英国生物库中的海马体积仅与老年人的 APOE 有关。

IF 4 Q1 CLINICAL NEUROLOGY Alzheimer''s and Dementia: Diagnosis, Assessment and Disease Monitoring Pub Date : 2024-11-15 eCollection Date: 2024-10-01 DOI:10.1002/dad2.70024
Ariya Chaloemtoem, Vera Thornton, Yoonhoo Chang, Andrey P Anokhin, Michaël E Belloy, Janine Bijsterbosch, Brian A Gordon, Sarah M Hartz, Laura J Bierut
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引用次数: 0

摘要

简介海马体会随着年龄的增长而萎缩,并与包括阿尔茨海默病(AD)在内的神经退行性疾病有关。我们研究了年龄和载脂蛋白 E(APOE)基因型对海马总体积的影响:利用英国生物库(UK Biobank)中 37,463 名参与者的神经影像数据,我们采用线性回归方法量化了年龄和 APOE 与海马体积的关系,并利用广义加法模型确定了 ε2/ε3、ε3/ε4 和 ε4/ε4携带者的体积显著偏离 ε3/ε3的年龄:结果:海马总体积随着年龄的增长而下降,60岁以后出现明显的APOE基因型差异。ε3/ε4和ε4/ε4携带者的海马体积分别从69岁和61岁开始下降,而ε2/ε3携带者的海马体积从76岁开始延迟下降:APOE与海马体积的关系与年龄有关,ε4/ε4携带者的体积差异早在61岁时就被发现。这项研究强调了载脂蛋白E基因型在确定何时开始筛查注意力缺失症方面的重要性:载脂蛋白E(APOE)基因型与海马总体积的关系与年龄有关,60岁以前未发现APOE与海马总体积的关系,61岁时ε4/ε4携带者和69岁时ε3/ε4携带者的海马总体积加速下降,76岁开始ε2/ε3携带者的海马总体积延迟下降。
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Hippocampal volumes in UK Biobank are associated with APOE only in older adults.

Introduction: The hippocampus atrophies with age and is implicated in neurodegenerative disorders including Alzheimer's disease (AD). We examined the interplay between age and apolipoprotein E (APOE) genotype on total hippocampal volume.

Methods: Using neuroimaging data from 37,463 UK Biobank participants, we applied linear regression to quantify the association of age and APOE with hippocampal volume and identified the age when volumes of ε2/ε3, ε3/ε4, and ε4/ε4 carriers significantly deviated from ε3/ε3 using generalized additive modeling.

Results: Total hippocampal volume declined with age, with significant differences by APOE genotype emerging after age 60. ε3/ε4 and ε4/ε4 carriers displayed reduced volumes from ages 69 and 61, respectively, while ε2/ε3 showed delayed decline starting at the age of 76.

Discussion: The association of APOE and hippocampal volume is age-dependent, with differences in volumes of ε4/ε4 carriers detected as early as age 61. This work underscores the importance of APOE genotype in determining when to begin screening for AD.

Highlights: Apolipoprotein E (APOE) genotype shows an age-dependent association with total hippocampal volume.No association between APOE and total hippocampal volume was detected before age 60.Accelerated decline was observed in ε4/ε4 carriers at age 61 and ε3/ε4 at age 69.Delayed decline was evident in ε2/ε3 carriers starting at age 76.

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来源期刊
CiteScore
7.80
自引率
7.50%
发文量
101
审稿时长
8 weeks
期刊介绍: Alzheimer''s & Dementia: Diagnosis, Assessment & Disease Monitoring (DADM) is an open access, peer-reviewed, journal from the Alzheimer''s Association® that will publish new research that reports the discovery, development and validation of instruments, technologies, algorithms, and innovative processes. Papers will cover a range of topics interested in the early and accurate detection of individuals with memory complaints and/or among asymptomatic individuals at elevated risk for various forms of memory disorders. The expectation for published papers will be to translate fundamental knowledge about the neurobiology of the disease into practical reports that describe both the conceptual and methodological aspects of the submitted scientific inquiry. Published topics will explore the development of biomarkers, surrogate markers, and conceptual/methodological challenges. Publication priority will be given to papers that 1) describe putative surrogate markers that accurately track disease progression, 2) biomarkers that fulfill international regulatory requirements, 3) reports from large, well-characterized population-based cohorts that comprise the heterogeneity and diversity of asymptomatic individuals and 4) algorithmic development that considers multi-marker arrays (e.g., integrated-omics, genetics, biofluids, imaging, etc.) and advanced computational analytics and technologies.
期刊最新文献
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