Is APOE ε4 associated with cognitive performance in early MS?
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Is APOE ε4 associated with cognitive performance in early MS? / Engel, Sinah; Graetz, Christiane; Salmen, Anke; Muthuraman, Muthuraman; Toenges, Gerrit; Ambrosius, Björn; Bayas, Antonios; Berthele, Achim; Heesen, Christoph; Klotz, Luisa; Kümpfel, Tania; Linker, Ralf A; Meuth, Sven G; Paul, Friedemann; Stangel, Martin; Tackenberg, Björn; Then Bergh, Florian; Tumani, Hayrettin; Weber, Frank; Wildemann, Brigitte; Zettl, Uwe K; Antony, Gisela; Bittner, Stefan; Groppa, Sergiu; Hemmer, Bernhard; Wiendl, Heinz; Gold, Ralf; Zipp, Frauke; Lill, Christina M; Luessi, Felix; German Competence Network of Multiple Sclerosis.
in: NEUROL-NEUROIMMUNOL, Jahrgang 7, Nr. 4, 07.2020.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Is APOE ε4 associated with cognitive performance in early MS?
AU - Engel, Sinah
AU - Graetz, Christiane
AU - Salmen, Anke
AU - Muthuraman, Muthuraman
AU - Toenges, Gerrit
AU - Ambrosius, Björn
AU - Bayas, Antonios
AU - Berthele, Achim
AU - Heesen, Christoph
AU - Klotz, Luisa
AU - Kümpfel, Tania
AU - Linker, Ralf A
AU - Meuth, Sven G
AU - Paul, Friedemann
AU - Stangel, Martin
AU - Tackenberg, Björn
AU - Then Bergh, Florian
AU - Tumani, Hayrettin
AU - Weber, Frank
AU - Wildemann, Brigitte
AU - Zettl, Uwe K
AU - Antony, Gisela
AU - Bittner, Stefan
AU - Groppa, Sergiu
AU - Hemmer, Bernhard
AU - Wiendl, Heinz
AU - Gold, Ralf
AU - Zipp, Frauke
AU - Lill, Christina M
AU - Luessi, Felix
AU - German Competence Network of Multiple Sclerosis
N1 - Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.
PY - 2020/7
Y1 - 2020/7
N2 - OBJECTIVE: To assess the impact of APOE polymorphisms on cognitive performance in patients newly diagnosed with clinically isolated syndrome (CIS) or relapsing-remitting MS (RRMS).METHODS: This multicenter cohort study included 552 untreated patients recently diagnosed with CIS or RRMS according to the 2005 revised McDonald criteria. The single nucleotide polymorphisms rs429358 (ε4) and rs7412 (ε2) of the APOE haplotype were assessed by allelic discrimination assays. Cognitive performance was evaluated using the 3-second paced auditory serial addition test and the Multiple Sclerosis Inventory Cognition (MUSIC). Sum scores were calculated to approximate the overall cognitive performance and memory-centered cognitive functions. The impact of the APOE carrier status on cognitive performance was assessed using multiple linear regression models, also including demographic, clinical, MRI, and lifestyle factors.RESULTS: APOE ε4 homozygosity was associated with lower overall cognitive performance, whereas no relevant association was observed for APOE ε4 heterozygosity or APOE ε2 carrier status. Furthermore, higher disability levels, MRI lesion load, and depressive symptoms were associated with lower cognitive performance. Patients consuming alcohol had higher test scores than patients not consuming alcohol. Female sex, lower disability, and alcohol consumption were associated with better performance in the memory-centered subtests of MUSIC, whereas no relevant association was observed for APOE carrier status.CONCLUSION: Along with parameters of a higher disease burden, APOE ε4 homozygosity was identified as a potential predictor of cognitive performance in this large cohort of patients with CIS and early RRMS.
AB - OBJECTIVE: To assess the impact of APOE polymorphisms on cognitive performance in patients newly diagnosed with clinically isolated syndrome (CIS) or relapsing-remitting MS (RRMS).METHODS: This multicenter cohort study included 552 untreated patients recently diagnosed with CIS or RRMS according to the 2005 revised McDonald criteria. The single nucleotide polymorphisms rs429358 (ε4) and rs7412 (ε2) of the APOE haplotype were assessed by allelic discrimination assays. Cognitive performance was evaluated using the 3-second paced auditory serial addition test and the Multiple Sclerosis Inventory Cognition (MUSIC). Sum scores were calculated to approximate the overall cognitive performance and memory-centered cognitive functions. The impact of the APOE carrier status on cognitive performance was assessed using multiple linear regression models, also including demographic, clinical, MRI, and lifestyle factors.RESULTS: APOE ε4 homozygosity was associated with lower overall cognitive performance, whereas no relevant association was observed for APOE ε4 heterozygosity or APOE ε2 carrier status. Furthermore, higher disability levels, MRI lesion load, and depressive symptoms were associated with lower cognitive performance. Patients consuming alcohol had higher test scores than patients not consuming alcohol. Female sex, lower disability, and alcohol consumption were associated with better performance in the memory-centered subtests of MUSIC, whereas no relevant association was observed for APOE carrier status.CONCLUSION: Along with parameters of a higher disease burden, APOE ε4 homozygosity was identified as a potential predictor of cognitive performance in this large cohort of patients with CIS and early RRMS.
U2 - 10.1212/NXI.0000000000000728
DO - 10.1212/NXI.0000000000000728
M3 - SCORING: Journal article
C2 - 32358224
VL - 7
JO - NEUROL-NEUROIMMUNOL
JF - NEUROL-NEUROIMMUNOL
SN - 2332-7812
IS - 4
ER -