Glucose Metabolic, Amyloid, and Tau Brain Imaging in Down Syndrome and Dementia

Inclusion Criteria:

• Age 45 years or older
• No significant cerebrovascular disease - modified Ischemic Score of < 4
• Adequate visual and auditory acuity to allow neuropsychological testing
• Screening laboratory tests and ECG without significant abnormalities that might interfere with the study

Additional Inclusion Criteria for Controls

• MMSE score between 24 and 30 (unless < 8 years of educational achievement)
• The following medications are allowed if stable for > 1 month: antidepressants (without anticholinergic effects) if not currently depressed and no history of major depression for 2 years; estrogen replacement therapy; thyroid replacement therapy as long as individual is euthyroid; antihypertensives that do not influence cognitive function

Additional Inclusion Criteria for Individuals with Down syndrome

• Family member or caregiver available; caregiver relationship 2 years or longer
• Karyotype DX of trisomy or translocation DS Mosaic form of Down syndrome
• English-speaking

Exclusion Criteria:

• Evidence of neurological or other physical illness that could produce cognitive deterioration; volunteers with a history of TIAs, carotid bruits, or lacunes on MRI scan will be excluded
• Parkinson's Disease
• History of myocardial infarction within the previous year or unstable cardiac disease
• Uncontrolled hypertension (systolic BP > 170 or diastolic BP > 100), history of significant liver disease, clinically significant pulmonary disease, diabetes, or cancer
• Major psychiatric disorders, such as bipolar disorder or schizophrenia
• Medicines that could influence psychometric test results
• Use of any of the following drugs: centrally active beta-blockers, narcotics, clonidine, anti-Parkinsonian medications, benzodiazepines, systemic corticosteroids, medications with significant cholinergic or anticholinergic effects, anti-convulsants, or warfarin
• Current diagnosis or history of alcoholism or drug dependence
• Evidence of untreated depression or untreated anxiety
• Use of any investigational drugs within the previous month or longer, depending on drug half-life
• Contraindication for MRI scan (e.g., metal in body, claustrophobia)
• Diagnosis of possible or probable AD or any other dementia (e.g., vascular, Lewy body, frontotemporal) or MCI

Additional Exclusion Criteria for Individuals with Down syndrome

• Mosaic form of Down syndrome
• History of clinically significant neurological disorder or disease and Psychiatric diagnosis or treatment within 3 months prior to screening