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. 2015 Oct 2;10(10):e0139082.
doi: 10.1371/journal.pone.0139082. eCollection 2015.

Amyloid-Related Memory Decline in Preclinical Alzheimer's Disease Is Dependent on APOE ε4 and Is Detectable over 18-Months

Collaborators, Affiliations

Amyloid-Related Memory Decline in Preclinical Alzheimer's Disease Is Dependent on APOE ε4 and Is Detectable over 18-Months

Christine Thai et al. PLoS One. .

Abstract

High levels of β-amyloid (Aβ) in the brain and carriage of the APOE ε4 allele have each been linked to cognitive impairment in cognitively normal (CN) older adults. However, the relationship between these two biomarkers and cognitive decline is unclear. The aim of this study was to investigate the relationship between cerebral Aβ level, APOE ε4 carrier status, and cognitive decline over 18 months, in 317 cognitively healthy (CN) older adults (47.6% males, 52.4% females) aged between 60 and 89 years (Mean = 69.9, SD = 6.8). Cognition was assessed using the Cogstate Brief Battery (CBB) and the California Verbal Learning Test, Second Edition (CVLT-II). Planned comparisons indicated that CN older adults with high Aβ who were also APOE ε4 carriers demonstrated the most pronounced decline in learning and working memory. In CN older adults who were APOE ε4 non-carriers, high Aβ was unrelated to cognitive decline in learning and working memory. Carriage of APOE ε4 in CN older adults with low Aβ was associated with a significantly increased rate of decline in learning and unexpectedly, improved cognitive performance on measures of verbal episodic memory over 18 months. These results suggest that Aβ and APOE ε4 interact to increase the rate of cognitive decline in CN older adults and provide further support for the use of Aβ and APOE ε4 as biomarkers of early Alzheimer's disease.

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Conflict of interest statement

Competing Interests: Christine Thai, Yen Ying Lim, Kathryn A. Ellis, Stephanie R. Rainey-Smith and Simon M. Laws report no relevant disclosures. Colin L. Masters is an advisor to Prana Biotechnology Ltd and a consultant to Eli Lilly. R. H. P. is a scientific consultant to Cogstate Ltd. Paul Maruff is a full-time employee of Cogstate Ltd. David Ames has served on scientific advisory boards for Novartis, Eli Lilly, Janssen, and Pfizer Inc. Ralph N. Martins is a consultant to Alzhyme. Christopher C. Rowe has served on scientific advisory boards for Bayer Pharma, Elan Corporation, GE Healthcare and AstraZeneca; has received speaker honoraria from Bayer Pharma and GE Healthcare; and has received research support from Bayer Pharma, GE Healthcare, Piramal Lifesciences and Avid Radiopharmaceuticals. Victor L. Villemagne served as a consultant for Bayer Pharma; and received research support from a NEDO grant from Japan. This does not alter the authors' adherence to PLOS ONE policies on sharing data and materials.

Figures

Fig 1
Fig 1. Magnitude of difference for cognitive decline over 18 months, relative to the Aβ- ε4 non-carrier group.
0 line represents the Aβ- ε4 non-carrier group; error bars represent 95% confidence intervals. *p<.05.

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