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| Content Provider | PubMed Central |
|---|---|
| Author | Pievani, M. Rasser, Pe Galluzzi, S. Benussi, L. Ghidoni, R. Sabattoli, F. Bonetti, M. Binetti, G. Thompson, Pm Frisoni, Gb |
| Abstract | Previous studies suggest that in Alzheimer's disease (AD) the Apolipoprotein E (APOE) ε4 allele is associated with greater vulnerability of medial temporal lobe structures. However, less is known about its effect on the whole cortical mantle. Here we aimed to identify APOE-related patterns of cortical atrophy in AD using an advanced computational anatomy technique. We studied 15 AD patients carriers (ε4+, age:72±10SD years, MMSE:20±3SD) and 14 non-carriers (ε4-, age:69±9, MMSE:20±5) of the ε4 allele and compared them to 29 age-and-sex matched controls (age:70±9, MMSE:28±1). Each subject underwent a clinical evaluation, a neuropsychological battery, and high-resolution MRI. UCLA's cortical pattern matching technique was used to identify regions of local cortical atrophy. ε4+ and ε4- patients showed similar performance on neuropsychological tests (p>.05, t-test). Diffuse cortical atrophy was detected for both ε4+ (p=.0001, permutation test) and ε4- patients (p=.0001, permutation test) relative to controls, and overall gray matter loss was about 15% in each patients group. Differences in gray matter loss between carriers and non-carriers mapped to the temporal cortex and right occipital pole (20% greater loss in carriers) and to the posterior cingulate, left orbitofrontal and dorsal fronto-parietal cortex (5-15% greater loss in non-carriers). APOE effect in AD was not significant (p>.74, ANOVA), but a significant APOE by region (temporal vs fronto-parietal cortex) interaction was detected (p=.002, ANOVA), in both early and late-onset patients (p<.05, ANOVA). We conclude that the ε4 allele modulates disease phenotype in AD, being associated with a pattern of differential temporal and fronto-parietal vulnerability. |
| Related Links | http://dx.doi.org/10.1016/j.neuroimage.2009.01.009 |
| Ending Page | 1098 |
| Page Count | 9 |
| Starting Page | 1090 |
| File Format | |
| ISSN | 10538119 |
| e-ISSN | 10959572 |
| Journal | NeuroImage |
| Issue Number | 4 |
| Volume Number | 45 |
| Language | English |
| Publisher Date | 2009-05-01 |
| Access Restriction | Open |
| Subject Keyword | Cognitive Neuroscience Neurology Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology Cognitive Neuroscience |
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