Apolipoprotein E ε4 is associated with disease-specific effects on brain atrophy in Alzheimer's disease and frontotemporal dementia
Open accessAbstract
Apolipoprotein ε4 (apoE4) has been strongly linked with Alzheimer's disease (AD) and contributes to several other neurological disorders. We investigated the influence of ε4 allele carrier status on the pattern of gray matter atrophy and disease severity in 51 patients with probable AD and 31 patients with behavioral variant frontotemporal dementia (bvFTD), compared with 56 healthy controls. Voxel-based morphometry was performed by using statistical parametric mapping. The ε4 allele frequency was higher in the AD group ( P < 0.001) than the controls but not in the bvFTD group. No differences in demographic or cognitive profiles were observed between ε4 allele carriers and noncarriers within any of the diagnostic groups. However, ε4 carrier status was associated with more severe brain atrophy in disease-specific regions compared with noncarriers in both AD and bvFTD. AD ε4 carriers showed greater atrophy in the bilateral parietal cortex and right hippocampus, and bvFTD ε4 carriers demonstrated greater atrophy in the bilateral medial, dorsolateral, and orbital frontal cortex, anterior insula, and cingulate cortex with right predominance. This regional ε4 effect is consistent with the hypothesis that apoE may affect the morphologic expression uniquely in different neurodegenerative diseases. The atrophy patterns in ε4 carriers may indicate that they are at greater risk for clinical progression.
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APOE ε4 carriers show earlier disease onset, heavier amyloid-β plaque load, greater brain atrophy, and accelerated disease progression compared to non-carriers.
“The ε4 allele is significantly enriched in patients with Alzheimer’s disease, and ε4-carrying patients show earlier disease onset92, heavier amyloid-β plaque load in the brain93, greater brain atrophy94, and accelerated disease progression69 compared to patients who do not carry this allele.”
From Interplay between innate immunity and Alzheimer disease: APOE and TREM2 in the spotlight (2018) · cites this paper as [94]
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- Authors
- Agosta, F., Vossel, K. A., Miller, B. L., Migliaccio, R., Bonasera, S. J., Filippi, M., Boxer, A. L., Karydas, A., Possin, K. L., & Gorno-Tempini, M. L.
- Affiliations
- University of California, San Francisco (US)
- IRCCS Ospedale San Raffaele (IT)
- Memory and Aging Center, Department of Neurology, University of California, 350 Parnassus Avenue, Suite 905, San Francisco, CA 94143;
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2009-02-10
- Volume
- 106
- Issue
- 6
- Pages
- 2018-2022
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC2644156
- OpenAlex
- W1972969270
- Cited by
- 178
- References
- 44
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 6 · 2023: 4 · 2022: 9 · 2021: 15 · 2020: 20 · 2019: 10 · 2018: 8 · 2017: 13 · 2016: 11 · 2015: 8 · 2014: 8 · 2013: 14 · 2012: 12
- FWCI
- 8.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Iris (University of Trento) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Funders
- Alzheimer's Association (AG027859, NIRG-07-59422)
- Larry L. Hillblom Foundation (P50-AG03006, P01 AG019724, R01 NS050915)
- Canadian Centre for Applied Research in Cancer Control
- National Institutes of Health (P50 AG03006, AG019724, NS050915)
- National Institute on Aging (R01AG022983, P50 AG03006, R01AG027859, AG027859, P01AG019724)
- National Institute of Neurological Disorders and Stroke (K23 NS408855, R01NS050915)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Keywords
- APOE ε4, Alzheimer's disease, behavioral variant frontotemporal dementia, gray matter atrophy, brain atrophy patterns, disease severity, genetic risk factors, hippocampal atrophy, parietal cortex, frontal cortex, anterior insula, cingulate cortex, clinical progression
- MeSH terms
- Adult, Aged, Aged, 80 and over, Alzheimer Disease, Atrophy, Brain, Brain Mapping, Dementia, Gene Frequency, Hippocampus, Humans, Middle Aged, Parietal Lobe, Prognosis, Temporal Lobe, Case-Control Studies, Apolipoprotein E4
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