The protective gene dose effect of the APOE ε2 allele on gray matter volume in cognitively unimpaired individuals

Introduction: Harboring two copies of the apolipoprotein E (APOE) ε2 allele strongly protects against Alzheimer's disease (AD). However, the effect of this genotype on gray matter (GM) volume in cognitively unimpaired individuals has not yet been described. Methods: Multicenter brain magnet...

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Detalles Bibliográficos
Autores: Salvadó, Gemma, Operto, Grégory, Cumplido-Mayoral, Irene, Arenaza Urquijo, Eider M., Cacciaglia, Raffaele, Falcón, Carles, Vilor Tejedor, Natàlia, 1988-, Minguillón, Carolina, Gispert, Juan Domingo, ADNI
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/52764
Acceso en línea:http://hdl.handle.net/10230/52764
http://dx.doi.org/10.1002/alz.12487
Access Level:acceso abierto
Palabra clave:Alzheimer&apos
s disease
s disease signature
Apolipoprotein E ε2 carrier
Brain maintenance
Brain morphology
Brain reserve
Cognitive reserve
Magnetic resonance
Multi-site
Resilience signature
Descripción
Sumario:Introduction: Harboring two copies of the apolipoprotein E (APOE) ε2 allele strongly protects against Alzheimer's disease (AD). However, the effect of this genotype on gray matter (GM) volume in cognitively unimpaired individuals has not yet been described. Methods: Multicenter brain magnetic resonance images (MRIs) from cognitively unimpaired ε2 homozygotes were matched (1:1) against all other APOE genotypes for relevant confounders (n = 223). GM volumes of ε2 genotypic groups were compared to each other and to the reference group (APOE ε3/ε3). Results: Carrying at least one ε2 allele was associated with larger GM volumes in brain areas typically affected by AD and also in areas associated with cognitive resilience. APOE ε2 homozygotes, but not APOE ε2 heterozygotes, showed larger GM volumes in areas related to successful aging. Discussion: In addition to the known resistance against amyloid-β deposition, the larger GM volumes in key brain regions may confer APOE ε2 homozygotes additional protection against AD-related cognitive decline.