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Research ArticleBrain
Open Access

Apolipoprotein E ε4 Does Not Modulate Amyloid-β–Associated Neurodegeneration in Preclinical Alzheimer Disease

R.S. Desikan, L.K. McEvoy, D. Holland, W.K. Thompson, J.B. Brewer, P.S. Aisen, O.A. Andreassen, B.T. Hyman, R.A. Sperling, A.M. Dale and for the Alzheimer's Disease Neuroimaging Initiative
American Journal of Neuroradiology March 2013, 34 (3) 505-510; DOI: https://doi.org/10.3174/ajnr.A3267
R.S. Desikan
aFrom the Departments of Radiology (R.S.D., L.K.E., J.B.B., A.M.D.)
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L.K. McEvoy
aFrom the Departments of Radiology (R.S.D., L.K.E., J.B.B., A.M.D.)
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D. Holland
bNeuroscience (D.H., J.B.B., P.S.A., A.M.D.)
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W.K. Thompson
cPsychiatry (W.K.T., O.A.A.), University of California, San Diego, La Jolla, California
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J.B. Brewer
aFrom the Departments of Radiology (R.S.D., L.K.E., J.B.B., A.M.D.)
bNeuroscience (D.H., J.B.B., P.S.A., A.M.D.)
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P.S. Aisen
bNeuroscience (D.H., J.B.B., P.S.A., A.M.D.)
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O.A. Andreassen
cPsychiatry (W.K.T., O.A.A.), University of California, San Diego, La Jolla, California
dInstitute of Clinical Medicine (O.A.A.), University of Oslo and Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
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B.T. Hyman
eDepartment of Neurology (B.T.H., R.A.S.), Massachusetts General Hospital, Boston, Massachusetts
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R.A. Sperling
eDepartment of Neurology (B.T.H., R.A.S.), Massachusetts General Hospital, Boston, Massachusetts
fDepartment of Neurology (R.A.S.), Brigham and Women's Hospital, Boston, Massachusetts.
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A.M. Dale
aFrom the Departments of Radiology (R.S.D., L.K.E., J.B.B., A.M.D.)
bNeuroscience (D.H., J.B.B., P.S.A., A.M.D.)
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  • Fig. 1.
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    Fig. 1.

    3D representations of the neuroanatomic regions examined in the current study (only 1 hemisphere is shown). All of the neocortical regions are visible in the lateral (A) and medial (B) views of the gray matter surface, and the 2 non-neocortical regions (ie, the hippocampus and amygdala, C) are visible in the coronal view of a T1-weighted MR image. Regions illustrated in red constitute the AD-vulnerable region of interest (for further details please see text).

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    Fig. 2.

    Box-and-whisker plots for all healthy control participants illustrating entorhinal cortex atrophy rate, measured as annualized percentage change (APC) based on CSF p-τ and CSF Aβ status (A) and ε4 genotype and CSF Aβ status (B). For each plot, thick black lines show the median value. Regions above and below the black line show the upper and lower quartiles, respectively. The dashed lines extend to the minimum and maximum values with outliers shown as open circles. As illustrated in A, the pτ+/Aβ+ HC demonstrate the largest cortical atrophy rate (ie, more negative percentage change). In comparison as noted in B, the ε4+/Aβ+ HC show equivalent rates of atrophy compared with the other groups.

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    Fig. 3.

    A conceptual model of AD-associated neurodegeneration in the preclinical phase of the disease process based on data from our mixed-effects models (please see text for details). The thickness of the arrows illustrates the magnitude of effect. The circle with a dot inside illustrates an interactive effect, the plus sign illustrates a positive effect, and X illustrates no significant effect.

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    Table 1:

    Demographic, clinical, and imaging data for all older HC in this study, as assessed by P-τ and Aβ status

    P-τ−/Aβ− (n = 46)P-τ−/Aβ+ (n = 20)P-τ+/Aβ− (n = 19)P-τ+/Aβ+ (n = 21)P Value
    Age (yr) (mean) (SE)74.3 (0.6)74.9 (1.1)78.0 (1.4)78.2 (1.0).02a
    Female (%)24312938.59b
    Education (yr) (mean) (SE)15.5 (0.4)14.8 (0.8)15.5 (0.4)16.7 (0.6).34a
    Baseline MMSE (mean) (SE)29.1 (0.1)29.1 (0.2)28.8 (0.3)29.3 (0.2).46a
    Entorhinal cortex APC (mean) (SE)−0.6 (0.15)−0.6 (0.18)−0.6 (0.18)−1.2 (0.25).005c
    AD-vulnerable ROI APC (mean) (SE)−0.6 (0.08)−0.5 (0.11)−0.7 (0.14)−1.1 (0.14).002c
    • Note:—MMSE indicates Mini-Mental State Examination; APC = annualized percentage change.

    • ↵a Derived from analysis of variance.

    • ↵b Derived from a χ2 test.

    • ↵c Derived from linear mixed-effects models (please see text for details).

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    Table 2:

    Demographic, clinical, and imaging data for all older HC in this study, as assessed by APOE ε4 and Aβ status

    ε4−/Aβ− (n = 61)ε4−/Aβ+ (n = 21)ε4+/Aβ− (n = 5)ε4+/Aβ+ (n = 20)P Value
    Age (yr) (mean) (SE)75.7 (0.7)76.2 (0.9)71.7 (2.5)77.1 (1.3).56a
    Female (%)54542035.23b
    Education (yr) (mean) (SE)15.6 (0.3)15.9 (0.6)15 (1.1)15.6 (0.8).98a
    Baseline MMSE (mean) (SE)29.1 (0.1)29.4 (0.2)28.6 (0.9)29 (0.2).73a
    Entorhinal cortex APC (mean) (SE)−0.57 (0.13)−0.67 (0.17)−0.43 (0.30)−1.17 (0.28).35c
    AD-vulnerable ROI APC (mean) (SE)−0.6 (0.07)−0.78 (0.14)−0.65 (0.23)−1.0 (0.16).28c
    • Note:—MMSE indicates Mini-Mental State Examination; APC = annualized percentage change.

    • ↵a Derived from analysis of variance.

    • ↵b Derived from a χ2 test.

    • ↵c Derived from linear mixed-effects models (please see text for details).

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American Journal of Neuroradiology: 34 (3)
American Journal of Neuroradiology
Vol. 34, Issue 3
1 Mar 2013
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R.S. Desikan, L.K. McEvoy, D. Holland, W.K. Thompson, J.B. Brewer, P.S. Aisen, O.A. Andreassen, B.T. Hyman, R.A. Sperling, A.M. Dale, for the Alzheimer's Disease Neuroimaging Initiative
Apolipoprotein E ε4 Does Not Modulate Amyloid-β–Associated Neurodegeneration in Preclinical Alzheimer Disease
American Journal of Neuroradiology Mar 2013, 34 (3) 505-510; DOI: 10.3174/ajnr.A3267

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Apolipoprotein E ε4 Does Not Modulate Amyloid-β–Associated Neurodegeneration in Preclinical Alzheimer Disease
R.S. Desikan, L.K. McEvoy, D. Holland, W.K. Thompson, J.B. Brewer, P.S. Aisen, O.A. Andreassen, B.T. Hyman, R.A. Sperling, A.M. Dale, for the Alzheimer's Disease Neuroimaging Initiative
American Journal of Neuroradiology Mar 2013, 34 (3) 505-510; DOI: 10.3174/ajnr.A3267
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