Impact of Apolipoprotein E4 Polymorphism on the Gray Matter Volume and the White Matter Integrity in Subjective Memory Impairment without White Matter Hyperintensities: Voxel‐Based Morphometry and Tract‐Based Spatial Statistics Study under 3‐Tesla MRI
Abstract
OBJECTIVE: The aim of this study is to compare gray matter (GM) volume and white matter (WM) integrity in Apolipoprotein E4 (ApoE ε4) carriers with that of ApoE ε4 noncarriers using the voxel‐based morphometry and diffusion tensor imaging (DTI) to investigate the effect of the ApoE ε4 on brain structures in subjective memory impairment (SMI) without white matter hyperintensities (WMH). METHODS: Altogether, 26 participants with SMI without WMH were finally recruited from the Memory impairment clinics of Pusan National University Hospital in Korea. All participants were ApoE genotyped (ApoE ε4 carriers: n = 13, matched ApoE ε4 noncarriers: n = 13) and underwent 3‐tesla magnetic resonance imaging (MRI) including 3‐dimensional volumetric images for GM volume and DTI for WM integrity. RESULTS: ApoE ε4 carriers compared with noncarriers in SMI without WMH showed the atrophy of GM in inferior temporal gyrus, inferior parietal lobule, anterior cingulum, middle frontal gyrus, and precentral gyrus and significantly lower fractional anisotropy WM values in the splenium of corpus callosum and anterior corona radiate. CONCLUSION: Our findings suggest that the ApoE ε4 is associated with both atrophy of GM volume and disruption of WM integrity in SMI without WMH.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
ApoE ɛ4 carriers in SCD populations showed lower FA in the splenium of the corpus callosum and the anterior corona radiata than noncarriers.
“For instance, compared with noncarriers, ApoE ɛ4 carriers in SCD populations showed lower FA in the splenium of the corpus callosum and the anterior corona radiata [117].”
From Neuroimaging advances regarding subjective cognitive decline in preclinical Alzheimer's disease (2020) · cites this paper as [117]
Cites
Advances in functional and structural MR image analysis and implementation as FSL
Smith, S. M., Jenkinson, M., Woolrich, M. W., Beckmann, C. F., Behrens, T. E. J., Johansen-Berg, H., Bannister, P. R., De Luca, M., Drobnjak, I., Flitney, D. E., et al. (2004) · NeuroImage · doi:10.1016/j.neuroimage.2004.07.051 · Cited by 13,630 · see citing works
Voxel-Based Morphometry—The Methods
Ashburner, J., & Friston, K. J. (2000) · NeuroImage · doi:10.1006/nimg.2000.0582 · Cited by 8,676 · see citing works
Tract-based spatial statistics: Voxelwise analysis of multi-subject diffusion data
Smith, S. M., Jenkinson, M., Johansen-Berg, H., Rueckert, D., Nichols, T. E., Mackay, C., Watkins, K., Ciccarelli, O., Cader, M., Matthews, P., et al. (2006) · NeuroImage · doi:10.1016/j.neuroimage.2006.02.024 · Cited by 6,035 · see citing works
SMITH, S., & NICHOLS, T. (2009) · NeuroImage · doi:10.1016/j.neuroimage.2008.03.061 · Cited by 5,250 · see citing works
Restriction isotyping of human apolipoprotein E by gene amplification and cleavage with HhaI.
Hixson, J., & Vernier, D. (1990) · Journal of Lipid Research · doi:10.1016/s0022-2275(20)43176-1 · Cited by 2,933 · see citing works
Mazziotta, J. C., Toga, A. W., Evans, A. C., Fox, P. T., Lancaster, J. L., Zilles, K., Woods, R. P., Paus, T., Simpson, G. V., Pike, G. B., et al. (2001) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2001.0915 · Cited by 2,334 · see citing works
A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients
Kang, Y., Na, D. L., & Hahn, S. (1997) · Journal of the Korean Neurological Association · Cited by 972 · see citing works
Are memory complaints predictive for dementia? A review of clinical and population-based studies
Jonker, C., Geerlings, M. I., & Schmand, B. A. (2000) · International Journal of Geriatric Psychiatry · doi:10.1002/1099-1166(200011)15:11 · Cited by 912 · see citing works
Lee, J. H., Lee, K. U., Lee, D. Y., Kim, K. W., Jhoo, J. H., Kim, J. H., Lee, K. H., Kim, S. Y., Han, S., & Woo, J. I. (2002) · The Journals of Gerontology Series B · doi:10.1093/geronb/57.1.p47 · Cited by 774 · see citing works
Self-citationJessen, F. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2010.30 · Cited by 681 · see citing works
Bae, J. N., & Cho, M. J. (2004) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2004.01.004 · Cited by 619 · see citing works
Smith, S. M., Johansen‐Berg, H., Jenkinson, M., Rueckert, D., Nichols, T. E., Miller, K. L., Robson, M. D., Jones, D. K., Klein, J. C., Bartsch, A. J., et al. (2007) · Nature Protocols · doi:10.1038/nprot.2007.45 · Cited by 578 · see citing works
Outcome over seven years of healthy adults with and without subjective cognitive impairment
Reisberg, B., Shulman, M. B., Torossian, C., Leng, L., & Zhu, W. (2010) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2009.10.002 · Cited by 568 · see citing works
Wright, I. C., McGuire, P. K., Poline, J.-B., Travère, J.-M., Murray, R. M., Frith, C., Frackowiak, R. S. J., & Friston, K. J. (1995) · NeuroImage · doi:10.1006/nimg.1995.1032 · Cited by 530 · see citing works
Braak, H., & Braak, E. (1996) · Acta Neuropathologica · doi:10.1007/s004010050508 · Cited by 406 · see citing works
Cerebral white matter lesions and subjective cognitive dysfunction
de Groot, J. C., de Leeuw, F., Oudkerk, M., Albert Hofman, D., Jolles, J., & Breteler, M. M. B. (2001) · Neurology · doi:10.1212/wnl.56.11.1539 · Cited by 306 · see citing works
Diffusion tensor imaging and aging—A review.
Moseley, M. (2002) · NMR in Biomedicine · doi:10.1002/nbm.785 · Cited by 302 · see citing works
Impact of APOE on the Healthy Aging Brain: A Voxel-Based MRI and DTI Study
Honea, R. A., Vidoni, E. D., Harsha, A., & Burns, J. M. (2009) · Journal of Alzheimer s Disease · doi:10.3233/jad-2009-1163 · Cited by 222 · see citing works
Impact of APOE in mild cognitive impairment
Farlow, M., He, Y., Tekin, S., Xu, J., Lane, R., & Charles, H. (2004) · Neurology · doi:10.1212/01.wnl.0000144279.21502.b7 · Cited by 217 · see citing works
APOE ε4 allele predicts faster cognitive decline in mild Alzheimer disease
Cosentino, S., Scarmeas, N., Helzner, E., Glymour, M. M., Brandt, J., Albert, M., Blacker, D., & Stern, Y. (2008) · Neurology · doi:10.1212/01.wnl.0000304038.37421.cc · Cited by 214 · see citing works
Jack, C. R., Petersen, R. C., Xu, Y. C., O’Brien, P. C., Waring, S. C., Tangalos, E. G., Smith, G. E., Ivnik, R. J., Thibodeau, S. N., & Kokmen, E. (1998) · Annals of Neurology · doi:10.1002/ana.410430307 · Cited by 185 · see citing works
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. (2009) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0812697106 · Cited by 178 · see citing works
A Study on the Reliability and Validity of Seoul-Instrumental Activities of Daily Living(S-IADL)
Ku, H. M., Kim, J. H., Kwon, E. J., Kim, S. H., Lee, H. S., Ko, H. J., Jo, S. A., & Kim, D. K. (2004) · University of Washington Tacoma Digital Commons (University of Washington Tacoma) · Cited by 174 · see citing works
Self-citationLehtovirta, M., Laakso, M. P., Soininen, H. S., Helisalmi, S., Mannermaa, A., Helkala, E.-L., Partanen, K. P. L., Ryynänen, M., Vainio, P. A., Hartikainen, P. H., et al. (1995) · Neuroscience · doi:10.1016/0306-4522(95)00014-a · Cited by 172 · see citing works
Altered brain white matter integrity in healthy carriers of the APOE ε4 allele
Persson, J., Lind, J., Larsson, A., Ingvar, M., Cruts, M., Broeckhoven, C. V., Adolfsson, R., Nilsson, L. G., & Nyberg, L. H. (2006) · Neurology · doi:10.1212/01.wnl.0000204180.25361.48 · Cited by 161 · see citing works
APOE-ε4 is associated with less frontal and more medial temporal lobe atrophy in AD
Geroldi, C., Pihlajamaki, M. M., Laakso, M. P., DeCarli, C. S., Beltramello, A., Bianchetti, A., Soininen, H. S., Trabucchi, M., & Frisoni, G. B. (1999) · Neurology · doi:10.1212/wnl.53.8.1825 · Cited by 155 · see citing works
Apolipoprotein E ϵ4 allele and hippocampal volume in twins with normal cognition
Plassman, B. L., Welsh-Bohmer, K. A., Bigler, E. D., Johnson, S. C., Anderson, C. V., Helms, M. J., Saunders, A. M., & Breitner, J. C. S. (1997) · Neurology · doi:10.1212/wnl.48.4.985 · Cited by 145 · see citing works
Juottonen, K., Lehtovirta, M., Helisalmi, S., R., P. J., & Soininen, H. S. (1998) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.65.3.322 · Cited by 130 · see citing works
Korean Version of Frontal Assessment Battery: Psychometric Properties and Normative Data
Kim, T. H., Huh, Y., Choe, J. Y., Jeong, J. W., Park, J. H., Lee, S. B., Lee, J. J., Jhoo, J. H., Lee, D. Y., Woo, J. I., et al. (2010) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000297523 · Cited by 114 · see citing works
Self-citationApolipoprotein E4allele in the normal elderly: neuropsychologic and brain MRI correlates
Schmidt, H., Schmidt, R., Fazekas, F., Semmler, J., Kapeller, P., Reinhart, B., & Kostner, G. M. (1996) · Clinical Genetics · doi:10.1111/j.1399-0004.1996.tb02377.x · Cited by 102 · see citing works
White matter diffusion alterations in normal women at risk of Alzheimer's disease
Smith, C. D., Chebrolu, H., Andersen, A. H., Powell, D. K., Lovell, M. A., Xiong, S., & Gold, B. T. (2008) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2008.08.006 · Cited by 99 · see citing works
Abnormal white matter integrity in healthy apolipoprotein E epsilon4 carriers
Nierenberg, J. J., Pomara, N., Hoptman, M. J., Sidtis, J. J., Ardekani, B. A., & Lim, K. O. (2005) · Neuroreport · doi:10.1097/01.wnr.0000174058.49521.16 · Cited by 98 · see citing works
Plasma levels of apolipoprotein E and genetic markers in elderly patients with Alzheimer's disease
Scacchi, R., Gambina, G., Ruggeri, M., Martini, M. C., Ferrari, G., Silvestri, M., Schiavon, R., & Corbo, R. M. (1999) · Neuroscience Letters · doi:10.1016/s0304-3940(98)00889-1 · Cited by 83 · see citing works
Zhong, N., & Weisgraber, K. H. (2009) · Current Alzheimer Research · doi:10.2174/156720509789207921 · Cited by 38 · see citing works
APOE and modulation of Alzheimer's and frontotemporal dementia
Boccardi, M., Sabattoli, F., Testa, C., Beltramello, A., Soininen, H. S., & Frisoni, G. B. (2004) · Neuroscience Letters · doi:10.1016/j.neulet.2003.11.042 · Cited by 38 · see citing works
Bagepally, B. S., Halahalli, H. N., John, J. P., Kota, L., Purushottam, M., Mukherjee, O., Sivakumar, P. T., Bharath, S., Jain, S., & Varghese, M. (2012) · Neurodegenerative Diseases · doi:10.1159/000334761 · Cited by 16 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Neuroimaging advances regarding subjective cognitive decline in preclinical Alzheimer's disease
Wang, X., Huang, W., Su, L., Xing, Y., Jessen, F., Sun, Y., Shu, N., & Han, Y. (2020) · Molecular Neurodegeneration · doi:10.1186/s13024-020-00395-3 · Cited by 265 · see citing works
The role of APOE in cerebrovascular dysfunction
Tai, L. M., Thomas, R., Marottoli, F. M., Koster, K. P., Kanekiyo, T., Morris, A. W. J., & Bu, G. (2016) · Acta Neuropathologica · doi:10.1007/s00401-016-1547-z · Cited by 231 · see citing works
Chen, Y., Wang, Y., Song, Z., Fan, Y., Gao, T., & Tang, X. (2023) · Ageing Research Reviews · doi:10.1016/j.arr.2023.101911 · Cited by 152 · see citing works
Rathee, R., Rallabandi, V. P. S., & Roy, P. K. (2016) · Magnetic Resonance Insights · doi:10.4137/mri.s39666 · Cited by 56 · see citing works
Subjective Cognitive Decline and APOE ɛ4: A Systematic Review
Ali, J. I., Smart, C. M., & Gawryluk, J. R. (2018) · Journal of Alzheimer s Disease · doi:10.3233/jad-180248 · Cited by 46 · see citing works
Motta, C., Finardi, A., Toniolo, S., Lorenzo, F. D., Scaricamazza, E., Loizzo, S., Mercuri, N. B., Furlan, R., Koch, G., & Martorana, A. (2020) · Journal of Alzheimer s Disease · doi:10.3233/jad-191250 · Cited by 44 · see citing works
Cavedo, E., Lista, S., Rojkova, K., Chiesa, P. A., Houot, M., Brueggen, K., Blautzik, J., Bokde, A. L. W., Dubois, B., Barkhof, F., et al. (2017) · Neuroscience · doi:10.1016/j.neuroscience.2017.05.048 · Cited by 40 · see citing works
Haller, S., Montandon, M.-L., Rodriguez, C. K., Ackermann, M., Herrmann, F. R., & Giannakopoulos, P. (2017) · American Journal of Neuroradiology · doi:10.3174/ajnr.a5184 · Cited by 39 · see citing works
Subjective cognitive and non‐cognitive complaints and brain MRI biomarkers in the MEMENTO cohort
Dauphinot, V., Bouteloup, V., Mangin, J., Vellas, B. J., Pasquier, F., Blanc, F., Hanon, O., Gabelle, A., Annweiler, C., David, R., et al. (2020) · Alzheimer s & Dementia Diagnosis Assessment & Disease Monitoring · doi:10.1002/dad2.12051 · Cited by 20 · see citing works
Zhang, S., Chen, Y., Liu, Z., Zhang, J., Li, X., Cui, R., & Zhang, Z. (2015) · Journal of Alzheimer s Disease · doi:10.3233/jad-150357 · Cited by 18 · see citing works
Herrmann, F. R., Rodriguez, C. K., Haller, S., Garibotto, V., Montandon, M., & Giannakopoulos, P. (2019) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2019.00157 · Cited by 16 · see citing works
Etten, E. J. V., Bharadwaj, P. K., Nguyen, L. A., Hishaw, G. A., Trouard, T. P., & Alexander, G. E. (2020) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2020.06.012 · Cited by 16 · see citing works
Haller, S., Montandon, M., Rodriguez, C. K., Garibotto, V., Lilja, J., Herrmann, F. R., & Giannakopoulos, P. (2019) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.01228 · Cited by 16 · see citing works
Johnson, N. F., Gold, B. T., Ross, D., Bailey, A. L., Clasey, J. L., Gupta, V. A., Leung, S., & Powell, D. K. (2019) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2019.00100 · Cited by 12 · see citing works
Tato-Fernández, C., Ekblad, L. L., Pietilä, E. M., Saunavaara, V., Helin, S., Parkkola, R. K., Zetterberg, H., Blennow, K., Rinne, J. O., & Snellman, A. (2024) · Neurobiology of Disease · doi:10.1016/j.nbd.2024.106439 · Cited by 8 · see citing works
Neural correlates of subjective cognitive decline in adults at high risk for Alzheimer’s disease
Ben-Ami, L., Ravona‐Springer, R., Tsarfaty, G., Raizman, R., Shumacher, A., Sharvit‐Ginon, I., Greenbaum, L., Bendlin, B. B., Okun, E., Heymann, A. D., et al. (2023) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2023.1067196 · Cited by 7 · see citing works
Yu, H., Wang, K., Zhong, P., Cheng, H., Lv, X., & Yuan, L.-L. (2020) · Cognitive and Behavioral Neurology · doi:10.1097/wnn.0000000000000242 · Cited by 7 · see citing works
Yang, H. J., Dong, C., Cai, Y., Zhao, M., Liu, J., Bian, S., & Ding, X. (2025) · Frontiers in Neuroscience · doi:10.3389/fnins.2025.1596459 · Cited by 6 · see citing works
Regional Amyloid Accumulation and White Matter Integrity in Cognitively Normal Individuals
Wang, Y., Hu, H., Yang, Y., Zuo, C., Tan, L., Yu, J., & Initiative, A. D. N. (2020) · Journal of Alzheimer s Disease · doi:10.3233/jad-191350 · Cited by 6 · see citing works
Dai, W.-Z., Liu, L., Zhu, M.-Z., Lu, J., Ni, J., Li, R., Ma, T., & Zhu, X. (2022) · Journal of Alzheimer s Disease · doi:10.3233/jad-220877 · Cited by 6 · see citing works
Huang, J., Cheng, R., Liu, X., Chen, L., & Luo, T. (2025) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2025.111239 · Cited by 3 · see citing works
Sampatakakis, S. N., Roma, M., & Scarmeas, N. (2024) · Current Issues in Molecular Biology · doi:10.3390/cimb46030129 · Cited by 2 · see citing works
Piersson, A. D., Mohamad, M., Suppiah, S., & Rajab, N. F. (2021) · Clinical and Translational Imaging · doi:10.1007/s40336-021-00440-1
Ruttala, R., Purohit, P., Bhattacharjee, A., BinduKumari, & Roy, P. K. (2022) · JOURNAL OF ADVANCED APPLIED SCIENTIFIC RESEARCH · doi:10.46947/joaasr442022460
Deng, S., Chen, W., Feng, S., Lai, H., & Lai, W. (2024) · Journal of Integrative Neuroscience · doi:10.31083/j.jin2306117
Cote, S. E., Ruitenberg, M. F. L., van der Geest, J. N., Frost, N. A., King, J. B., Duff, K. M., & Koppelmans, V. (2026) · Neuroimage Reports · doi:10.1016/j.ynirp.2026.100405
- Authors
- Lee, Y., Ha, J., Park, J., Lee, B., Moon, E., Chung, Y., Kim, J., Kim, H., Mun, C., Kim, T., & Kim, Y.
- Affiliations
- Pusan National University Hospital (KR)
- Pusan National University (KR)
- Inje University (KR)
- Inje University Haeundae Paik Hospital (KR)
- Corresponding author
- Park, Je‐Min
- ORCID
- Venue
- Journal of Neuroimaging
- Publisher
- Wiley
- Published
- 2015-02-11
- Volume
- 26
- Issue
- 1
- Pages
- 144-149
- ISSN
- 1051-2284 (ISSN-L)
- 1552-6569
- OpenAlex
- W2042426531
- Cited by
- 26
- References
- 36
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 6 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 1
- FWCI
- 1.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Neuroimaging (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Biomedical Research Institute (2014-16)
- Pusan National University Hospital
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- APOE ε4, APOE ε4 carriers, subjective memory impairment, gray matter volume, white matter integrity, white matter hyperintensities, fractional anisotropy, brain atrophy, corpus callosum, corona radiata, inferior temporal gyrus, inferior parietal lobule, anterior cingulate cortex, diffusion tensor imaging
- MeSH terms
- Aged, Brain, Female, Genotype, Humans, Magnetic Resonance Imaging, Male, Memory Disorders, Middle Aged, Organ Size, Imaging, Three-Dimensional, Apolipoprotein E4, Diffusion Tensor Imaging, White Matter, Gray Matter
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review