# The Neuropathologic Landscape of Alzheimer's Disease in Hispanic Decedents

> **NIH NIH R01** · UNIVERSITY OF CALIFORNIA AT DAVIS · 2024 · $1,149,318

## Abstract

The Neuropathologic Landscape of Alzheimer's Disease in Hispanic Decedents (R01 AG062517) commenced
in August of 2019 with the main objective to determine if the neuropathological landscape differs based on
Hispanic ethnicity. We made great strides in cycle 1 working around the constraints imposed by the pandemic.
We compiled demographic and clinical data, completed standardized histology, and detailed neuroanatomic
distributions of Alzheimer disease (AD) and related disorders (ADRDs) pathologies in 185 persons who identified
as non-Hispanic white (NHWs) and 92 as Hispanic decedents across three cohorts from University of California
Davis, Columbia University, and University of California San Diego. We formed a rich uniformly characterized
dataset with over 7,500 stained and evaluated slides (19 Terabytes), generating results supporting our central
hypothesis that Hispanic decedents have different neuropathologic landscapes when compared to NHWs,
revealing neuroanatomical and pathological specific differences. Specifically, the frontal cortex contained
statistically significant higher semi-quantitative densities of neuritic plaques and neuropil threads in persons of
Hispanic descent compared to age and gender-matched NHWs decedents while these pathologies had similar
densities in parietal and temporal cortices. Cycle 1 accomplished additional key goals including: review articles
promoting cohort diversity and deeper phenotyping of human tissues, methodologic papers on developing, and
enhancing pipelines for quantitative area-specific assessments of neuropathologies and understanding the
effects of pre-analytic variables on machine learning algorithms. Moreover, we expanded our impact by
engaging communities, focused on those who identify as Hispanic, as we piloted novel crowdsourcing methods
producing expert-like pathological analyses to ameliorate analytic bottlenecks in computational approaches
based on a type of machine learning, convolutional neural networks (CNNs). In this competitive renewal
application, we seek to leverage resources from cycle 1 of the application to further expand beyond non-Hispanic
White centric paradigms providing insight into three main questions: 1) How does the way we evaluate
pathologies alter demographic and clinical associations? 2) Can we use citizen science to engage the
communities, especially those of Hispanic/Latino descent and aid in ground truth datasets for AD pathologies as
well as provide outreach and educational opportunities? 3) how does Hispanic heritage (evaluating both self-
reported and genetic admixture) relate to pathologic, demographic, and clinical manifestations of AD? To provide
answers to these questions we will utilize an established multi-disciplinary group of experts and an established
diverse cohort of 277 individuals with 92 Hispanic/Latino decedents and expand innovative methods for scalable
quantitative neuropathology assessments. These synergistic yet independent questions will fill...

## Key facts

- **NIH application ID:** 10983644
- **Project number:** 2R01AG062517-06A1
- **Recipient organization:** UNIVERSITY OF CALIFORNIA AT DAVIS
- **Principal Investigator:** Brittany Nicole Dugger
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $1,149,318
- **Award type:** 2
- **Project period:** 2019-08-01 → 2029-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10983644

## Citation

> US National Institutes of Health, RePORTER application 10983644, The Neuropathologic Landscape of Alzheimer's Disease in Hispanic Decedents (2R01AG062517-06A1). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10983644. Licensed CC0.

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