Journal
AMERICAN JOURNAL OF NEURORADIOLOGY
Volume 37, Issue 9, Pages 1636-1642Publisher
AMER SOC NEURORADIOLOGY
DOI: 10.3174/ajnr.A4805
Keywords
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Funding
- Federal Ministry of Education and Research [01ZZ9603, 01ZZ0103, 01ZZ0403]
- Ministry of Cultural Affairs
- Social Ministry of the Federal State of Mecklenburg-West Pomerania
- Siemens, Erlangen, Germany
- Federal State of Mecklenburg-West Pomerania [03ZIK012]
- Alfried Krupp von Bohlen und Halbach Foundation
- Intramural Research Program, National Institute on Aging, National Institutes of Health
- [P01 AG032953]
- [PO1 AG017586]
- [P30 AG010124]
- [P50 NS053488]
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BACKGROUND AND PURPOSE: The presence of the apolipoprotein E epsilon 4 allele is the strongest sporadic Alzheimer disease genetic risk factor. We hypothesized that apolipoprotein E epsilon 4 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 epsilon 4 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 84 carrier status and the studied ROls 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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