Relationship between APOE Genotype and Structural MRI Measures throughout Adulthood in the Study of Health in Pomerania Population-Based Cohort
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BACKGROUND AND PURPOSE: The presence of the apolipoprotein E ε4 allele is the strongest sporadic Alzheimer disease genetic risk factor. We hypothesized that apolipoprotein E ε4 carriers and noncarriers may already differ in imaging patterns in midlife. We therefore sought to identify the effect of apolipoprotein E genotype on brain atrophy across almost the entire adult age span by using advanced MR imaging-based pattern analysis. MATERIALS AND METHODS: We analyzed MR imaging scans of 1472 participants from the Study of Health in Pomerania (22-90 years of age). We studied the association among age, apolipoprotein E ε4 carrier status, and brain atrophy, which was quantified by using 2 MR imaging-based indices: Spatial Pattern of Atrophy for Recognition of Brain Aging (summarizing age-related brain atrophy) and Spatial Pattern of Abnormality for Recognition of Early Alzheimer Disease (summarizing Alzheimer disease-like brain atrophy patterns), as well as the gray matter volumes in several Alzheimer disease- and apolipoprotein E-related ROIs (lateral frontal, lateral temporal, medial frontal, and hippocampus). RESULTS: No significant association was found between apolipoprotein E ε4 carrier status and the studied ROIs or the MR imaging-based indices in linear regression models adjusted for age, sex, and education, including an interaction term between apolipoprotein E and age. CONCLUSIONS: Our study indicates that measurable apolipoprotein E-related brain atrophy does not occur in early adulthood and midlife and suggests that such atrophy may only occur more proximal to the onset of clinical symptoms of dementia.
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- Authors
- Habes, M., Toledo, J. B., Resnick, S. M., Doshi, J., Van der Auwera, S., Erus, G., Janowitz, D., Hegenscheid, K., Homuth, G., Völzke, H., Hoffmann, W., Grabe, H. J., & Davatzikos, C.
- Affiliations
- University of Pennsylvania (US)
- National Institutes of Health (US)
- Universität Greifswald (DE)
- German Center for Neurodegenerative Diseases (DE)
- ORCID
- Venue
- American Journal of Neuroradiology
- Published
- 2016-05-12
- Volume
- 37
- Issue
- 9
- Pages
- 1636-1642
- ISSN
- 0195-6108 (ISSN-L)
- 1936-959X
- PMC
- PMC5154957
- OpenAlex
- W2364709612
- Cited by
- 44
- References
- 41
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 11 · 2021: 5 · 2020: 4 · 2019: 9 · 2018: 3 · 2017: 3
- FWCI
- 4.44
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- American Journal of Neuroradiology (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DZNE Pub (submittedVersion)
- Funders
- Deutsche Forschungsgemeinschaft (01ZZ0403, 01ZZ9603, 03ZIK012, 01ZZ0103)
- Bundesministerium für Bildung und Forschung (01ZZ9603, 01ZZ0103, and 01ZZ0403, 03ZIK012, 01ZZ0403, and 01ZZ0403, 01ZZ0103, 01ZZ9603)
- Alfried Krupp von Bohlen und Halbach-Stiftung
- Universität Greifswald
- Ministry of Cultural Affairs
- National Institutes of Health (AG010124, AG032953, NS053488, AG017586)
- National Institute on Aging (P30AG010124, P01AG017586, Z01AG000191, R01AG014971, P01AG032953)
- National Institute of Neurological Disorders and Stroke (P50NS053488)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Keywords
- APOE ε4, APOE genotype, brain atrophy, Alzheimer's disease, gray matter volume, hippocampus, Study of Health in Pomerania, dementia risk
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aging, Alzheimer Disease, Atrophy, Female, Genotype, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Apolipoprotein E4, Young Adult
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