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APOE interacts with tau PET to influence memory independently of amyloid PET in older adults without dementia

Weigand, Alexandra J., Thomas, Kelsey R., Bangen, Katherine J., Eglit, Graham M.L., Delano‐Wood, Lisa, Gilbert, Paul E., Brickman, Adam M., Bondi, Mark W., for the Alzheimer's Disease Neuroimaging Initiative·2021·Alzheimer's & Dementia

Published version of a preprint

Abstract

Introduction: Apolipoprotein E (APOE) interacts with Alzheimer's disease pathology to promote disease progression. We investigated the moderating effect of APOE on independent associations of amyloid and tau positron emission tomography (PET) with cognition. Methods: For 297 nondemented older adults from the Alzheimer's Disease Neuroimaging Initiative, regression equations modeled associations between cognition and (1) cortical amyloid beta (Aβ) PET levels adjusting for tau and (2) medial temporal lobe (MTL) tau PET levels adjusting for Aβ, including interactions with APOE ε4‐carrier status. Results: Adjusting for tau PET, Aβ was not associated with cognition and did not interact with APOE. In contrast, adjusting for Aβ PET, MTL tau was associated with all cognitive domains. Further, there was a stronger moderating effect of APOE on MTL tau and memory associations in ε4‐carriers, even among Aβ‐negative individuals. Discussion: Findings suggest that APOE may interact with tau independently of Aβ and that elevated MTL tau confers negative cognitive consequences in Aβ‐negative ε4 carriers.

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Metadata

Authors
Weigand, A. J., Thomas, K. R., Bangen, K. J., Eglit, G. M. L., Delano‐Wood, L., Gilbert, P. E., Brickman, A. M., Bondi, M. W., & Initiative, F. T. A. D. N.
Affiliations
  • San Diego State University/University of California San Diego Joint Doctoral Program San Diego
  • Veterans Affairs San Diego Healthcare System San Diego California USA
  • Department of Psychology San Diego State University California USA
  • Taub Institute for Research on Alzheimer's Disease and the Aging Brain Department of Neurology College of Physicians and Surgeons Columbia University New York New York USA
Venue
Alzheimer's & Dementia
Publisher
Wiley
Published
2020-09-04
Volume
17
Issue
1
Pages
61-69
ISSN
  • 1552-5260
  • 1552-5279
Cited by
59
References
13
Language
en
Funders
  • National Science Foundation (DGE‐1650112, R01 AG049810, R01 AG054049)
  • Alzheimer's Disease Neuroimaging Initiative (U01 AG024904)
  • U.S. Department of Defense
  • National Institute on Aging
  • National Institute of Biomedical Imaging and Bioengineering

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