Hippocampal atrophy rates and CSF biomarkers in elderly APOE 2 normal subjects
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OBJECTIVE: To determine whether elderly normal APOE E2 (APOE2) carriers exhibit slower rates of hippocampal atrophy and memory decline compared to APOE3/3 carriers. We also determined whether APOE2 carriers have less Alzheimer pathology as reflected by CSF biomarkers. METHODS: We included longitudinal data from 134 cognitively normal individuals (27 APOE2/2 or E2/3, 107 APOE3/3) from the Alzheimer's Disease Neuroimaging Initiative, a prospective cohort study. A linear mixed-effects model was used to determine how APOE2 affected rates of hippocampal atrophy and cognitive change over time. In a subsample of 72 individuals who also underwent CSF analysis, an ordinary least-squares regression was used to determine whether CSF β-amyloid (Aβ), total tau, and phosphorylated tau-181 (p-tau) differed by APOE2 status. RESULTS: APOE2 carriers demonstrated slower rates of hippocampal atrophy (p = 0.004). The mean rate of hippocampal atrophy among APOE2 carriers was -33 mm(3)/year (95% confidence interval -65 to +0.4), or -0.5%/year, compared to -86 mm(3)/year (95% confidence interval -102 to -71), or -1.3%/year, in the APOE3/3 group. No differences in the rates of episodic memory (p = 0.23) or overall cognitive change (p = 0.90) were detected. In the CSF subsample, APOE2 carriers had higher levels of CSF Aβ (p = 0.01), lower p-tau (p = 0.02), and marginally lower tau (p = 0.12). CONCLUSION: A slower rate of hippocampal atrophy in normal APOE2 carriers is consistent with the lower risk of Alzheimer disease in these individuals. We hypothesize that the slower atrophy rate is related to decreased preclinical Alzheimer pathology.
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Some reports indicate slower hippocampal atrophy among APOE2 carriers.
“with some reports of slower hippocampal atrophy among APOE2 carriers [13].”
From Effects of APOE2 and APOE4 on brain microstructure in older adults: modification by age, sex, and cognitive status (2024) · cites this paper as [13]
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- Authors
- Chiang, G. C., Insel, P. S., Tosun, D., Schuff, N., Truran-Sacrey, D., Raptentsetsang, S. T., Jack, C. R., Aisen, P. S., Petersen, R. C., Weiner, M. W., & Initiative, F. T. A. D. N.
- Affiliations
- San Francisco VA Medical Center (US)
- From the Departments of Radiology (G.C.C., D.T., N.S., M.W.W.) and Neurology (W.J., M.W.W.), University of California, San Francisco; Center for Imaging of Neurodegenerative Diseases (G.C.C., P.S.I., D.T.S., N.S., D.T., S.T.R.), Department of Veterans Affairs Medical Center, San Francisco, CA; Departments of Radiology (C.R.J.) and Neurology (R.C.P.), Mayo Clinic College of Medicine, Rochester, MN; and Department of Neurosciences (P.S.A.), University of California, San Diego.
- Venue
- Neurology
- Published
- 2010-11-30
- Volume
- 75
- Issue
- 22
- Pages
- 1976-1981
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- PMC
- PMC3014234
- OpenAlex
- W2116808034
- Cited by
- 94
- References
- 32
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 10 · 2023: 4 · 2022: 7 · 2021: 4 · 2020: 8 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 9 · 2015: 4 · 2014: 9 · 2013: 7 · 2012: 9
- FWCI
- 5.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Neurology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense (U01 AG024904, AG024904)
- Foundation for the National Institutes of Health (P30AG010129, R01‐AG11378, K01 AG030514, U01AG024904, Grant U01 AG024904, AG024904)
- Michael J. Fox Foundation for Parkinson's Research
- Alzheimer's Association (AG010129, U01 AG024904)
- Dana Foundation (P30 AG010129, K01 AG030514, U01 AG024904)
- Amgen
- Bristol-Myers Squibb (U01 AG024904, AG024904)
- Eli Lilly and Company (U01 AG024904, AG024904)
- Pfizer (AG024904, U01 AG024904)
- AstraZeneca
- GlaxoSmithKline
- Novartis
- Baxter International
- F. Hoffmann-La Roche (AG024904, U01 AG024904)
- Mayo Foundation for Medical Education and Research (AG16574)
- Medpace (U01 AG024904)
- Synarc (U01 AG024904, P30 AG010129, K01 AG030514)
- Alzheimer's Disease Neuroimaging Initiative (U01AG024904, AG024904, P30 AG010129, K01 AG030514)
- Northern California Institute for Research and Education (U01 AG024904, K01 AG030514, P30 AG010129)
- University of Oxford
- Dainippon Sumitomo Pharma
- Elan (U01 AG024904)
- Eisai (U01 AG024904, AG024904)
- Astellas Pharma
- Otsuka Pharmaceutical
- Astellas Foundation for Research on Metabolic Disorders
- Mitsubishi Tanabe Pharma Corporation
- National Institutes of Health (5u01ag024904-10, AG11378, U01-AG024904, Grant U01 AG024904, AG010129, AG024904, AG10483, AG16574)
- Genentech (AG024904, U01 AG024904)
- Forest Laboratories
- University of California, Los Angeles
- Allergan
- University of California, San Diego
- Avid Radiopharmaceuticals
- National Institute on Aging (U01-AG-024904, AG 10483, P30AG010129, AG 024904, AG 16574, U01AG006786, K01AG030514, AG010129, R01AG011378, AG-11378, R01AG010897, U19AG010483, P01AG012435, P01AG019724, P50AG023501, P50AG016574)
- National Institute of Biomedical Imaging and Bioengineering (U01 AG024904, T32EB001631, AG024904)
- National Center for Research Resources (P41RR023953)
- Daiichi Sankyo Europe
- 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 › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- APOE2, hippocampal atrophy, Alzheimer's disease risk, cerebrospinal fluid biomarkers, amyloid-beta, tau protein, phosphorylated tau 181, episodic memory decline, cognitively normal elderly
- MeSH terms
- Aged, Aged, 80 and over, Alleles, Alzheimer Disease, Atrophy, Cognition, Female, Genotype, Hippocampus, Humans, Longitudinal Studies, Magnetic Resonance Imaging, Male, Neuropsychological Tests, Phosphorylation, Risk, tau Proteins, Disease Progression, Genetic Predisposition to Disease, Apolipoprotein E2
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