Relationship between APOE genotype and structural MRI measures throughout adulthood in the study of health in pomerania population-based cohort

M. Habes, J. B. Toledo, S. M. Resnick, J. Doshi, S. Van Der Auwera, G. Erus, D. Janowitz, K. Hegenscheid, G. Homuth, H. Volzke, W. Hoffmann, H. J. Grabe, C. Davatzikos

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1636-1642
Number of pages7
JournalAmerican Journal of Neuroradiology
Volume37
Issue number9
DOIs
StatePublished - Sep 2016
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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