Journal
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS
Volume 28, Issue 5, Pages 476-485Publisher
KARGER
DOI: 10.1159/000258100
Keywords
Apolipoprotein E; Alzheimer's disease; Magnetic resonance imaging; Cortical thickness; Hippocampus; Cingulate cortex; Cognitive impairment
Categories
Funding
- Department of Health
- Instituto de Salud Carlos III [FIS, CM07/00048]
- Alzheimer's Research Trust
- Medical Research Council
- Alzheimer's Society
- UK HEFCE/Department of Health Clinical
- Technology Strategy Board
- Alzheimers Research UK [ART-RF2007-1] Funding Source: researchfish
- Medical Research Council [G0601846] Funding Source: researchfish
- MRC [G0601846] Funding Source: UKRI
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Background: Possession of one or more apolipoprotein E (APOE) epsilon 4 alleles may influence the distribution of atrophy and clinical phenotype. We aimed to assess the influence of APOE genotype on cortical thickness and regional brain volumes in AD (Alzheimer's disease). Methods: We included 38 patients (9 epsilon 4 non-carriers, 23 epsilon 4 heterozygotes, 6 epsilon 4 homozygotes) and 23 controls. Each subject had 2 magnetic resonance imaging (MRI) scans and a neuropsychological battery. Cortical thickness and isthmus cingulate volume were measured using FreeSurfer; the volumes of the hippocampus, whole brain, and lateral ventricles were calculated using manual and semi-automated volumetry. Results: Compared with controls, cortical thickness was significantly lower: in the bilateral temporal, posterior parietal and occipital regions in non-carriers, in the medial temporal and left parietal regions in heterozygotes, and in the medial temporal lobe in homozygotes. Comparisons between AD subgroups did not show significant differences. A trend for larger brain and isthmus cingulate volumes and smaller hippocampal and ventricular volumes with increasing epsilon 4 dose were seen. These differences were supported by neuropsychological profiles. Conclusion: These results suggest that APOE genotype may influence the topography of regional atrophy and cortical thinning in AD. Copyright (C) 2009 S. Karger AG, Basel
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