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  1. Article ; Online: A Preliminary Comparison of the Methylome and Transcriptome from the Prefrontal Cortex Across Alzheimer's Disease and Lewy Body Dementia.

    Fisher, Daniel W / Tulloch, Jessica / Yu, Chang-En / Tsuang, Debby

    Journal of Alzheimer's disease reports

    2023  Volume 7, Issue 1, Page(s) 279–297

    Abstract: Background: Pathological amyloid-β and : Objective: In this preliminary study, we explore differences in DNA methylation and transcription in five neuropathologically defined groups: cognitively unimpaired controls, AD, pure DLB, DLB with concomitant ...

    Abstract Background: Pathological amyloid-β and
    Objective: In this preliminary study, we explore differences in DNA methylation and transcription in five neuropathologically defined groups: cognitively unimpaired controls, AD, pure DLB, DLB with concomitant AD (DLBAD), and PDD.
    Methods: We employed an Illumina Infinium 850k array and RNA-seq to quantify these differences in DNA methylation and transcription, respectively. We then used Weighted Gene Co-Network Expression Analysis (WGCNA) to determine transcriptional modules and correlated these with DNA methylation.
    Results: We found that PDD was transcriptionally unique and correlated with an unexpected hypomethylation pattern compared to the other dementias and controls. Surprisingly, differences between PDD and DLB were especially notable with 197 differentially methylated regions. WGCNA yielded numerous modules associated with controls and the four dementias: one module was associated with transcriptional differences between controls and all the dementias as well as having significant overlap with differentially methylated probes. Functional enrichment demonstrated that this module was associated with responses to oxidative stress.
    Conclusion: Future work that extends these joint DNA methylation and transcription analyses will be critical to better understanding of differences that contribute to varying clinical presentation across dementias.
    Language English
    Publishing date 2023-04-20
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2542-4823
    ISSN (online) 2542-4823
    DOI 10.3233/ADR220114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Endophenotypes in Schizophrenia: Digging Deeper to Identify Genetic Mechanisms.

    Greenwood, Tiffany A / Shutes-David, Andrew / Tsuang, Debby W

    Journal of psychiatry and brain science

    2019  Volume 4, Issue 2

    Abstract: Schizophrenia (SZ) is a severe psychotic disorder that is highly heritable and common in the general population. The genetic heterogeneity of SZ is substantial, with contributions from common, rare, ... ...

    Abstract Schizophrenia (SZ) is a severe psychotic disorder that is highly heritable and common in the general population. The genetic heterogeneity of SZ is substantial, with contributions from common, rare, and
    Language English
    Publishing date 2019-03-13
    Publishing country England
    Document type Journal Article
    ISSN 2398-385X
    ISSN (online) 2398-385X
    DOI 10.20900/jpbs.20190005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pimavanserin Treatment for Psychosis in Patients with Dementia with Lewy Bodies: A Case Series.

    Rothenberg, Kasia Gustaw / McRae, Sharon G / Dominguez-Colman, Liza M / Shutes-David, Andrew / Tsuang, Debby W

    The American journal of case reports

    2023  Volume 24, Page(s) e939806

    Abstract: BACKGROUND Many patients with dementia with Lewy bodies (DLB) experience cholinesterase inhibitor- and antipsychotic-resistant psychosis. The new second-generation antipsychotic pimavanserin has been used with some success in the treatment of psychosis ... ...

    Abstract BACKGROUND Many patients with dementia with Lewy bodies (DLB) experience cholinesterase inhibitor- and antipsychotic-resistant psychosis. The new second-generation antipsychotic pimavanserin has been used with some success in the treatment of psychosis in other forms of dementia, including Alzheimer disease and Parkinson disease dementia. It is possible that pimavanserin may also be useful in the treatment of psychosis in DLB. We sought to describe the disease course and treatment of psychosis in 4 patients with DLB who were prescribed pimavanserin after other medications failed to reduce the frequency or severity of hallucinations and delusions. CASE REPORT This is a case series of 4 male patients (ages 56 to 74 at the beginning of the reports) who developed DLB and psychosis (eg, visual illusions, visual and olfactory hallucinations, and paranoid delusions). All 4 patients were prescribed cholinesterase inhibitors (eg, donepezil or rivastigmine) prior to pimavanserin, and only 1 patient experienced improved psychosis while on cholinesterase inhibitors. All 3 patients who were prescribed first-generation antipsychotics (eg, haloperidol) or traditional second-generation antipsychotics (eg, olanzapine, risperidone, or quetiapine) experienced initial or lasting side effects with no improvement of psychosis. Conversely, all 4 patients tolerated pimavanserin well, and 3 of the 4 patients experienced significant improvement of psychosis (eg, fewer hallucinations, fewer delusions, reduced paranoia, and/or reduced distress or agitation related to hallucinations and delusions) when prescribed pimavanserin. CONCLUSIONS This case series suggests that pimavanserin is tolerable in older males with DLB and that it may be useful for the reduction of distressful hallucinations, delusions, and paranoia in patients with DLB.
    MeSH term(s) Humans ; Male ; Aged ; Antipsychotic Agents/therapeutic use ; Lewy Body Disease/complications ; Lewy Body Disease/drug therapy ; Lewy Body Disease/chemically induced ; Dementia ; Cholinesterase Inhibitors/therapeutic use ; Parkinson Disease/complications ; Psychotic Disorders/drug therapy ; Psychotic Disorders/etiology ; Hallucinations/drug therapy ; Hallucinations/etiology ; Piperidines ; Urea/analogs & derivatives
    Chemical Substances Antipsychotic Agents ; pimavanserin (JZ963P0DIK) ; Cholinesterase Inhibitors ; Piperidines ; Urea (8W8T17847W)
    Language English
    Publishing date 2023-09-30
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2517183-5
    ISSN 1941-5923 ; 1941-5923
    ISSN (online) 1941-5923
    ISSN 1941-5923
    DOI 10.12659/AJCR.939806
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Genetic factors in neurodegenerative diseases.

    Tsuang, Debby W / Bird, Thomas D

    American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics

    2016  Volume 174, Issue 1, Page(s) 3–4

    MeSH term(s) Animals ; Humans ; Neurodegenerative Diseases/etiology ; Neurodegenerative Diseases/genetics
    Language English
    Publishing date 2016-10-22
    Publishing country United States
    Document type Editorial ; Introductory Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2143866-3
    ISSN 1552-485X ; 1552-4841
    ISSN (online) 1552-485X
    ISSN 1552-4841
    DOI 10.1002/ajmg.b.32504
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Mild COVID-19 Disease Course With Protracted Delirium in a Cognitively Impaired Patient Over the Age of 85 Years.

    Payne, Sarah / Jankowski, Adrienne / Shutes-David, Andrew / Ritchey, Katherine / Tsuang, Debby W

    The primary care companion for CNS disorders

    2020  Volume 22, Issue 4

    MeSH term(s) Aged, 80 and over ; COVID-19 ; Cognitive Dysfunction/complications ; Cognitive Dysfunction/virology ; Coronavirus Infections/complications ; Coronavirus Infections/diagnosis ; Coronavirus Infections/psychology ; Delirium/etiology ; Delirium/virology ; Humans ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/psychology
    Keywords covid19
    Language English
    Publishing date 2020-08-06
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2675414-9
    ISSN 2155-7780 ; 2155-7772
    ISSN (online) 2155-7780
    ISSN 2155-7772
    DOI 10.4088/PCC.20l02721
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Book: Genetics of mental disorders

    Faraone, Stephen V. / Tsuang, Ming T. / Tsuang, Debby W.

    a guide for students, clinicians, and researchers

    1999  

    Author's details Stephen V. Faraone ; Ming T. Tsuang ; Debby W. Tsuang
    Keywords Genetic Predisposition to Disease / genetics ; Hereditary Diseases / genetics ; Mental Disorders / genetics ; Psychiatry / methods
    Language English
    Size XVI, 272 S. : Ill., graph. Darst.
    Publisher The Guilford Press
    Publishing place New York u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT011125973
    ISBN 1-57230-479-0 ; 978-1-57230-479-6
    Database Catalogue ZB MED Medicine, Health

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  7. Article ; Online: Sensitivity of Schizophrenia Endophenotype Biomarkers to Anticholinergic Medication Burden.

    Joshi, Yash B / Molina, Juan L / Braff, David L / Green, Michael F / Gur, Ruben C / Gur, Raquel E / Nuechterlein, Keith H / Stone, William S / Greenwood, Tiffany A / Lazzeroni, Laura C / Radant, Allen D / Silverman, Jeremy M / Sprock, Joyce / Sugar, Catherine A / Tsuang, Debby W / Tsuang, Ming T / Turetsky, Bruce I / Swerdlow, Neal R / Light, Gregory A

    The American journal of psychiatry

    2023  Volume 180, Issue 7, Page(s) 519–523

    MeSH term(s) Humans ; Schizophrenia/drug therapy ; Endophenotypes ; Cholinergic Antagonists/adverse effects ; Cognition Disorders ; Biomarkers ; Cognition
    Chemical Substances Cholinergic Antagonists ; Biomarkers
    Language English
    Publishing date 2023-04-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 280045-7
    ISSN 1535-7228 ; 0002-953X
    ISSN (online) 1535-7228
    ISSN 0002-953X
    DOI 10.1176/appi.ajp.20220649
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Identifying probable dementia in undiagnosed Black and White Americans using machine learning in Veterans Health Administration electronic health records.

    Shao, Yijun / Todd, Kaitlin / Shutes-David, Andrew / Millard, Steven P / Brown, Karl / Thomas, Amy / Chen, Kathryn / Wilson, Katherine / Zeng, Qing T / Tsuang, Debby W

    medRxiv : the preprint server for health sciences

    2023  

    Abstract: The application of machine learning (ML) tools in electronic health records (EHRs) can help reduce the underdiagnosis of dementia, but models that are not designed to reflect minority population may perpetuate that underdiagnosis. To address the ... ...

    Abstract The application of machine learning (ML) tools in electronic health records (EHRs) can help reduce the underdiagnosis of dementia, but models that are not designed to reflect minority population may perpetuate that underdiagnosis. To address the underdiagnosis of dementia in both Black Americans (BAs) and white Americans (WAs), we sought to develop and validate ML models that assign race-specific risk scores. These scores were used to identify undiagnosed dementia in BA and WA Veterans in EHRs. More specifically, risk scores were generated separately for BAs (n=10K) and WAs (n=10K) in training samples of cases and controls by performing ML, equivalence mapping, topic modeling, and a support vector-machine (SVM) in structured and unstructured EHR data. Scores were validated via blinded manual chart reviews (n=1.2K) of controls from a separate sample (n=20K). AUCs and negative and positive predictive values (NPVs and PPVs) were calculated to evaluate the models. There was a strong positive relationship between SVM-generated risk scores and undiagnosed dementia. BAs were more likely than WAs to have undiagnosed dementia per chart review, both overall (15.3% vs 9.5%) and among Veterans with >90
    Language English
    Publishing date 2023-02-14
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2023.02.08.23285540
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Correction: Valcic et al. Determining Whether Sex and Zygosity Modulates the Association between APOE4 and Psychosis in a Neuropathologically-Confirmed Alzheimer's Disease Cohort.

    Valcic, Mila / Khoury, Marc A / Kim, Julia / Fornazzari, Luis / Churchill, Nathan W / Ismail, Zahinoor / De Luca, Vincenzo / Tsuang, Debby / Schweizer, Tom A / Munoz, David G / Fischer, Corinne E

    Brain sciences

    2022  Volume 13, Issue 1

    Abstract: In the original publication [ ... ]. ...

    Abstract In the original publication [...].
    Language English
    Publishing date 2022-12-29
    Publishing country Switzerland
    Document type Published Erratum
    ZDB-ID 2651993-8
    ISSN 2076-3425
    ISSN 2076-3425
    DOI 10.3390/brainsci13010064
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Alzheimer's Disease and Alzheimer's Disease-Related Dementias in Older African American and White Veterans.

    Cheng, Yan / Ahmed, Ali / Zamrini, Edward / Tsuang, Debby W / Sheriff, Helen M / Zeng-Treitler, Qing

    Journal of Alzheimer's disease : JAD

    2020  Volume 75, Issue 1, Page(s) 311–320

    Abstract: Background: Racial disparity in the epidemiology of Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) has been reported. However, less is known about this disparity among Veterans.: Objective: To estimate the racial disparity in ...

    Abstract Background: Racial disparity in the epidemiology of Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) has been reported. However, less is known about this disparity among Veterans.
    Objective: To estimate the racial disparity in AD/ADRD among the Veterans.
    Methods: Of the 5,413,418 Veterans≥65 years receiving care at the Veterans Health Administration (1999-2016), 4,045,269 were free of prevalent AD/ADRD, schizophrenia, or bipolar disorder at baseline. Of these, 432,469 were African American. Race was self-identified and incident AD/ADRD during 20 (median 6.7) years of follow-up was ascertained using International Classification of Diseases codes.
    Results: Patients had a mean age of 70.4 (±6.6) years and 97.8% were men. Age-sex-adjusted incidence of AD/ADRD per 1,000 person-year was 19.3 and 10.8 for African American and white Veterans, respectively (age-sex-adjusted hazard ratio associated with African American race, 1.77; 95% confidence interval, 1.75-1.79; p < 0.0001). This association remained essentially unchanged after multivariable adjustment (hazard ratio, 1.67; 95% confidence interval, 1.65-1.69; p < 0.0001). Among the key baseline characteristics that were significant predictors of AD/ADRD in both races, stroke was a significantly stronger predictor among African Americans, and Hispanic ethnicity and depression among whites (p-value for all interaction,<0.0001).
    Conclusion: The findings of a higher incidence of AD/ADRD among African American Veterans is consistent with the findings in the general population reported in the literature, although the overall incidence appears to be lower than that in the general population. Future studies need to examine this disparity in incidence as well as the between-race heterogeneity in AD/ADRD risk.
    MeSH term(s) African Americans/statistics & numerical data ; Aged ; Alzheimer Disease/epidemiology ; Dementia/epidemiology ; European Continental Ancestry Group/statistics & numerical data ; Female ; Health Status Disparities ; Humans ; Incidence ; Male ; Middle Aged ; Prevalence ; Veterans/statistics & numerical data
    Language English
    Publishing date 2020-03-10
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1440127-7
    ISSN 1875-8908 ; 1387-2877
    ISSN (online) 1875-8908
    ISSN 1387-2877
    DOI 10.3233/JAD-191188
    Database MEDical Literature Analysis and Retrieval System OnLINE

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