Effects of ApoE4 and ApoE2 genotypes on subcortical magnetic susceptibility and microstructure in 27,535 participants from the UK Biobank
Open accessAbstract
Disrupted iron homeostasis is associated with several neurodegenerative diseases, including Alzheimer's disease (AD), and may be partially modulated by genetic risk factors. Here we evaluated whether subcortical iron deposition is associated with ApoE genotype, which substantially affects risk for late-onset AD. We evaluated differences in subcortical quantitative susceptibility mapping (QSM), a type of MRI sensitive to cerebral iron deposition, between either ApoE4 (E3E4+E4E4) or ApoE2 (E2E3+E2E2) carriers and E3 homozygotes (E3E3) in 27,535 participants from the UK Biobank (age: 45-82 years). We found that ApoE4 carriers had higher hippocampal (d=0.036; p=0.012) and amygdalar (d=0.035; p=0.013) magnetic susceptibility, particularly individuals aged 65 years or older, while those carrying ApoE2 (which protects against AD) had higher QSM only in the hippocampus (d=0.05; p=0.006), particularly those under age 65. Secondary diffusion MRI microstructural associations in these regions revealed greater diffusivity and less diffusion restriction in E4 carriers, however no differences were detected in E2 carriers. Disease risk conferred by ApoE4 may be linked with higher subcortical iron burden in conjunction with inflammation or neuronal loss in aging individuals, while ApoE2 associations may not necessarily reflect unhealthy iron deposits earlier in life.
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More recent investigations have interrogated cortical or subcortical gray matter with inconclusive findings.
“more recent investigations have interrogated cortical or subcortical gray matter with inconclusive findings [9, 10].”
From Effects of APOE2 and APOE4 on brain microstructure in older adults: modification by age, sex, and cognitive status (2024) · cites this paper as [10]
The Methods and Discussion (pages unavailable in our copy) show that this study investigated subcortical gray matter, and the Discussion notes inconsistent effects on diffusion metrics and a need for replication. But it also reports an association between ApoE4 and higher subcortical iron burden; it does not characterize its overall findings as inconclusive or investigate cortical gray matter. (LLM, conf=0.81)
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Quantitative susceptibility mapping of brain iron in healthy aging and cognition
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“However, others reported no difference in WM integrity for APOE2 carriers [7, 15] and one DTI study identified higher fractional anisotropy for APOE2 carriers than APOE3 homozygotes within a small cluster of the posterior cingulum [14].”
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- Authors
- Nir, T. M., Zhu, A. H., Gari, I. B., Dixon, D., Islam, T., Villalon-Reina, J. E., Medland, S. E., Thompson, P. M., & Jahanshad, N.
- Affiliations
- University of Southern California (US)
- Imaging Genetics Center, Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, California, 90292, USA
- QIMR Berghofer Medical Research Institute (AU)
- ORCID
- Venue
- Biocomputing 2022
- Publisher
- WORLD SCIENTIFIC
- Published
- 2021-11-28
- Volume
- 27
- Pages
- 121-132
- PMC
- PMC9009383
- OpenAlex
- W4200148621
- Cited by
- 6
- References
- 34
- Citations by year
- 2024: 3 · 2023: 3
- FWCI
- 1.89
- Type
- conference paper
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Pacific Symposium on Biocomputing (PSB) (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion, cc-by-nc)
- Funders
- National Institute on Aging (R01AG059874, T32AG058507, P30AG066530, U01AG068057)
- National Institute of Biomedical Imaging and Bioengineering (P41EB015922)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Keywords
- APOE ε4, APOE2, APOE genotype, quantitative susceptibility mapping, hippocampus, amygdala, Alzheimer's disease risk, iron homeostasis, brain aging, neuroinflammation
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Apolipoproteins E, Genotype, United Kingdom, Humans, Middle Aged, Biological Specimen Banks, Computational Biology, Apolipoprotein E4, Apolipoprotein E2
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