. Here, we compared regional gray matter (GM) volumes and associated gene expression profiles between cognitively-defined subgroups of amyloid-β positive individuals clinically diagnosed with AD dementia (age: 66 ± 7, 47% male, MMSE: 21 ± 5). All participants underwent neuropsychological assessment with tests covering memory, executive-functioning, language and visuospatial-functioning domains. Subgroup classification was achieved using a psychometric framework that assesses which cognitive domain shows substantial relative impairment compared to the intra-individual average across domains, which yielded the following subgroups in our sample; AD-Memory (n = 41), AD-Executive (n = 117), AD-Language (n = 33), AD-Visuospatial (n = 171). We performed voxel-wise contrasts of GM volumes derived from 3Tesla structural MRI between subgroups and controls (n = 127, age 58 ± 9, 42% male, MMSE 29 ± 1), and observed that differences in regional GM volumes compared to controls closely matched the respective cognitive profiles. Specifically, we detected lower medial temporal lobe GM volumes in AD-Memory, lower fronto-parietal GM volumes in AD-Executive, asymmetric GM volumes in the temporal lobe (left  YR 2021 FD 2021-04-03 LK http://hdl.handle.net/10668/17629 UL http://hdl.handle.net/10668/17629 LA en DS RISalud RD Apr 7, 2025