# Environmental Determinants of Pathological Brain Aging in WHI Memory Studies

> **NIH NIH R01** · UNIVERSITY OF SOUTHERN CALIFORNIA · 2020 · $593,229

## Abstract

Dementia, including Alzheimer's disease (AD), burdens more women than men and affect millions of aging
Americans and their families. While the search for effective prevention continues, scientific evidence on
modifiable risk factors for dementia remains uncertain. In the last two decades, compelling data have
documented significant neurotoxicity in animals and humans exposed to ambient air pollutants.
Toxicopathological studies show evidence of accelerated brain aging (e.g., β-amyloid accumulation) and
possible neurodegeneration (e.g., neuro-fibrillary tangles). Although epidemiologic data also support that
ambient air pollutants may represent a novel and modifiable environmental determinant of pathological brain
aging, the proposed longitudinal study will address the following critical knowledge gaps. First, convincing
prospective cohort data linking ambient air pollution to increased dementia risks are still lacking. Second, most
published air pollution-neuroepidemiologic studies were studying late-life (aged > 65) exposures; whether/how
exposures before late life shape the profile of neuropsychological functions and determine the subsequent risk
for dementia has not been studied. Third, mechanistic mediators underlying the adverse effects and human
brain structures perturbed by air pollutants remain elusive. Fourth, very little is known about the PM exposure
sources/compositions affecting brain aging. Specifically, this application is built on two well-characterized and
geographically-diverse cohorts of postmenopausal and older women participating in Women's Health Initiative
(WHI) Memory Study (WHIMS;1995-2007; n=7479, aged 65-80) and WHIMS of Younger Women (WHIMS-Y;
n=1326, aged 50-55) since 1996. Supported by the preliminary results and drawing on the extended follow-up
of WHIMS+ WHIMS-Y, we will update the neurocognitive outcome database (dementia subtype; annual
neuropsychological assessment; structural brain MRI) until 2016. This application also leverages recent
advances in spatiotemporal modeling to enrich the residential exposure database for NO2/ozone/PM10 (1993-
2016 monthly) and PM2.5 (1993-1999 yearly; 1999-2016 monthly). In Aim 1, we will determine the impact of
long-term exposures on dementia/AD incidence. Aim 2 will examine the adverse effects of air pollution on
latent trajectories of internally validated neuropsychological biomarkers, putatively associated with estimated
exposures starting at age of 50-55 and continuing into later life. In Aim 3, we will use structural equation
models to evaluate the hypothesized mediation by emotional disturbance, reduced limbic brain volume, and
increased neurovascular damages underling the neurotoxic effects of air pollution. In Aim 4, we will explore
the associations between PM exposure sources/compositions and brain aging. We have assembled a
multidisciplinary team working together on this emerging field of environmental neurosciences in brain aging.
Expected new knowledge gained from th...

## Key facts

- **NIH application ID:** 9988847
- **Project number:** 5R01ES025888-05
- **Recipient organization:** UNIVERSITY OF SOUTHERN CALIFORNIA
- **Principal Investigator:** Jiu-Chiuan Chen
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $593,229
- **Award type:** 5
- **Project period:** 2016-09-30 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9988847

## Citation

> US National Institutes of Health, RePORTER application 9988847, Environmental Determinants of Pathological Brain Aging in WHI Memory Studies (5R01ES025888-05). Retrieved via AI Analytics 2026-05-29 from https://api.ai-analytics.org/grant/nih/9988847. Licensed CC0.

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