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Risk Communication for Alzheimer’s Using Genetics & Biomarkers

Background

Genetic testing (e.g., APOE genotyping) and neuroimaging (e.g., amyloid and tau imaging) are increasingly being used in clinical trials to identify older adults at risk for Alzheimer’s disease. Disclosure of genetic and biomarker information is a required part of these studies, and many older adults are interested in this type of risk information. Due to their involvement in REVEAL study and related projects, Dr. Roberts and Professor Uhlmann are assisting several projects based outside of University of Michigan both in the development of education and risk communications materials and the assessment of the psychological and behavioral impact of risk disclosure.

Research Projects

Recently completed project based at the University of Pittsburgh Alzheimer’s Disease Resource Center (J. Lingler, PI) that examines disclosure of amyloid neuroimaging to individuals with MCI

Ongoing project based at the Banner Alzheimer’s Institute (J. Langbaum, PI) that assess APOE and amyloid disclosure to asymptomatic individuals in the context of large AD prevention drug trials

Newly funded project based at Columbia University Alzheimer’s Disease Resource Center (R. Ottman, PI) where the impact of APOE disclosure will be assessed in a cohort of largely Latinx individuals in New York City

Newly funded project based at Washington University Alzheimer’s Disease Research Center(Mozersky/Hartz, mPIs) where APOE, amyloid and tau information will be combined to generate risk estimates for disclosure of asymptomatic older adults

Funding Source

All projects listed above are funded by the National Institutes of Health, primarily through R01 grants from the National Institute of Aging.

Key Personnel

Scott Roberts, PhD, Co-Investigator
Wendy R. Uhlmann, MS, CGC, Co-Investigator
Rebecca Ferber, MPH, Research Associate

Sample Publications

Lingler JH, Sereika SM, Butters MA, Cohen AD, Klunk WE, Knox ML, McDade E, Nadkarnia NK, Roberts JS, Tamres LK, Lopez OL. (In press). A randomized controlled trial of amyloid positron emission tomography results disclosure in mild cognitive impairment.  Alzheimer’s and Dementia.

Langlois CM, Bradbury A, Wood EM, Roberts JS, Kim S, Reiman EM, Tariot PN, Karlawish J, Langbaum JB. (2019). Alzheimer’s Prevention Initiative Generation Program: Development of an APOE genetic counseling and disclosure process in the context of clinical trials. Alzheimer’s & Dementia: Translational Research & Clinical Interventions, 5, 705-16. [PMID 31921963]

Mattos MK, Sereika SM, Beach SR, Klunk WE, Knox M, Nadkarni N, Parker LS, Roberts JS, Schulz R, Tamres L, Lingler JH. (2019). Research use of ecological momentary assessment for adverse event monitoring following amyloid-β imaging. Journal of Alzheimer’s Disease, 71(4), 1071-79. [PMID 31322563]

Langbaum JB, Karlawish J, Roberts JS, et al. (2019). GeneMatch: A novel recruitment registry to conduct at-home APOE genotyping to enhance referrals to Alzheimer’s prevention studies. Alzheimer’s & Dementia, 15(4), 515-24. [PMID 30772251]

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