RT Journal Article SR Electronic T1 Brain Amyloid-β Burden Is Associated with Disruption of Intrinsic Functional Connectivity within the Medial Temporal Lobe in Cognitively Normal Elderly JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 3240 OP 3247 DO 10.1523/JNEUROSCI.2092-14.2015 VO 35 IS 7 A1 Zhuang Song A1 Philip S. Insel A1 Shannon Buckley A1 Seghel Yohannes A1 Adam Mezher A1 Alix Simonson A1 Sarah Wilkins A1 Duygu Tosun A1 Susanne Mueller A1 Joel H. Kramer A1 Bruce L. Miller A1 Michael W. Weiner YR 2015 UL http://www.jneurosci.org/content/35/7/3240.abstract AB The medial temporal lobe is implicated as a key brain region involved in the pathogenesis of Alzheimer's disease (AD) and consequent memory loss. Tau tangle aggregation in this region may develop concurrently with cortical Aβ deposition in preclinical AD, but the pathological relationship between tau and Aβ remains unclear. We used task-free fMRI with a focus on the medical temporal lobe, together with Aβ PET imaging, in cognitively normal elderly human participants. We found that cortical Aβ load was related to disrupted intrinsic functional connectivity of the perirhinal cortex, which is typically the first brain region affected by tauopathies in AD. There was no concurrent association of cortical Aβ load with cognitive performance or brain atrophy. These findings suggest that dysfunction in the medial temporal lobe may represent a very early sign of preclinical AD and may predict future memory loss.