APOE-dependent phenotypes in subjects with mild cognitive impairment converting to Alzheimer's disease
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APOE-dependent phenotypes in subjects with mild cognitive impairment converting to Alzheimer's disease. / Morgen, Katrin; Frölich, Lutz; Tost, Heike; Plichta, Michael M; Kölsch, Heike; Rakebrandt, Fabian; Rienhoff, Otto; Jessen, Frank; Peters, Oliver; Jahn, Holger; Luckhaus, Christian; Hüll, Michael; Gertz, Hermann-Josef; Schröder, Johannes; Hampel, Harald; Teipel, Stefan J; Pantel, Johannes; Heuser, Isabella; Wiltfang, Jens; Rüther, Eckart; Kornhuber, Johannes; Maier, Wolfgang; Meyer-Lindenberg, Andreas.
In: J ALZHEIMERS DIS, Vol. 37, No. 2, 01.01.2013, p. 389-401.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - APOE-dependent phenotypes in subjects with mild cognitive impairment converting to Alzheimer's disease
AU - Morgen, Katrin
AU - Frölich, Lutz
AU - Tost, Heike
AU - Plichta, Michael M
AU - Kölsch, Heike
AU - Rakebrandt, Fabian
AU - Rienhoff, Otto
AU - Jessen, Frank
AU - Peters, Oliver
AU - Jahn, Holger
AU - Luckhaus, Christian
AU - Hüll, Michael
AU - Gertz, Hermann-Josef
AU - Schröder, Johannes
AU - Hampel, Harald
AU - Teipel, Stefan J
AU - Pantel, Johannes
AU - Heuser, Isabella
AU - Wiltfang, Jens
AU - Rüther, Eckart
AU - Kornhuber, Johannes
AU - Maier, Wolfgang
AU - Meyer-Lindenberg, Andreas
PY - 2013/1/1
Y1 - 2013/1/1
N2 - BACKGROUND: The E4 isoform of the APOE genotype is the most significant genetic risk factor for sporadic Alzheimer's disease (AD) and has recently been found to modulate disease expression in patients with AD.OBJECTIVE: To investigate APOE-dependent cognitive and structural phenotypes in subjects with mild cognitive impairment who converted to AD within the following three years.METHODS: Subjects converting to AD (n = 63) were compared to a control group with stable mild cognitive impairment (n = 131). Clinical, neuropsychological, and MRI data were obtained by the German Dementia Competence Network. Subgroups of converting and stable APOE E4 carriers and non-carriers were investigated longitudinally with MRI to examine structural correlates of conversion. Voxel-based morphometry was applied to investigate gray matter distribution.RESULTS: At baseline, executive performance correlated with global and bilateral prefrontal gray matter volume and predicted conversion only among non-carriers. Converting carriers and non-carriers presented distinct patterns of brain atrophy on longitudinal analysis, in line with a dissociation between more pronounced occipital atrophy in carriers and more frontoparietal volume loss in non-carriers at follow-up.CONCLUSIONS: The current findings suggest that in APOE E4 non-carriers with AD, executive dysfunction is closely linked to frontal gray matter atrophy and predictive of progression to dementia. The results are consistent with APOE genotype-dependent profiles of structural damage and cognitive decline in patients with imminent conversion to AD.
AB - BACKGROUND: The E4 isoform of the APOE genotype is the most significant genetic risk factor for sporadic Alzheimer's disease (AD) and has recently been found to modulate disease expression in patients with AD.OBJECTIVE: To investigate APOE-dependent cognitive and structural phenotypes in subjects with mild cognitive impairment who converted to AD within the following three years.METHODS: Subjects converting to AD (n = 63) were compared to a control group with stable mild cognitive impairment (n = 131). Clinical, neuropsychological, and MRI data were obtained by the German Dementia Competence Network. Subgroups of converting and stable APOE E4 carriers and non-carriers were investigated longitudinally with MRI to examine structural correlates of conversion. Voxel-based morphometry was applied to investigate gray matter distribution.RESULTS: At baseline, executive performance correlated with global and bilateral prefrontal gray matter volume and predicted conversion only among non-carriers. Converting carriers and non-carriers presented distinct patterns of brain atrophy on longitudinal analysis, in line with a dissociation between more pronounced occipital atrophy in carriers and more frontoparietal volume loss in non-carriers at follow-up.CONCLUSIONS: The current findings suggest that in APOE E4 non-carriers with AD, executive dysfunction is closely linked to frontal gray matter atrophy and predictive of progression to dementia. The results are consistent with APOE genotype-dependent profiles of structural damage and cognitive decline in patients with imminent conversion to AD.
KW - Alzheimer Disease
KW - Apolipoproteins E
KW - Atrophy
KW - Cross-Sectional Studies
KW - Disease Progression
KW - Executive Function
KW - Female
KW - Genotype
KW - Humans
KW - Longitudinal Studies
KW - Magnetic Resonance Imaging
KW - Male
KW - Mild Cognitive Impairment
KW - Neuropsychological Tests
KW - Phenotype
KW - Protein Isoforms
KW - Statistics as Topic
U2 - 10.3233/JAD-130326
DO - 10.3233/JAD-130326
M3 - SCORING: Journal article
C2 - 23948881
VL - 37
SP - 389
EP - 401
JO - J ALZHEIMERS DIS
JF - J ALZHEIMERS DIS
SN - 1387-2877
IS - 2
ER -