APOE ε4 and risk for Alzheimer's disease: do regionally distributed white matter hyperintensities play a role?

TitleAPOE ε4 and risk for Alzheimer's disease: do regionally distributed white matter hyperintensities play a role?
Publication TypeJournal Article
Year of Publication2014
AuthorsBrickman AM, Schupf N, Manly JJ, Stern Y, Luchsinger JA, Provenzano FA, Narkhede A, Razlighi Q, Collins-Praino L, Artero S, Akbaraly TN, Ritchie K, Mayeux R, Portet F
JournalAlzheimers Dement
Volume10
Issue6
Pagination619-29
Date Published2014 Nov
ISSN1552-5279
KeywordsAged, Aged, 80 and over, Alzheimer Disease, Analysis of Variance, Apolipoprotein E4, Female, Genotype, Humans, Image Processing, Computer-Assisted, Linear Models, Longitudinal Studies, Magnetic Resonance Imaging, Male, Neurologic Examination, Neuropsychological Tests, Parietal Lobe, Retrospective Studies, White Matter
Abstract

BACKGROUND: We previously demonstrated that parietal lobe white matter hyperintensities (WMH) increase the risk for Alzheimer's disease (AD). Here, we examined whether individuals with apolipoprotein E gene (APOE ε4) have increased parietal WMH volume.

METHODS: Participants were from the Washington Heights-Inwood Columbia Aging Project (WHICAP; n = 694, 47 with dementia) in northern Manhattan and the Etude Santé Psychologique Prévalence Risques et Traitement study (ESPRIT; n = 539, 8 with dementia) in Montpellier. The association between regional WMH and APOE ε4 was examined separately in each group and then in a combined analysis.

RESULTS: In WHICAP, ε4 carriers had higher WMH volume particularly in parietal and occipital lobes. In ESPRIT, ε4 carriers had elevated WMH particularly in parietal and temporal lobes. In the combined analysis, ε4 carriers had higher WMH in parietal and occipital lobes. Increased WMH volume was associated with increased frequency of dementia irrespective of APOE ε4 status; those with the ε4 were more likely to have dementia if they also had increased parietal WMH.

CONCLUSIONS: APOE ε4 is associated with increased parietal lobe WMH.

DOI10.1016/j.jalz.2014.07.155
Alternate JournalAlzheimers Dement
PubMed ID25304991
PubMed Central IDPMC4252241
Grant ListR01 AG034189 / AG / NIA NIH HHS / United States
R21 AG043337 / AG / NIA NIH HHS / United States
AG007232 / AG / NIA NIH HHS / United States
AG037212 / AG / NIA NIH HHS / United States
K01 AG044467 / AG / NIA NIH HHS / United States
R01 AG037212 / AG / NIA NIH HHS / United States
AG034189 / AG / NIA NIH HHS / United States
MR/K013351/1 / MRC_ / Medical Research Council / United Kingdom
AG029949 / AG / NIA NIH HHS / United States
Related Institute: 
Brain Health Imaging Institute (BHII)

Weill Cornell Medicine
Department of Radiology
525 East 68th Street New York, NY 10065